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Regulatory Affairs Regulatory Affairs
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Reimbursement Strategy and Implementation Reimbursement Strategy and Implementation
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Health Economics - Optimal Reimbursement and Coverages Decisions

HEALTH ECONOMICS

Health Economics Capabilities

To develop a plan to obtain optimal reimbursement and coverage decisions, the Regulatory & Clinical Research Institute (RCRI®) will:
  • Assess the payment environment for your product
  • Identify the activities required to obtain optimal reimbursement from the Centers for Medicare and Medicaid Services (CMS) and other payers
  • Develop a strategic plan with appropriate milestones and timelines for reimbursement activities
  • Train your organization regarding changes in healthcare policies and national trends that could impact your product launch
  • Formulate health economic arguments to support reimbursement activities and sales calls
  • Implement your reimbursement plan by submitting code applications, participating in payer meetings, negotiating for coverage, and preparing supportive documentation and educational materials
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