Reimbursement Affairs

 

Evidence-Driven Advocacy sm

B&D Consulting helps drug, medical device, and biotechnology companies commercialize medical technology and build reimbursed markets. Our work is broad-gauged – taking into account all decision makers and influencers in the process:

  • Federal agencies and Congress;
  • Regulators;
  • Public and private payer reimbursement;
  • Professional societies;
  • Patient groups;
  • Grassroots allies;
  • State advocacy; and
  • Legal review.

B&D Consulting develops strategies that cover the key areas affecting reimbursement:

  • Product Planning – Our professionals listen carefully, survey the issues and identify “gaps” that must be filled to satisfy third-party payers;
  • Evidence Planning – Our professional review and “grade” evidence on a health care intervention, then outline a “value proposition” for building new markets; and
  • Policy Planning – We focus on managing the political, policy, and consumer forces that affect 21st century health care.

B&D Consulting also provides discreet services to achieve reimbursement-related objectives:

  • Product Launches – Strategy and planning to support introduction of products into reimbursed markets;
  • Coverage & Evidence – Satisfying the coverage and benefits-category requirements of public and private payers (and marshalling new evidence when needed); and
  • Coding & Payment – Touching all major coding regimes, as well as key public and private systems for reimbursing hospital, physician, pharmaceutical, laboratory, home health, DME, and other health care items and services.

Cutting across the governmental/consumer forces that increasingly decide health care reimbursement, B&D Consulting professionals address issues of:

  • Public Policy & Legislation – Crafting research-based solutions to tensions between health care technologies and health care budgets;
  • Lobbying & Coalition Development – Using “evidence-based advocacy” to work with Congress, federal agencies, state governments and key stakeholders, such as health care professionals; and

Patient & Grassroots Advocacy – Leveraging patient-driven health care – a fact of 21st Century life – to serve our clients’ reimbursement goals.