Drive Better Returns | Fast Track Commercialization

Predictive Analytics to Improve Health Outcomes & Commercial Performance

Our Mission

Our mission is to help clients demonstrate the value of healthcare products & fast track commercialization through Evidence-Based Evaluations, Health Economics, Outcomes Research, Reimbursement Policy & Digital Payer Advisory Boards.

Who is 4th-Hurdle (4H)

4H is a contract research organization (CRO), providing outcomes based predictive analytics to improve market access & advance reimbursement.

Methodology | iVBID

Our predictive analytics methodology is known as value based insurance design (iVBID), the role is to improve brand performance with a three step process, e.g. define, develop, advocate & test both the unmet need and target product profile (TPP).

Unique Assets

Our unique assets start with our Therapeutic Areas Covered, Countries with local Experts, to number of years in strategic consulting.

Figure 2. Unique Assets


Real World Evidence throughout the Product Lifecycle

Positioning product value is about define, develop and advocating the unmet need through the lifecycle.

Figure 3. Product Lifecycle & Real World Evidence Needs



  • Founded in 2002
  • Operates in 4+ countries
  • 200+ Clients, 40% Pharma, 40% Device, 20% Diagnostic
  • Life Science Focus
  • Proprietary Methodologies include White Space Mapping, Predictive Analytics, Reimbursement, Payer Advisory Boards, VBID
  • Differentiation: only integrated solution utilizing value based insurance design
  • Problems We Solve include Global Payer Advocacy & Evidence Dossiers for Jurisdictions of Germany, China, Brazil, USA

Tag Line

Drive Better Returns | Fast Track Commercialization

Global Headquarters

4660 La Village Drive

La Jolla, Ca 92037