Reservoir Health helps organizations shape the policy, narrative, and market environments to enable health care innovation to reach patients.
We integrate policy, market enablement, and communications to shape how health care innovations are understood, valued, accessed, and adopted. We work with organizations developing new therapies, devices, diagnostics, digital health solutions, and models of care.
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Building a Winning Coalition in a Fractured Political Environment
As the midterms approach, communicators must increasingly look beyond broad labels like “Republican,” “Democratic” or “swing” to the values and belief systems that shape how audiences think about health care.
Using PRISM, Reservoir’s audience intelligence platform, we mapped all 435 congressional districts across 16 behavioral and ideological audience segments.
Audiences in districts with similar voting patterns can have very different views on health care – requiring different engagement strategies. For example:
How a district votes doesn’t paint the full picture. Effective audience engagement starts with understanding the values and belief systems that drive the audiences within a district.
PRISM turns district-level audience intelligence into actionable strategy and direct activation. These insights can help organizations:
Click here to explore the PRISM district map, including the audience segments shaping health care opinions in these congressional districts.

Is Your Health Care Advocacy Toolkit Ready for Midterms?
Election years don’t just change who’s in office. They reshape the environment in which health care advocacy organizations pursue their missions. The 2026 midterm elections will influence congressional leadership and committee priorities, state policy agendas, and the broader health care landscape. Organizations that prepare now will be better positioned to protect patient access, advance key policy priorities, and build relationships with policymakers before and after Election Day.
Effective advocacy, particularly when advancing a policy agenda, is about becoming a trusted resource when policymakers need timely, credible information to make informed decisions. That’s why the strongest advocacy programs don’t simply react to political change; they anticipate it by investing early in the relationships, resources, and infrastructure needed to remain effective regardless of how the political landscape evolves.
Now is the time to pressure test your internal and external advocacy strategy by:
Election Day is an important milestone, but it isn’t the finish line. In many ways, the most meaningful work begins once the ballots have been counted, and the governing landscape begins to take shape.
Changes in leadership, committee assignments, agency priorities, and legislative calendars can quickly reshape the policy environment. Taking the time now to prepare for multiple scenarios will better position your organization to maintain momentum, adapt to change, and continue advancing their mission regardless of the political landscape.
That preparation starts with asking a few critical questions. Does your organization have the resources needed to educate new audiences about your issue? Are your messaging, materials, and policy priorities flexible enough to remain relevant as priorities shift? Have you identified where your strongest relationships exist — and where you’ll need to build new ones?
The transition period post-election moves quickly, leaving little time to develop new strategies from scratch. Think of the time between November and January as an opportunity to reaffirm coalition alignment, ensuring partners remain unified around shared priorities, consistent messaging, and a coordinated strategy as the policy landscape evolves. Organizations that pressure-test their advocacy plans before Election Day won’t spend the transition reacting — they’ll spend it leading.
As the midterms approach, take the opportunity to refresh your advocacy resources — from fact sheets to issue briefs — with the latest data and policy developments. Just as importantly, distill that information into concise, decision-ready resources that help policymakers quickly understand both the challenge and the solution.
Importantly, consider how your materials are framed for your audience(s). The most compelling and impactful advocacy campaigns align policy solutions and patients together. No matter the complexity of the issue, authentic stories that reflect patients’ lived experiences are one of the most important ways to turn abstract policy debates into conversations that drive awareness, understanding, and action.
As you evaluate your advocacy infrastructure and materials, determine whether your messaging strikes the right balance between evidence and experience. Do your materials pair credible data with compelling patient stories? Are patient voices woven throughout your communications? Every advocate should be able to explain not only the policy challenge, but the real-world consequences of getting it right — or wrong — for the patients and communities elected officials represent. Relatedly, your outreach to advocates should be intentional and clear. Strong two-way communication is essential at every step of your advocacy efforts.
Building and empowering your advocates is key ahead of and during transitions, and they ultimately represent your organization in more places than ever before. Whether they’re meeting with policymakers, participating in coalition meetings, speaking at conferences, engaging with reporters, or mobilizing grassroots supporters, every interaction reinforces — or weakens — your organization’s credibility. Organizations that invest in shared messaging and consistent training create advocates who speak with one voice, regardless of the audience.
The post-election environment will also usher in new lawmakers and staff who may have little familiarity with your issue. That makes this the ideal time to prepare your advocates — not only by sharpening their storytelling skills, but by ensuring they can confidently educate new audiences, answer difficult questions, and establish themselves as trusted resources from the very first meeting. Whether you’re onboarding first-time grassroots advocates or preparing seasoned champions for a new Congress, investing in advocacy training today will strengthen every engagement tomorrow.
Election years reshape the environment in which advocacy organizations operate. The organizations that succeed won’t be those that predicted every outcome — they’ll be the ones that invested in the people, partnerships, and infrastructure needed to thrive in any environment. The question isn’t whether change is coming. It’s whether your advocacy program is ready to lead through it.

Clarity in Complexity: Effective Communications Across the Product Lifecycle
Innovation in the life sciences is constantly evolving. But every major stakeholder — patients, caregivers, advocates, investors, clinicians, policymakers, payers — continues to ask some version of the same questions:
What does this innovation mean, why does it matter, and what should we do with it?
Answering those questions is a corporate imperative, particularly in today’s health care environment defined by scrutiny, fragmentation, and competition. A company’s ability to effectively define and position its innovation can ultimately help shape whether that innovation is trusted, valued, accessible, and adopted.
Every company operates within a complex stakeholder ecosystem that includes distinct audiences with different needs:
Against these demands, the strongest communications approach is translatable across audiences, grounded in science, and calibrated for the market dynamics that shape patient access.
Life sciences companies generate enormous amounts of information: preclinical and clinical data, lived experience data, patient preferences, clinician behaviors, health economics analyses, real-world evidence, market research, commercial adoption, and more.
The communications challenge is to turn this information into meaning so that it can be understood, contextualized, and acted upon. The strongest communications functions often position themselves as a “translator” across the enterprise — aligning every function around a clear, resonant story of unmet need, clinical benefit and value to patients, families, and society.
Crafting an effective, cohesive story across this complexity is the core challenge for an enterprise. And this is where communications can be the difference between innovation that is promising and innovation that is trusted, valued, and accessible to the people it is designed to serve.
Every stage of the product life cycle comes with different communications challenges. Communications must be an enterprise integrator connecting diverse perspectives a coherent narrative that proactively address these challenges:
Product lifecycle stages present new questions, new audiences, and new decisions. Effective communications connect the evidence, the narrative, and the stakeholder experience — from early development through commercialization and beyond. Organizations that approach communications as an integrated, end-to-end capability are better positioned to translate complexity into clarity and create value for patients, healthcare systems, and the enterprise.