L I F E  S C I E N C E  S E R V I C E S
New Technology Reimbursement Assistance

 

The optimal scenario for the introduction of any new technology is that all reimbursement parameters are anticipated and defined in advance. However, competing priorities within many new technology companies make it difficult for these reimbursement parameters to be addressed on a timely basis. In these cases, Presscott Associates can uniquely assist Life Science companies with the following:

  • Define the benefits and challenges associated with a health plan's National Coverage Decision (NCD) compared to multiple Local Coverage Decisions (LCD)
  • Determine the appropriate provider setting (the least restrictive environment) for the targeted new technology
  • Secure private payor coverage determinations
  • Identify appropriate procedure coding (e.g., CPT/HCPCS procedure codes and ICD-9 diagnosis and procedure codes)
  • Develop and secure appropriate payment level(s) for targeted providers
  • Generate cost-benefit analyses for alternative reimbursement approaches

In addition, Presscott Associates' long-standing relationships with many of the private payors offer Life Science companies the unique opportunity to access senior executives on a timely basis for discussions regarding coverage and payment of new technologies.


 

Give to us a clear vision that we may know where to stand and what to stand for - because unless we stand for something; we may fall for anything.
-- Peter Marshall, Senate Chaplan, 1947 --

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