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Understanding how top payers evaluate technologies like yours can be the difference between stalled adoption and successful market access.
A Coverage Policy Analysis gives you actionable insights into the decision-making by Medicare, Aetna, UnitedHealthcare, and more, by answering questions such as:
What is the current payer policy landscape for technologies in our category?
How do payers justify their coverage decisions, and what data do they prioritize?
What gaps in evidence need to be addressed to improve coverage likelihood?
How do cost studies influence coverage decisions?
IDENTIFY PAYER BARRIERS TO COVERAGE
Even with established coding and national payment rates, coverage may continue to be a roadblock for your tech.
INFORM EVIDENCE GENERATION
Align your evidence development plans with payer expectations - which are often completely different than FDA.
GAIN COMPETITIVE INTELLIGENCE
Learn from others' successes and mistakes by knowing how similar technologies are positioned in coverage.
HOW IT WORKS
Tangible results in 2-3 weeks
01
KICK OFF CALL
Orient us to your technology and its value proposition, and determine what a coverage analysis can surface for you.
02
POLICY SWEEP
We access, abstract, and analyze Medicare and top private payer coverage positions and their rationale.
03
DISCUSSION
We present some considerations for your future payer positioning. All source policies are provided to you.
For further validation
GET DIRECT CONSULTATIVE GUIDANCE FROM U.S. REIMBURSEMENT STAKEHOLDERS
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Coustier Advisory will facilitate interviews for you with payer decision makers, hospitals administrators, or other key reimbursement stakeholders to validate coverage findings or strategic direction for reimbursement initiatives.
Too many medtech companies line up coding and payment without lining up coverage. Don't miss the opportunity to integrate payer coverage into your early reimbursement planning.
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