|
HEALTH ECONOMICS
The Regulatory & Clinical Research Institute (RCRI®) has developed two checklists that can be used to track your progress on reimbursement and health economics tasks.
Basic Requirements
A coverage, coding, and payment (CCP) assessment forms the foundation of a reimbursement plan and addresses the reimbursement environment for both the Centers for Medicare and Medicaid services (CMS) and private payers.
To complete a CCP analysis, the following information is required:
- Setting in which the product will be used
- Patient population
- Instructions for use
Implementing a Comprehensive Plan
In addition to a CCP analysis, a comprehensive reimbursement and health economics analysis includes the following tasks:
- Map alternative reimbursement strategies and determine applicable codes and data required to support coverage decisions and sales
- Identify and integrate economic variables into the clinical trial or post approval study
- Incorporate the reimbursement strategy into the regulatory and clinical timeline
- Assess the viability of the chosen strategy through implementation of the clinical and regulatory plan making adjustments for changes in healthcare policy
- Summarize health outcomes data from the clinical trial
- Conduct an economic analysis based on the data from the clinical trial and the literature
Package the health outcomes and economic analyses in separate formats for insurer and customer audiences.
Download a Brochure
|
