Our Services
From Clinical Study Design to Medicare Payment Rates
FDA & Clinical Study Input
We provide strategic input to clinical study design — ensuring that FDA studies simultaneously generate the evidence required by Medicare and commercial payers. This eliminates the costly need for separate confirmatory studies post-approval and accelerates the path to coverage.
Medicare Coverage Navigation
We identify the most appropriate Medicare coverage pathway for your technology — including TCET, RAPID, and traditional NCD/LCD processes — and provide hands-on strategy and support through every step of the pathways.
Coding Strategy
Commercial success starts with coding. We assess whether there are current code(s) that can be reported when your technology is used by healthcare providers. If not, we develop strategies to seek modification of existing codes or obtain new codes, regardless of site of service.
Payment Rate Strategy
Securing the right payment rate is as critical as securing coverage. We develop strategies to obtain appropriate Medicare payment rates for customers who use your technology — including inpatient prospective payment system (MS-DRG), outpatient prospective payment (APC), and physician fee schedule payments — and identify opportunities for premium pricing where evidence supports it.
Economic Models & Proof Points
We build customer-facing economic models that demonstrate value to hospital CFOs, value analysis committees, and physicians — translating clinical outcomes into financial impact to accelerate adoption and justify premium pricing.
Our Offerings
Comprehensive Market Access Solutions
Market Access Assessments
Detailed landscape analyses describing current coding, coverage, and payment status — with actionable steps, timelines, and cost estimates to close gaps and reach commercial readiness.
Coding & Coverage Pathways
Securing optimal coding, coverage, and payment policies to support adoption and growth.
Evidence Generation Strategy
Evidence generation strategy to support payer evidentiary standards and clinical adoption - leveraging, and integrated with, regulatory authorization and post-approval clinical studies and publications.
Commercial Strategy Input
Translating payer policies and health system dynamics into actionable commercial strategies to support adoption and growth.
Services
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