The evidence changed. Have the labels, guidelines and coverage policies caught up yet?
NextConsensus shows you how a medical claim got to its current wording, with every step linked to the document it came from.
- You name
- A claim, a drug, a class or a therapeutic area.
- You get
- Its revision history: when it first appeared, which studies were cited, when “may reduce” became “reduces,” where the wording spread.
- In time for
- A P&T meeting. An HTA submission. A label negotiation.
Built for Market Access, HEOR and Regulatory teams working against dates that do not move.
Where the deadlines come from
Three kinds of decision, and the evidence that moves before them.
Each is dated, public and made by a named body, which is what lets a forecast be registered against it before it happens. Everything before it is the evidence it responds to. Your review calendar sits in between.
- Rung 5 Guideline body changes a recommendation
- Rung 6 Regulator changes a label
- Rung 7 Payer changes coverage
Formal recommendation change by a recognized guideline body: grade shift, new/retracted endorsement, population expansion/restriction.
Rungs 1–4 are the evidence. Rungs 5–7 are the decisions a forecast is registered against. Rungs 8–12 are what follows from them.
What you receive
A dated, sourced history of each claim you name.
Every revision linked to its source and compared with the one before it, so a question asked in March can be asked again in September against the same history.
- What changed
- The wording, before and after.
- When
- The date of each revision.
- Where
- Label, guideline, coverage policy or trial report.
- Source
- A link to the document, at every step.
What we look for in a claim’s revision history
- Evidence attaching Systematic reviews and pivotal-trial citations arriving one after another behind the same sentence.
- Qualifiers falling away “May reduce” becoming “reduces,” and the hedge not returning.
- Spread across sources A claim moving from a product monograph into condition guidelines and class reviews.
- Official wording used before it is official Regulator or guideline phrasing showing up in public discussion before the committee has acted.
- A qualifier fought over Added, removed and put back by different authors. The argument itself clusters around the wording that matters most.
How you would know if we were wrong
Registered before the outcome. Scored by someone else.
The ledger is public. Every record shows its hash, its registration date and the rule it will be scored by.
- Registered The exact claim, the probability, the baselines it is compared against, and a hash of all of it. Frozen at the evidence cutoff; not editable afterwards.
- Adjudicated When the deadline passes, an independent adjudicator decides the outcome using the rule written down at registration.
- Checkable The hash, the date and the rule are on each record’s page, and the verification page shows how a hash is computed.