a fresh perspective
Our professional team works together with our clients to consult and deliver professional, agile, and sustainable healthcare solutions:
Access to robust knowledge and a deeper levels of experience and expertise in subjects that pertain to Payers (Private and Public), Market Access, Coverage, Reimbursement, Billing, Coding, Contracting, Medical Policy, Health Economics, Government Regulations and Industry Trends.
Connects clients to well-established payer relations and contracted book of business with major insurance companies including Private and Government Payers, Integrated Delivery Networks, Health Systems, Group Payer Organizations, Physician Groups, (IPA, MSO, ACO, etc.), Employer groups, Specialty Pharmacies, and Laboratory/Pharmacy Benefit Managers.
Orchestrates the development of adaptable reimbursement and contracting strategies through all stages of a product lifecycle to optimize coverage, access, and reimbursement. This includes leading cross-functional pricing strategy collaboration, management of effective relationships with brand leadership & commercial partners, and scenario analysis/modeling for overall financial and legal viability for channel partners and revenue streams including, In-Network/Out-of-Network and Direct-to-Consumer approaches.
Assists clients in billing operations and reimbursement optimization.
Develops advocacy initiatives through integration of payer and policy insights with providers, payers, and/or policymakers to drive favorable adoption, access, and reimbursement for our clients' products/services.
Integrates critical data elements with HEOR for Value-Based Messaging and Clinical Utility studies.
Creation of Pull-Thru Initiatives that link business, brand, and life-cycle plans.
Access to robust knowledge and a deeper levels of experience and expertise in subjects that pertain to Payers (Private and Public), Market Access, Coverage, Reimbursement, Billing, Coding, Contracting, Medical Policy, Health Economics, Government Regulations and Industry Trends.
Connects clients to well-established payer relations and contracted book of business with major insurance companies including Private and Government Payers, Integrated Delivery Networks, Health Systems, Group Payer Organizations, Physician Groups, (IPA, MSO, ACO, etc.), Employer groups, Specialty Pharmacies, and Laboratory/Pharmacy Benefit Managers.
Orchestrates the development of adaptable reimbursement and contracting strategies through all stages of a product lifecycle to optimize coverage, access, and reimbursement. This includes leading cross-functional pricing strategy collaboration, management of effective relationships with brand leadership & commercial partners, and scenario analysis/modeling for overall financial and legal viability for channel partners and revenue streams including, In-Network/Out-of-Network and Direct-to-Consumer approaches.
Assists clients in billing operations and reimbursement optimization.
Develops advocacy initiatives through integration of payer and policy insights with providers, payers, and/or policymakers to drive favorable adoption, access, and reimbursement for our clients' products/services.
Integrates critical data elements with HEOR for Value-Based Messaging and Clinical Utility studies.
Creation of Pull-Thru Initiatives that link business, brand, and life-cycle plans.