# HTA landscape & precedent analysis
> What agencies have accepted, challenged and rejected in your space.
Source: https://www.visfo.health/projects/hta-landscape-precedent
Tags: Sprint

_What agencies have accepted, challenged and rejected in your space._

A structured analysis of HTA decisions, critiques and precedent across the markets that matter, so the value case is built against how agencies have actually behaved rather than how guidance says they should.

## What it is

A structured view of HTA activity in the relevant therapy area: what has been submitted, what agencies accepted, what they challenged, what drove restrictions or rejections, and how that has shifted over time.

Built for access and HEOR teams shaping a value case or a submission strategy, and for teams who want to understand a negative decision in context. Coverage depends on what agencies publish; where the public record is thin, we say so.

## How we run it

1. **Frame** — Agree the therapy area, the comparator set, the agencies in scope and the questions the precedent has to answer.

2. **Ingest** — Pull published appraisals, committee papers, critiques and decision rationales across the agencies in scope into one structured base.

3. **Synthesise** — Code the decisions on the dimensions that matter, comparator choice, evidence critique, modelling objections, uncertainty handling, and surface the patterns and the outliers.

4. **Deliver** — Ship the analysis with the implications for your submission, and where useful an interactive view the team can filter by agency, comparator and objection type.

## What you get

- Structured precedent base across agencies in scope

- Decisions coded by comparator, critique and objection type

- Patterns in what agencies accept, challenge and reject

- Implications for the value case and submission strategy

- Filterable precedent view, where useful