The problem with the reimbursement process: Navigating complex codes and payer policies.
Securing reimbursement codes for a new drug or medical device is the single greatest regulatory hurdle to achieving commercial success. The complex reimbursement process requires navigating intricate codes in different countries, often resulting in frustrating reimbursement denials that delay market access. Your internal resources are often over-extended dealing with evolving payer policies and obtaining favorable coverage policies. Without specialized expertise, this stage carries significant financial risk and can lead to irreversible reimbursement strategy failure.
The deliverable: Fast, profitable market access.
Our reimbursement strategy is designed for fast reimbursement and a high return on investment (ROI), guaranteeing you profitable market access. We eliminate the complexity by handling everything from the development of a reimbursement strategy, accurate coding submission to successful payer negotiations. Our expert team specializes in health economics and cost-effectiveness analysis to secure optimal payment rates and favorable coverage determinations. We deliver a clear path to commercialization by synchronizing your regulatory and global market access efforts. Partner with our dedicated medical device reimbursement consultants to accelerate your success.
What makes our reimbursement consulting better:
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Two decades of drug and medical device reimbursement consulting:
Our extensive experience generates results.
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Reimbursement consulting expertise:
We bring together dozens of the most trusted reimbursement experts across the U.S. and Europe - including former payer medical directors, public policy specialists, economists and life science executives.
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Proven track record:
We've successfully guided hundreds of life science clients, which secured new codes for their medical devices, expanded a coverage policy, obtained reimbursement or were acquired beforehand.
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Broad scope:
We assume full responsibility for the entire process of obtaining reimbursement, from start to finish. This includes:
- The development of a preliminary reimbursement strategy,
- Guidance for the development of a reimbursable product,
- Synchronizing your regulatory and reimbursement strategies,
- Adjusting your clinical development plan to facilitate reimbursement,
- Validating it all, and in advance, with payer representatives,
- Applying for new codes, appropriate payment rates and favorable coverage policies.
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Flat fees and concrete timelines:
Before we begin working together, you will know exactly what the reimbursement process will be, how long it will take - and how much you will spend in consulting fees.
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Global coverage:
We have experience and local experts to address reimbursement in each of the following countries:
- Sweden
- Austria
- Denmark
- Ukraine