Health Economics and Market Access

Reimbursement

Medical device and diagnostic companies that can see into the black box of health insurance companies and hospitals fare better than those who remain confused by the jargon of medical coding, the ambiguities of coverage and the complexity of payment mechanisms.

N C Anderson Consulting works with companies to accomplish the following:

• Understand what payers want

• Know the importance of setting of care and how it plays into coverage and payment

• Identify what codes may be applicable to their technology and if no codes exist, what is needed to obtain new codes

• Explore what coverage policies already exist that may cover their device or diagnostic

• Assess what clinical trials will need to be completed for coverage irrespective of FDA approval