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Christoph Hohenberger09.07.20253 min read

From Pills to Pathways: Pharma’s Shift Toward Disease-Centered Strategy

From Pills to Pathways: Pharma’s Shift Toward Disease-Centered Strategy

 

Key Takeaways:

  • Pharma is transitioning from product-centric marketing to disease-aligned, patient-outcome-driven strategies.
  • Cross-functional alignment and personalized communication are essential in executing disease-centered models.
  • Retorio supports this transformation by operationalizing trust, competence, and empathy at scale through AI.

Abstract

Pharmaceutical companies are shifting away from a siloed, brand-first mindset toward strategies centered on specific diseases and patient outcomes. This transformation is driven by the need to address complex care pathways, rising payer expectations, and the demand for personalized medicine. Disease-centered strategies reorient marketing, medical, and commercial teams around shared goals, enabling more coherent value communication across a portfolio. AI and behavioral science tools like Retorio can play a critical role in supporting this shift—ensuring that customer-facing teams deliver high-impact, trust-based communication aligned with disease priorities.

The Strategic Shift in Pharma

For years, pharmaceutical strategies were built around individual brands. Blockbuster drugs commanded entire launch teams and dedicated resources. But as therapeutic areas become more competitive—and as diseases themselves become better understood—this model shows its limitations.

Today’s strategic imperative is different: focus on disease first, not the molecule.

This shift means building commercial and medical narratives around patient journeys, not product features. It means organizing teams by disease verticals like glioma, hypertension, or atopic dermatitis. And it means creating value by demonstrating how a portfolio of interventions—drugs, diagnostics, digital tools—fits into one coherent solution.

What Drives This Shift?

  1. Complexity of Modern Diseases: Chronic and multifaceted diseases like cancer or autoimmune disorders require integrated treatment plans.
  2. Healthcare Professional and Payer Expectations: Both expect cross-brand coherence. Medical education, evidence generation, and sales engagement must reflect the way diseases are actually treated.
  3. Pressure to Differentiate: In crowded therapeutic categories, being seen as a “partner in disease management” is more sustainable than leading with features.
  4. Data, AI, and Personalization: With access to richer data and digital touchpoints, companies can now orchestrate personalized journeys aligned with disease stages and patient needs.

How Retorio Adds Value to Disease-Centered Models

Retorio’s AI platform brings behavioral science into the center of commercial effectiveness. It does this by measuring and coaching the foundational drivers of trust: warmth and competence.

1. Elevating Field Force Conversations

In a disease-centric model, reps need to communicate nuanced, patient-focused narratives. Retorio trains them to deliver content with the right behavioral tone—empathetic, confident, data-driven—by providing feedback on real video roleplays or live conversations.

2. Scaling Cross-Portfolio Alignment

Retorio allows leadership to benchmark warmth and competence across different disease teams, identify performance gaps, and ensure consistent behavioral excellence across launches and geographies.

3. Building Credibility with HCPs

Medical science liaisons and sales reps trained with Retorio show improvements in perceived trustworthiness and clarity. This is especially critical when engaging specialists in complex diseases where scientific depth and relational skill must go hand-in-hand.

4. Operationalizing Behavior Change

Retorio doesn’t just measure behavior—it changes it. Teams using Retorio improve their customer interactions in weeks, not months. That’s a key enabler for any transformation effort that depends on human behavior, such as pivoting from a product story to a disease story.

Case Examples of Industry Adoption to Disease-Centered

  • Roche: Focused its pipeline on 11 core disease areas and realigned commercial teams to disease clusters.
  • Sanofi: Repositioned around immunology with a strategic use of AI in development and engagement.
  • AstraZeneca: Acquired rare disease-focused firms to deepen expertise in endocrine and autoimmune areas.

 

The Organizational Challenge

While the logic of this strategy is sound, executing it isn’t trivial. It requires:

  • Changing incentive structures and KPIs
  • Creating cross-functional playbooks that bridge medical, access, and sales
  • Upgrading training systems to embed behavior change
  • Investing in AI tools that make human interactions measurable and coachable

 

Conclusion

The move toward disease-centered strategy is not just a marketing pivot—it’s a structural reset of how pharma creates value. Companies that succeed here will be those who integrate science, behavior, and technology. Retorio plays a central role in enabling that integration, by helping teams show up with clarity, competence, and compassion—at scale.

This is how pharma goes from selling pills to solving pathways.

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Christoph Hohenberger
Dr. Christoph Hohenberger studied business psychology and earned his doctorate in psychology. At the Chair of Strategy and Organization at the Technical University of Munich, Hohenberger conducted research on the influence of emotions, cognitions and one's own personality on the formation of judgments and behavior towards autonomous technologies, which he deepened, among other things, as a visiting scientist at the Massachusetts Institute of Technology (MIT). Other published research contributions focus on human behavior in work and organizational contexts.

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