Today, if you are not confused, you are just not thinking clearly.
- Sir Peter Ustinov

Reimbursement affects nearly every product introduced in health care today. Unfortunately, specific mechanisms for managing care and controlling costs vary dramatically across products, diseases, and payers. More importantly, reimbursement policies are constantly evolving, and as they change, so do the parties at financial risk for medical products and services. As a result, it can be daunting to evaluate the impact of third-party payment on a particular product.

BioMedical Insights helps those in the medical product marketplace identify the key payers for their products, understand these third-party payers' policies, and develop strategies to position products and secure favorable coverage and reimbursement.

Our insights into reimbursement come from direct experience. We speak regularly to health plan administrators, providers, suppliers, and patients. Combining their input with our knowledge of the market, we provide options and guidance to our clients. We work with companies to identify key challenges and opportunities, and develop strategies to maximize product acceptance, by type of payer. Our assessments include:

• determining the "payer mix" for a product or disease
• assessing payer coverage and reimbursement policies for relevant diseases and products
• dissecting the financial arrangements negotiated between managed care organizations, providers, and patients to see where companies and products fit in
• developing comprehensive strategies, including pricing, positioning, distribution, marketing, and contracting, to secure favorable coverage and reimbursement by key payers

BioMedical Insights has helped dozens of medical technology firms analyze, understand, and succeed within the complex U.S. health insurance system. As policies continue to evolve, we can help your strategies evolve with them.