06/19/2026
We talk a lot about regulatory, grade RWE, but there's a gap most teams aren't addressing yet: the registration problem. ISPOR, ISPE, NPC, and Duke Margolis just launched a registration site specifically for RWE studies using secondary data. The reasoning is straightforward. Studies that don't meet formal regulatory registration requirements still need transparent, preregistered methods to hold weight with payers and assessors.
The issue is perception. RWE without public preregistration gets treated as less rigorous than clinical trials, even when the underlying data is solid. This matters for market access conversations because payers are increasingly skeptical of evidence that wasn't locked in before analysis.
If you're building RWE strategies for value communication, this is operational. Your teams need to know: preregistration isn't optional anymore. It's the difference between evidence that gets debated and evidence that moves decisions.
HEOR Explained is an accessible way to understand what HEOR is, how it’s used, and its impact on people and healthcare systems. A resource for all, created by ISPOR.