Best Practices, LLC Study Addresses the Challenge of Copay Accumulator Programs: Effective Pharma Strategies for Ensuring Patient Access
CHAPEL HILL, N.C., Nov. 7, 2025/ ---- Across the healthcare landscape, rising out-of-pocket costs are putting essential specialty treatments out of reach for many patients. The growing prevalence of copay accumulator programs has made patient affordability a critical issue for manufacturers and patients alike.
To address this challenge, Best Practices, LLC conducted a comprehensive benchmarking study titled "Meeting the Challenge of Copay Accumulator Programs: Effective Pharma Strategies & Tactics for Ensuring Patient Access." The report examines how specialty pharma manufacturers are mitigating the financial and operational impact of copay accumulator programs while safeguarding patient access and adherence.
The study engaged 25 Market Access and Patient Support executives from 21 specialty biopharma companies, with in-depth interviews from 9 benchmark partners. Insights are segmented into two groups—Total Benchmark Class and Out-of-Pocket (OOP) Costs Minimizers—to showcase differences between average and top-performing manufacturers.
Key Findings Include:
- Over 54% of manufacturers view copay accumulator programs as a lasting issue with few viable solutions.
- More than 70% of companies believe current mitigation tactics can be countered by evolving payer strategies, creating an ongoing struggle between payers and pharma.
- Benchmark partners report increased financial assistance outlays, highlighting the need for smarter, scalable mitigation models.
The full report provides benchmarks and insights around copay accumulator threat assessment, mitigation tactics, financial assistance trends, and KPIs to measure the effectiveness of accumulator response strategies.
Key Topics Covered in the Report Include:
- Copay accumulator threat assessment and market triggers
- Effective mitigation strategies and tactics
- Financial assistance trends and key performance indicators
- Challenges, lessons learned, and future payer strategies
For a deeper dive, download the complimentary report summary here: https://www.best-in-class.com/rw509.htm
Pressed for time? Watch the accompanying video that summarizes the future threats, payer tactics, and leading mitigation strategies emerging from the study: