Perspectives on the forces shaping health

Reservoir Health experts share analysis and ideas on the dynamics shaping health care decisions.

Health care decisions are shaped by policy, evidence, trust, market dynamics, public debate, and individual experiences of patients and stakeholders. We share our perspectives to help leaders make sense of those forces and identify what to do next.

Greg Jarvis
Jul 22, 2026
COMMUNICATIONS
MARKET ENABLEMENT

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.

One Story, Many Audiences

Every company operates within a complex stakeholder ecosystem that includes distinct audiences with different needs:

  • Patients, caregivers, and advocates want to know whether a company is authentic, trustworthy, and focused on the lived experience.
  • Clinicians want evidence-based guidance and information that supports informed treatment decisions and better patient care.
  • Health plans and employers want evidence to assess value, access, and affordability.
  • Investors want confidence in the science, the opportunity, and the path to value creation.
  • Policymakers want to understand how innovation can benefit the system and their constituents along with resource and budget implications.

Against these demands, the strongest communications approach is translatable across audiences, grounded in science, and calibrated for the market dynamics that shape patient access.  

Turning Information into Meaning

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.

A Story Arc Across the Product Life Cycle

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:

  1. In early discovery: defining the unmet need and the scientific approach.
  2. In clinical development: communicating outcomes and progress based on validated data and evidence.
  3. Around regulatory milestones: illustrating benefit, reinforcing patient need, and navigating stakeholder expectations.
  4. At product launch: refining, contextualizing, and building core messaging across critical inflection points.
  5. Post-launch and ongoing: integrating real-world evidence, patient experience, access dynamics, policy change, and reputation-building.

A Corporate Imperative  

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.

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COMPANY NEWS
Social Good During A Pandemic

Needless to say, this year has been challenging. At Reservoir, like many other workplaces, we all became well acquainted with our make-shift workspaces at home and relied more than ever on our wi-fi connections. For nine months, we’ve adapted our work styles and learned how to create a virtual office, even if we still miss out on our killer pantry snacks and have to navigate the children and pets – or even the FedEx guy at the door – who have become our new “coworkers.” But through it all, we’ve remained true to our core values and beliefs as a firm, and particularly to our Social Good efforts and commitment to support the DC community.

Recognizing the evolving nature of the pandemic, Reservoir’s Social Good team set out to create safe, socially distant opportunities this year, relying heavily on the strengths and skillsets of our colleagues. And, with the ever-growing social and economic impacts of COVID-19, we redoubled efforts to support local organizations and help those in our own neighborhoods with a hands-on approach.

Reservoir’s Social Good work is driven largely from the ground up, with colleagues identifying organizations and issues to highlight. Notably, colleagues are eager to participate. This year, we began by supporting Feed the Fight, a local effort to patronize restaurants and show support for healthcare workers on the front lines of the pandemic at the same time. Leaning on our expertise, Reservoir assisted with developing a media strategy and conducted media outreach as Feed the Fight got off the ground and quickly grew to support businesses and frontline workers across the DMV area.

Building on 2019 efforts, Reservoir also continued to engage with GOODProjects, a DC organization focused on transitioning families out of poverty. While we could not join the GOODProjects team in person, Reservoir developed and launched an online professional development workshop series for parents in the DC area looking to hone resume building, cover letter writing, and interviewing skills. Similar to our approach to client work, these workshops are a true collaboration among colleagues with diverse backgrounds and experiences and are a product of the deep knowledge and expertise of the whole Reservoir team.

Topping off our virtual activities, the Reservoir team also continued to give back financially to organizations we’ve long supported. In the fall, colleagues pooled monetary donations to purchase indoor activity kits for the women that Calvary Women’s Services supports. Our colleagues also formed a team and fundraised for Calvary’s first-ever virtual 5K. And to cap off the year, Reservoir collectively donated to So Others Might Eat’s holiday toy drive for children in the DC area experiencing homelessness or extreme poverty.

Looking back at 2020, we’ve all made changes and adapted to our current reality. And it’s comforting to know that, despite the pandemic, we continued to honor our commitment to social good work and ability to give back to our community.

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Dec 14, 2021
COMPANY NEWS
Diversity And Inclusion At Reservoir: Learning And Growing Along The Way

Eighteen months into the creation and advancement of our formalized Diversity and Inclusion (D&I) policy and plan at Reservoir, our diversity, equity and inclusion efforts continue to evolve and grow as we work to make our company a more diverse, equitable and inclusive place of business and support system for our local community. Here are a few key takeaways and learnings as we advance efforts forward:

The energy and support to ensure that D&I is both a company-wide and community-wide engagement opportunity remain strong.

The team built on our 2020 progress to expand our recruiting, internal engagement and community support efforts, with a continued hunger to engage on the issues. Some highlights include:

  • Expanding engagement with more diverse schools and school organizations across the greater D.C. and Baltimore area to promote our openings, speak with colleagues at career fairs and provide informational interviews and other networking opportunities;
  • Kicking off internal recognition and celebration of observances meaningful to colleagues – educating and engaging staff through emails, chats and internal dialogues, while supporting diverse nonprofits in the community; and
  • Helping local residents build on their job-hunting and networking materials and skills, as well as live healthier lives through our support of GOODProjects and Calvary Women’s Services.

There is a continual opportunity to grow and deepen our efforts; we’re focused on relationship building and learning about where our skills and abilities can provide value.

Our work here is truly an ongoing effort, and we’ve learned that how we continue to advance our impact is aligned with how we do so with our clients – by focusing on partnership and what we do best to deliver results. To that end, some of what we have planned to grow our work includes:

  • Building and deepening relationships with area organizations and schools to continue recruiting and supporting diverse candidates;
  • Helping build a future generation of professionals by engaging underserved middle and high school students in mentorship, resume-building, and professional development; and
  • Capturing what we’re learning through our health equity work in a more systematic way so that colleagues and clients can benefit from our body of knowledge.

For us, striving to “be the best” means continuing to honor and expand upon our commitment to exemplifying a diverse, inclusive and equitable company. Ultimately, our actions and learnings since implementing our Diversity and Inclusion plan are making Reservoir a stronger company for our employees and our clients, and our work continues.

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Dec 12, 2021
COMPANY NEWS
Reservoir’s Commitment To Supporting The D.c. Community

Since Reservoir’s founding, our team has always prioritized supporting organizations and causes that advance meaningful changes within our communities. This year, to align with our organization’s broader focus on diversity, equity and inclusion (D&I), we’ve focused our efforts on helping underserved communities across D.C. Here are some highlights of our activities over the past year:

Supporting Longstanding Social Good Partners:

  • Helping Calvary Women’s Services encourage and engage residents in their second annual In This Together 5K. Team Reservoir organized cheerleading sessions and sponsored milestone rewards for 5K participants. In addition, Reservoir formed a 5K fundraising team to further help financially support the woman of Calvary. These donations went to help launch a new housing program, Sisters Rise, which creates permanent supportive housing for women who are experiencing homelessness and are survivors of domestic violence in the D.C. area.
  • Hosting professional development workshops with GOODProjects, an organization committed to ending poverty around the world, starting in Southwest D.C., through family success planning and youth programming. Earlier this year, Reservoir hosted a series of workshops centered around resume building, cover letter creation, and interview preparation to help community members prepare for their next professional opportunity.

Maintaining flexibility to learn about and respond to significant additional needs:

  • Providing Reservoir employees with an opportunity and avenue to contribute to non-profit organizations addressing pressing issues and supporting vulnerable populations. For example, in the wake of the Afghan refugee crisis, Reservoir employees supported refugees and relief projects through monetary donations to Afghan Allies, an organization dedicated to helping settle refugees in the area.
  • Promoting mental health and wellbeing through a Give and Receive initiative. Colleagues received a small stipend to go towards self-care, and the same amount of funds to direct towards one of several health- and/or education-focused non-profits within the region. These organizations include local initiatives like Black Women Build-Baltimore – a homeownership and wealth building initiative – and the Capital Area Food Bank – the region’s leading non-profit providing equitable access to food and opportunity for people struggling with hunger and food insecurity.
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Dec 10, 2021
COMPANY NEWS
Brand And Reputation Research Expert Vaishali Udani Joins Reservoir Communications Group

Washington, D.C. — Vaishali Udani, a research specialist for leading corporate brands and companies, has joined Reservoir Communications Group as part of the firm’s research and insights team. With more than a decade of experience developing and leading opinion research on behalf of health care companies and other clients, Vaishali has worked extensively with key stakeholders to identify strategic and actionable insights that help organizations elevate their brand and communication strategies among priority audiences.

Reservoir Communications Group is a leading communications firm focused on helping clients address their most important challenges and opportunities in reputation, advocacy and organizational brand. The firm’s growing research and analytics practice offers clients in-depth quantitative and qualitative insights to inform their engagement with key audiences.

Vaishali’s expertise and experience is focused on corporate reputation, brand strategy, stakeholder alignment, and issues management. In addition, she specializes in designing and executing research in supplier and client environments in the U.S., European, and Asian markets.

Before joining Reservoir, Vaishali was the Insights Director at APCO Worldwide, a global public affairs and strategic communications firm. Prior to joining APCO, she was an accounts director for Perception Research (now Behaviorally), where she was involved in developing the go-to-market strategy for some of the world’s largest CPG companies.

Vaishali graduated with a Master of Arts Degree in Marketing from the University of Westminster, London, and a Master of Business Administration Degree from the University of Madras, India.

Clare Krusing
Nov 16, 2021
COMPANY NEWS
Reservoir Expands Biopharmaceutical & Media Expertise With Alka Bhatt, Samantha Leonardo

Washington, D.C. – Alka Bhatt, Pharm D., and Samantha Leonardo have joined Reservoir Communications Group. Alka, who served in various strategic roles at Bristol Myers Squibb (BMS) joined the firm as a senior advisor, expanding Reservoir’s knowledge and insight into market access, policy and value communications. Samantha, former press secretary for the U.S. Department of Health and Human Services (HHS) COVID-19 Joint Information Center, recently joined Reservoir Communications Group, adding to the firm’s deep media relations and rapid response expertise on high-profile health care issues.

Alka brings a wide set of experiences at the intersection of science and business across health care systems and the pharmaceutical industry. Alka spent several years within the biopharmaceutical industry serving in roles across commercialization strategy, brand marketing, business operations, business integration, market access, and policy communications. Prior to her work with BMS, she had clinical experiences as a graduate intern in pharmacy across oncology centers, anticoagulant clinics, transition of care discharge units, and clinical & health system support at the Indian Health Service. Additionally, she has taken her patient experience, clinician work, and business perspective to address policy and regulatory initiatives for both trade associations and unique industry issues through policy initiatives, strategic communication, and advocacy. Alka graduated from Rutgers University, Ernest Mario School of Pharmacy with a doctorate of pharmacy and Rutgers Business School with a master’s in business administration.

Samantha joins Reservoir after serving in multiple roles at HHS, including as a special assistant for the Assistant Secretary of Financial Services, communications advisor within the Administration for Children and Families, and press secretary for the COVID-19 Joint Information Center. She brings a first-hand experience leading the communications response during the earliest days of the pandemic, helping to triage communications needs across the department and preparing for the anticipated roll-out of COVID-19 vaccines. Prior to her work at HHS, Samantha served as a research analyst for the Republican National Committee and a research assistant for the Michigan Republican Party. She graduated from Michigan State University with bachelor’s degrees in international relations and Spanish.

Clare Krusing
Aug 27, 2021
COMPANY NEWS
The Reservoir Internship: Diving Deep On Substance, Always As “one Team”

One of the primary ways Reservoir distinguishes our internship program is through access to substantive work that informs interns’ understanding of the broader health care and strategic communications landscape. Reservoir interns are fully integrated into our client teams, giving them broad visibility into our client work. More than one-off research projects or media monitoring, interns learn the ins and outs of developing editorial calendars, draft blog posts and support policy landscape analyses, among many other opportunities. These substantive assignments give interns the opportunity to learn how to write in the client voice and how to get smart quickly on key health policy issues. Our hope is that interns see how their meaningful contributions to research and deliverables not only support our clients’ objectives, but their own professional development goals as well.

Like all employees at Reservoir, each intern has the opportunity to chart their own path. In the first weeks of their internships, our interns collaborate with their individual managers to set goals for the semester. Interns often come to Reservoir with specific goals: areas of health policy they want to dive deep on, skills they’d like to hone through substantive writing assignments, or other personal goals like growing confidence in their presentation skills. Throughout the semester, interns also attend a series of tailored professional development “lunch and learns” to hear from Reservoir’s experts on topics that matter, from biopharmaceutical policy to media engagement.

And the learning experience is not one-sided – our interns help Reservoir be the best, developing and executing the smartest strategies reflective of the current health care landscape. Our interns come to us while pursuing degrees at top universities, many in fields such as communications, pre-med, public health, public policy, leveraging the latest learnings in those fields to the benefit of our firm and our clients. Interns also bring new perspectives and fresh ideas for tackling challenges, and we believe that mentoring interns on client teams helps them feel empowered to speak up and share their ideas – and importantly, feel confident that their input is valued.

Ultimately, our internship is designed to give interns real exposure to navigating complex issues and a grasp on core communications tactics, while learning how to prioritize their own goals for career growth. When our interns graduate, we hope that they leave the internship as more confident young professionals ready to drive their bright futures.

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Jul 7, 2021
MARKET ENABLEMENT
Putting Patients At The Center Of The Value Equation

Value is the defining topic in health care, but do we really know what patients consider valuable?

At the most basic level, value is a calculation that weighs benefits against costs. We all make these mental value calculations daily on dozens of topics (e.g., buying branded vs. off-brand paper towels or deciding if a new streaming service is worth it). But how do we make these calculations when it comes to our health care?

This raises some basic questions. What are benefits? What are costs? What are the ways in which people assess the tangible and intangible costs and benefits of their own health care?

Reservoir set out to answer these questions through a year-long research project that aimed to develop a quantitative model that identifies the universal drivers of how patients perceive value across multiple health care sectors and products. We began by digging into the existing body of work around value and conducted focus groups and interviews with leading experts. This research helped to inform hypotheses of the attributes that patients consider when assessing both sides of the value equation: the perceived benefits vs. the perceived costs. We ultimately arrived at nearly 100 discrete attributes.

We then conducted a survey with 1,000 patients across a wide range of medical conditions from rare disease to chronic illnesses to those needing acute care for an injury. Respondents rated the attributes across one of five different health care sectors (biopharma, health insurance, device, diagnostics, hospitals and physicians). We were seeking to build a model that provides the broadest framework to understand the universal attributes of how patients assess value across the entire health care ecosystem.

The first and most important step in analyzing the data across all of these attributes was to determine how certain attributes cluster together to help define an underlying latent concept. We applied advanced factor analysis and partial least squares analytics to identify the common and distinct drivers of both sides of the value equation (benefits and costs) and the relationships between them.

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We discovered that at the highest level, benefits are defined across three key dimensions: individual, emotional and societal. These dimensions break down further into thirteen unique drivers measured by 39 individual attributes measured in the survey. For example, attributes focused on treatment success, reliability and alleviating pain naturally clustered together into the “Efficacy” driver. The cost side of the equation is comprised of three key drivers: individual, intangible and system costs, measured by 13 individual attributes. Many attributes didn’t make the cut because they were statistically poor measures of value. This model provides a window into how patients conceptualize the benefits and costs of health care. With this window, we can better advise clients on how to most effectively communicate their value proposition.

When assessing the benefits side of the equation, we discovered that the top two drivers are what we call “Humanity” and “Peace of Mind.” Humanity is about how health care products and services create a personal connection to patients by treating them like individuals, understanding their needs, and being seen as an advocate for them. Peace of Mind is a perception that the health care product or service provides freedom from fear and anxiety, making patients feel safe and secure. When patients assess value, clinical outcomes are important, but they are a threshold expectation. Evoking an emotional benefit (Peace of Mind) and a personalized relationship (Humanity) is more likely to trigger a differentiated value proposition.

The hierarchy we identified across the entire spectrum of health care sectors looks different depending on the individual sector, as well as individual therapeutic areas, products, service offerings and all other parts of the health care system that seek to demonstrate a patient-centric value proposition. The Health Patient Value Model is a framework for helping companies understand the value equation for their patients. How can Reservoir’s Patient Value Model supports your organization? Get in touch with me via email.

Bryan Dumont
Jun 8, 2021
POLICY
MARKET ENABLEMENT
Why Redefining Value Has Become So Important In Health Care

There may be no better conversation starter in health care than asking “What does value mean to you?” The question of what constitutes value is probably the most hotly debated question in health care. The answer to that question influences everything from what kind of care is provided to how that care is ultimately reimbursed.

As a communications firm, clients often come to us with that very need: to help them communicate the value proposition of their products and services. While each client brings a different product or service to the table and they may have different audiences to reach, the goal is always to show how their offering is differentiated and adds value to the system and to the lives of the patients they serve. That patient-centric mindset drives them to design better products and services with the patient at the center of every decision and innovation. To achieve patient-centric outcomes, it is essential to be defining value in the way that patients perceive it.

The universal definition of value is benefits divided by cost – if a product provides more benefits than it costs, then it is valuable. To better understand how the industry defines value, we looked at how stakeholders are discussing it and using it to guide their decisions. In addition to the wide variation in definitions, we found that too often in health care, existing value frameworks fail to capture all the drivers that patients consider when thinking about benefits and costs.

Health Technology Assessments (HTAs) are another way of determining value in health care. With HTAs, organizations or governments look at the costs, outcomes and safety of a product or service, then determine how much value is added to the entire health care system. With that calculation, they can assign a starting price for negotiations.

More broadly, value-based care and associated payment models carry specific cost and quality metrics to measure how those across the continuum of care – from clinical laboratories to providers to device manufacturers – deliver value through the products and services they provide. The models attempt to quantify complex factors including patient satisfaction, timeliness and equitability to compare and rank those offering care.

While there are certainly a variety of quantitatively driven value-assessment models, we found few examples of quantitative approaches to understand and respond to the patient perspective across the continuum of care. As a result, companies struggle to communicate the value of their products and services in a differentiating and patient-centric way and patients are dissatisfied with a system that comes short of their expectations.

Reservoir decided to try and fill in some of the gaps. We started a journey to decode the actual attributes that patients consider when assigning value to a product or service in health care, ranging from clinical efficacy to emotional support. Through a series of in-depth conversations with thought leaders in the field and a quantitative survey of patients with varying levels of experience with the health care system, the Reservoir Patient Value Model was born.

Over the coming weeks, we look forward to sharing more about the Patient Value Model, and how it can benefit your organization.

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May 25, 2021
COMPANY NEWS
Michelle Nealy Joins Reservoir Communications Group, Expands Firm’s Advocacy & Digital Expertise

Washington, D.C. – Reservoir Communications Group welcomed Michelle Nealy, a seasoned communications and digital strategist, to its senior team as a Director, building on the firm’s broad advocacy expertise on behalf of its clients.

Before coming to Reservoir, Michelle served as Vice President of Communications and Digital Strategy for Faith in Public Life where she oversaw communications strategy and digital engagement for a wide range of social justice issues. Prior to this, she drove rapid response and crisis management campaigns at the N.A.A.C.P. Previously a reporter for the Associated Press, Michelle has chronicled some of the most important political issues of the 21st century. Michelle holds a B.A. in Journalism from Howard University, and a M.A. in Communications from the University of Maryland, College Park.

Reservoir also welcomed Dan Lemle, Managing Associate, and Liz Irons, Associate, to the firm. Dan will help oversee and support media and content development across Reservoir’s health care clients. Prior to joining Reservoir, he served as communications manager at the Alliance of Community Health Plans (ACHP), a trade association representing the nation’s nonprofit health insurers. Dan has also held communications roles with the National Association of Broadcasters (NAB), the primary organization representing radio and television broadcasters. He has a B.S. in Journalism and a Specialization in Public Relations from Bowling Green State University in Ohio.

Liz recently joined Reservoir as a full-time associate after completing two successful internships with the team. She will support Reservoir’s health care clients with content development, research and social media engagement. Liz graduated from George Washington University with a B.S. in Political Communication and her M.A. in Media and Strategic Communication.

Clare Krusing
May 25, 2021