Medical Device Reimbursement Consulting

Your path to success! Navigating the reimbursement landscape is crucial for the success of any medical device or drug. At MEDIcept, we understand that reimbursement can make or break your product's market potential. Our medical device reimbursement strategy experts can help you turn challenges into opportunities within the complex U.S. healthcare finance and insurance system.

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Why Reimbursement Matters

Every innovative medical product faces unique obstacles and opportunities in the reimbursement arena. Understanding these dynamics early in the product development process is essential for commercial viability.

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Our Reimbursement Services

Our reimbursement services are customized to meet your specific needs and may include:

Health Economic Analysis
Conducting robust analyses to demonstrate the clinical and economic value of your product to payers and providers.
Reimbursement Strategy Roadmap
Crafting a detailed plan that addresses policy, pricing, and evidence requirements.
Comprehensive Landscape Assessment

Evaluating all aspects of the reimbursement environment, including: the status of your product within insurance benefit structures.

  • Availability of CPT coding and HCPCS coding for billing and strategies for securing new codes.
  • Payment amounts for existing codes and potential payment structures for new coding.
  • Current insurer coverage policies and the evidentiary requirements for obtaining new or expanded coverage.
  • The impact of value-based payment models on your product. 
Operational Focus

Addressing specific concerns, such as preparing and submitting applications for new billing codes, developing dossiers for coverage and payment, and specifying pharmacoeconomic models to assess your product's total cost impact.

  • Allowable / Allowed Reimbursement: Ensuring that your product is positioned to receive fair compensation through effective reimbursement strategies.
  • Reimbursement Coding Application Process: Guiding you through the intricate process of applying for the necessary reimbursement codes.
  • Long-Term Reimbursement Function Design: Providing recommendations for staffing and resource requirements to establish a sustainable reimbursement function within your organization. 

Our Expertise

At MEDIcept, our reimbursement experts bring over 20 years of experience as senior managers in the medical device and services sectors. We have successfully assisted numerous development-stage companies across the life sciences and medical technology spectrum in overcoming reimbursement challenges and developing coordinated, comprehensive commercialization strategies.

Let us help you navigate the reimbursement landscape and unlock your product's full potential!

Contact MEDIcept for Medical Device Reimbursement Consulting

Medical device reimbursement is a key part of the product development and commercialization process. Our team has decades of experience helping medical device and IVD manufacturers successfully navigate the reimbursement process. Fill out the form below to connect with our team within 1-2 business days to learn how we can make reimbursement easier.

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