Healthcare Policy & Access
Crafting actionable strategies to navigate the complexities of policy changes, optimize reimbursement processes, and ensure prepared stakeholder engagement
It’s all connected. and it
all starts with policy.
Our clients are biopharmaceutical and medical device manufacturers, trade associations, specialty societies, advocacy organizations, and various other stakeholders. What do they have in common? They know that healthcare policy starts at the top, with federal and state governments, and trickles down into state, federal and private insurance markets. Policy decisions affect those making therapeutic medications and medical devices for the one stakeholder that matters most: the patient.
We go deep on healthcare policy, reimbursement and patient support services consulting because we understand how regulatory changes can affect your long-term business planning and patient access.
Helping Our Clients:
Analyze Healthcare policies and develop targeted strategies communications for government stakeholders to understand the ramifications their decisions will have on the health care industry and those it serves
Understand, internally plan for, and successfully navigate changes in policy
we understand the ramifications of regulations
When policy stands in the way of our clients, we move forward on all fronts.
Strategy: Generate real-world evidence to keep patient access to treatment at the forefront of federal and state regulator agendas
Healthcare Policy Tactics
Health policy and regulatory monitoring
Company-tailored policy newsletters and training
Support and attendance at key government agency and legislative meetings
Policy and economic modeling and budget scoring
The ultimate goal:
reimbursement
In healthcare, all roads should lead to reimbursement. We make sure they do.
Obtain favorable payer coverage and provider reimbursement through:
Reimbursement and coding landscape assessments
Provider education
Coding applications
(e.g. HCPCS, NTAP, ICD-10)
Reimbursement tools to support billing, coding, and distribution
Reimbursement training for field teams and customers
Drug compendia submissions
designing best-in-class
patient assistance
Patient assistance is too important to simply throw to a vendor and trust that all the right decisions are being made. We help clients understand the logic of competitor program design, establish the parameters and operational flow of a successful program, and develop financial models to assess future program enrollment and its effect on gross-to-net.
Strategy: Help our clients see the extent to which a patient support program and access are intertwined, and to make sure they are offering patients best-in-class services.