May 9, 2023
HEALTH ECONOMICS AND PATIENT VALUE
In a bid to foster collaboration and transparency across diverse stakeholders in the healthcare ecosystem, the Medical Device Innovation Consortium (MDIC) has launched a new initiative aiming to streamline evidentiary requirements for coverage, expedite patient access, and refine pathways for coverage, coding, and payment. Additionally, it seeks to amplify the patient voice in treatment option selection across the total product life cycle.
Facilitated by MDIC’s Health Economics and Patient Value (HEPV) program, the Commercial Payer Council serves as a neutral platform for critical conversations, drawing together visionaries from various sectors including integrated healthcare delivery networks, payers, device companies, health plans, health technology assessment organizations, law firms and consultants in health policy, market access, and reimbursement.
The Council held its inaugural quarterly meeting in January 2024 with discussions centered around two pivotal themes: navigating Medicare Advantage and strategies for reimbursement of digital health technologies. Through the exchange of perspectives and insights, participants explored avenues to enhance understanding and collaboration across these domains. Using the outcomes of these discussions, the Council released it’s first Key Insights summary to serve as a roadmap for professionals working within device and digital health technology companies—offering strategic guidance and pathways for effectively engaging with commercial payers.
The Council’s second quarterly meeting, held in April, covered timely subjects including Utilization Management (UM), Prior Authorization (PA), and Health Equity in Medicare Advantage, along with the impact of new anti-obesity drugs on the health technology industry. The Q2 Key Insights summary of key takeaways and insights from the meeting will be released soon, stay tuned for more updates.
The MDIC Commercial Payer Council represents a pivotal initiative within the HEPV program designed to create predictability and transparency of evidentiary requirements for coverage and improve pathways for coverage, coding, and payment. By fostering dialogue and collaboration among diverse stakeholders, MDIC aims to enhance patient access and amplify patients’ voice in the selection of treatment options.
For further information regarding the MDIC Commercial Payer Council and how to get involved, interested parties are encouraged to reach out to Harry Kotlarz, Vice President of HEPV, via email at hkotlarz@mdic.org.
As the healthcare industry continues to evolve, initiatives such as the MDIC Commercial Payer Council play a vital role in shaping a more efficient, patient-centered healthcare ecosystem, poised to meet the challenges and opportunities of the future.
