Market Access and Reimbursement Support
Market Access and Reimbursement Support in a healthcare context refers to the structured process of enabling patient access to medicines, medical technologies, and health services through Australia’s regulatory, assessment, and funding systems.
This includes navigating pathways such as:
- the Pharmaceutical Benefits Scheme (PBS)
- Medical Services Advisory Committee (MSAC) processes
- Prostheses List arrangements
- other Commonwealth and state-based reimbursement mechanisms
In Australia’s highly regulated healthcare system, market access decisions are shaped by health technology assessment frameworks, budgetary constraints, policy priorities, and public and political scrutiny around value, equity, and sustainability.
Effective market access requires alignment between clinical evidence, health economics, policy context, stakeholder expectations, and government decision-making processes. Market access and reimbursement strategies must therefore integrate regulatory insight, policy engagement, stakeholder coordination, and disciplined public affairs to ensure access objectives are credible, defensible, and aligned with broader health system priorities.
How Nexus Can Help:
Integrated Market Access Advice
Nexus supports healthcare organisations by providing integrated market access and reimbursement advice that bridges policy, public affairs, and stakeholder engagement. This includes advising on access strategy, reimbursement pathways, and engagement with government, departments, and assessment bodies, as well as supporting alignment between clinical, economic, and policy narratives.
Structured Stakeholder Engagement
Nexus works with clients to develop and execute structured engagement programs with policymakers, parliamentarians, officials, clinicians, patient organisations, and industry stakeholders to support understanding of patient need, innovation value, and system impact. Support also includes managing reputational and political risk during high-profile reimbursement processes, ensuring consistency across submissions, advocacy, and communications.
Sustainable Access Outcomes
By combining deep expertise in healthcare policy, market access, and government decision-making, Nexus helps organisations navigate complex reimbursement environments, secure sustainable access outcomes, and maintain trust with government and the broader health system.