Understanding the complexities of successfully navigating the reimbursement and coverage processes to commercialize disruptive medical technologies can often be a complicated endeavor for organizations. MDIC has partnered with leading industry experts to review key components of developing a successful reimbursement strategy in a new series of informational videos. These videos highlight how to achieve commercial product success by securing favorable payer coverage, coding, and payment for new technologies.
The series of videos cover reimbursement and coverage best practices for the following key topics:
Navigating the US Public Payer Reimbursement and Coverage Landscape
Navigating the reimbursement and coverage landscape is critical to the short and long-term commercial success of medical technologies. Securing favorable reimbursement with public payers is often a complex and highly specialized process. Understanding the payer coverage pathway will assist organizations in developing a realistic timeline and planning for success.
Hosted by: Joel Brill, MD, FACP, Chief Medical Officer, Predictive Health
Reimbursement Professionals: Keely Scamperle, FACHE, CPC, CCS-P, CHC and Tamara Rook, MBA
Navigating the US Coding Processes
The reimbursement elements of coding, coverage, payment, and health policy are dynamic and should be considered early and often throughout the product life cycle. The coding process and pathway can often seem complicated but are critical for organizations to understand as a key component of a successful commercialization and adoption strategy. Learn about some of the ins-and-outs of the AMA CPT® and RUC processes as well as stakeholder considerations relative to navigating the process here.
Hosted by: Joel Brill, MD, FACP. Chief Medical Officer, Predictive Health
Reimbursement Professionals: Keely Scamperle, FACHE, CPC, CCS-P, CHC and Tamara Rook, MBA
Developing a Dynamic US Reimbursement and Coverage Strategy
A successful reimbursement and coverage strategy requires ongoing assessment and adjustment to the dynamic environment and its key stakeholder requirements. It also requires an understanding of benefit categories and the role of pricing and fee schedules. Learn from subject matter experts on how to develop a successful market access strategy for new technologies.
Hosted by: Joel Brill, MD, FACP, Chief Medical Officer, Predictive Health, former Payer Medical Director
Reimbursement Professionals: Liesl Oldstone, MBA, PhD, RPh, Mark Domyahn, MBA
