Peak Spirit Market Report: Startup Market Access Readiness
- Siro Gottardi
- Aug 12
- 2 min read
Assessing how 40+ HealthTech startups approach market access and market validation

Report introduction:
This report investigates the market access readiness of 46 HealthTech startups in Europe, particularly the DACH region (Germany, Austria, Switzerland). Although startups widely acknowledge the strategic importance of market validation, most significantly underinvest in the process. Only 41% achieved a “good” or “very good” validation level.
With market validation we define the process of testing and confirming that your product or solution solves a real problem for a clearly defined group of users or customers, and that these users are willing to adopt and/or pay for it. In heavily-regulated and complex industries like HealthTech this helps to reduce the risk of building something no one wants, or can’t buy because of regulatory issues.
Startups commonly lack thorough research into reimbursement pathways, clinical workflows, and legal frameworks, leading to a mismatch between technological innovation and real-world market demands. This underinvestment is often driven by lack of awareness, funding limitations, and overconfidence in technology-driven value.
The report provides in-depth findings, actionable recommendations, and calls for a more structured and collaborative validation process involving ecosystem stakeholders.
What you'll learn from the report:
How 40+ HealthTech startups across Europe approach market validation and where most fall short.
How early, structured validation helps to avoid costly missteps in regulated healthcare markets.
Key differences in market access and reimbursement pathways in Switzerland, Germany, and Austria.
The five essential areas every startup should validate before market entry.
Proven methods for conducting validation and common pitfalls.
Impact of validation depth on fundraising success.
Practical strategies for high-level vs. in-depth validation across multiple countries.
Download full report:
Are you interested in validating your markets?

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