Rare Disease

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About Rare Disease

The Rare Disease Service examines the evolving stakeholder perspectives, financing approaches, and distribution models shaping access to rare disease and advanced cell & gene therapies. Through research with commercial payers and specialty pharmacy providers, the service provides insights into payer management strategies, emerging financing mechanisms, manufacturer engagement, and the operational considerations influencing access within this rapidly evolving market.

Research Archive

2026 Research

Commercial Health Plans: Rare Disease & Advanced Therapy Management, Financing, and Manufacturer Engagement

September 2026. Examines commercial plans' management of high and ultra high-cost rare disease and cell & gene therapies (CGTs). Discusses financial protection solutions and manufacturer contracting, and evaluates best-in-class manufacturer support of rare disease portfolios across multiple metrics.

2025 Research

Specialty Pharmacy Providers: Rare Disease & Advanced Therapy Distribution and Manufacturer Engagement

October 2025. Reviews issues in specialty pharmacy dispensing and distribution of rare disease and gene therapy medications. Examines network considerations, specialty pharmacy capabilities, contracting approaches, and best-in-class manufacturer engagement/support.

Commercial Health Plans: Rare Disease & Advanced Therapy Management, Financing, and Manufacturer Engagement

Rare disease and advanced therapy markets continue to expand as robust pipelines, accelerated innovation, and a growing number of high-cost therapies reshape the treatment landscape.…Learn More

Specialty Pharmacy Providers: Rare Disease & Advanced Therapy Distribution and Manufacturer Engagement

Specialty pharmacies have developed robust and unique capabilities to support the growing market of rare disease & gene therapies, and can serve as strong partners…Learn More
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Go Deeper:
Rare Disease

As the pipeline of rare disease and advanced cell & gene therapies continues to expand, healthcare stakeholders are developing new approaches to evaluating, financing, distributing, and supporting these highly specialized treatments. HIRC’s Rare Disease Service helps pharmaceutical organizations better understand these developments by monitoring payer management trends, specialty pharmacy capabilities, manufacturer engagement, and emerging market dynamics. The service provides insights across 20+ disease states within the following broad therapeutic categories:

  • Cell & Gene Therapy
  • Rare Cardiovascular Diseases
  • Rare Hematologic Disorders
  • Rare Immunologic & Immune-Mediated Disorders
  • Rare Neurological & Neuromuscular Disorders
  • Rare Pulmonary Disorders
  • Rare Oncology
  • Rare Kidney Diseases
  • Rare Liver Diseases
  • Rare Metabolic & Lysosomal Disorders

For more information or to subscribe, contact Danielle Snook via email.

HIRC employs a triangulated research methodology that combines primary survey research, in-depth stakeholder interviews, and secondary market analysis to provide a comprehensive understanding of healthcare stakeholder perspectives, market dynamics, and emerging industry trends.

Research includes perspectives from:

  • Commercial Health Plans: Management Trends, Emerging Financing & Contracting Approaches, Manufacturer Engagement
  • Specialty Pharmacy Providers: Rare Disease Distribution Trends, Rare Disease Dispensing Capabilities & Services, Manufacturer Engagement, & Contracting

Subscribers can monitor emerging developments in the rare disease and gene therapy landscape, better understand payer and specialty pharmacy perspectives, identify evolving stakeholder needs, and make more informed decisions regarding market access, customer engagement, and organizational planning.