2025–2034 horizon (10y)
Module 3
Drivers & Scenarios
Market drivers with bounded future states and leading indicators. Scenarios are combinations of driver states — used by the forecast engine and strategy simulator.
Edit access multiplier and competitive pressure inline. Changes are saved locally and flow through the forecast engine on every page.
| Scenario | Medicare obesity coverage | Oral GLP-1 entry | Employer coverage expansion | PBM utilization management | CV outcomes label uptake | Access mult. | Comp. pressure |
|---|---|---|---|---|---|---|---|
Base Case Most-likely state across all drivers. PBM tightening, oral GLP-1 launches 2026, selective employer coverage. | base | base | base | base | base | ||
Access Compression PBM tightening accelerates, employer carve-outs spread, oral GLP-1 takes share faster than expected. | conservative | disruptive | conservative | disruptive | base | ||
CV Label Expansion SELECT drives cardiology adoption, Medicare opens limited coverage, employers maintain coverage. | disruptive | base | base | base | disruptive |