Speed to access

Publish sooner. Reach coverage sooner.

Coverage, formulary and guideline decisions wait for peer-reviewed evidence. Much of the time between a locked analysis and a submitted paper is internal: drafting, checking numbers, review rounds and sign-off. That is the part Silogram shortens, and the part you control.

From analysis to revenue, and where the weeks go.

  1. 1 · Analysis locked

    Outputs exist

    Tables, listings and figures are final. The evidence is real but not yet usable by a payer.

  2. 2 · Where Silogram works

    Draft, check, review, sign

    Drafting from code, numbers linked to outputs, house style, tracked review and sign-off. Weeks to months, and yours to shorten.

  3. 3 · The journal

    Peer review

    About 100 days from submission to acceptance at a typical biomedical journal, and largely outside your control.1

  4. 4 · The decision

    Coverage and revenue

    A MolDX assessment in weeks, an NCCN update 5 to 6 months after the panel, commercial plans a median of 4.2 months after approval.243

What earlier access is worth to you.

Use your own numbers. The calculator moves revenue earlier by the weeks you gain; it ignores ramp-up, discounting and payer mix.

Your assumptions

For the product or test the decision covers. "50M" works too.

How much sooner the paper, and so the decision, could come.

Each with the same revenue.

Revenue moved earlier

$3.8M

4 weeks earlier on 1 decision at $50M a year each.

Each week

$962K

Each day

$137K

For scale: a peer-reviewed Tufts CSDD study put a day of delay at about $500,000 in average lifetime sales for a new drug (its white paper on the same work says about $800,000). Those are averages of lifetime sales, not measured losses from delay, and mid-market products differ.7

Access tab for a synthetic phase 3 congress abstract: the abstract's likely decision date, the time an NCCN Guidelines update usually takes, and the resulting likely access date, with the revenue deferred by each week of delay.

In the product

The access plan.

Link each document to the decision it supports: a MolDX assessment, an NCCN submission, a formulary review, a joint assessment or an approval. Silogram moves the access date with the document's forecast and prices every day gained or lost against plan.

  • Most-likely and 90% dates
  • Your assumptions, recorded in the audit trail
  • A portfolio view across every decision

The rule is documented. The speed-up is yours to measure.

Documented

Payers, guideline panels and Medicare contractors look for peer-reviewed evidence, and the paper often arrives months or years after the analysis. See the pharma and diagnostics pages for the rules and their sources.

Not measured anywhere

No study measures how much sooner a coverage decision comes when a paper comes sooner. Decisions usually cite several studies, and some follow annual cycles.8

What a pilot measures

Time from locked outputs to submission on one live document, against your own recent history. That number goes into the calculator above.

Sources

  1. 1Himmelstein. The history of publishing delays (analysis of PubMed dates, 2016).
  2. 2Palmetto GBA. MolDX General FAQs.
  3. 3Haque et al. JAMA Oncol. 2023. PMC10587821.
  4. 4NCCN. Guidelines submission process FAQs (November 2024).
  5. 5Valsecchi et al. J Cancer Policy. 2025. PubMed 40268192.
  6. 6Cochrane. How long do clinical trials take to publish their results? (methodology review, November 2024).
  7. 7Smith, DiMasi and Getz. Ther Innov Regul Sci. 2024;58:855–862. PubMed 38773058.
  8. 8Sexton et al. JAMA Health Forum. 2023. PMC10403784.

Bring one document that matters.
See how many weeks you get back.

A 90-day paid pilot on a live manuscript, abstract, CSR or dossier, connected to its analysis repository with a read-only token.