20252034 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.

ScenarioMedicare obesity coverageOral GLP-1 entryEmployer coverage expansionPBM utilization managementCV outcomes label uptakeAccess mult.Comp. pressure
Base Case
Most-likely state across all drivers. PBM tightening, oral GLP-1 launches 2026, selective employer coverage.
basebasebasebasebase
Access Compression
PBM tightening accelerates, employer carve-outs spread, oral GLP-1 takes share faster than expected.
conservativedisruptiveconservativedisruptivebase
CV Label Expansion
SELECT drives cardiology adoption, Medicare opens limited coverage, employers maintain coverage.
disruptivebasebasebasedisruptive