Gutbucket, I'm not an acoustician and there are aspects of this situation that I'd like to understand more clearly, too. Give me some time and I can ask some people, if no one else here fills in the blanks in the meantime.
Meanwhile my best guess as to the likely answer to your question ("Why does the 'pressure build-up effect' appear to diminish on-axis in the highest frequency regions?") is that the greatest degree of reinforcement occurs when the size of the obstacle is exactly one-half wavelength of the incoming sound (i.e. the waves "coming" and "going" are in phase), with correspondingly less reinforcement on either side of that frequency--like a peaking filter with Q = 1. However, as I said, that's only a guess; it could be grotesquely mistaken.
deanlambrecht, this is the first I've ever heard of a Healy method, so I need to do some homework before commenting on that. But it sounds to me as if "it ain't broke, so don't fix it" may apply to your situation, and if so, that's what I like to hear--I'm not into urging other people to be dissatisfied all the time. (The ones most in need of improvement wouldn't listen anyway.)
The frequency range in which the orientation of the mike matters most with normal, small cylindrical omnis is in the region above 6 - 8 kHz, so it's too high up to be "presence"--it's somewhere between where "brightness" lives, on the one hand, and "sheen" or "sparkle" or "air" on the other. So that's definitely a "season to taste" situation rather than a "follow my rulebook" one as far as I'm concerned.
--best regards
P.S.: Two notes on the Schoeps graphs that Gutbucket posted above: Again, the CMC 62 is a free-field omni, and wouldn't normally be used with spheres. Distant miking is what these sphere thingies are all about. The design is from the mono era, and in those days, such microphones were placed (one per recording!) at distances greater than almost anyone today would ever think of using. In terms of Schoeps capsules that approach calls for the MK 2H, the MK 2S or even the MK 3. But the MK 2 is shown precisely because it has very flat response on axis, making it easy to see the sphere's effect by contrast.
The second thing is that it's my understanding that the KA 50 sphere will be phased--no pun unintended--out shortly if it hasn't been already. The sphere size originally specified by the NWDR, when they put forward the design that was ultimately implemented as the Neumann M 50, was 40 mm. I have pairs in both sizes (for no particularly good reason) and agree that it's not much of a loss; as you can see, there's hardly any difference. Sound waves flow around a smooth, spherical shape more readily than they do around a shape with sharp corners and flat, "confronting" surfaces. A sphere this small is more of a distraction than an obstruction.