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With years of experience in U.S. Reimbursement and Market Access Design & Implementation , Nicole Coustier has led multi-year market access strategies that helped several breakthrough MedTech innovations—such as HeartFlow (valued at ~$1.5B+), Glaukos, Thoratec (acquired by St. Jude Medical for ~$3.4B), and Spiration (acquired by Olympus) and many more—through their early stages to achieve over 90% Reimbursement Coverage in the U.S., ultimately positioning them for acquisitions and IPOs.
Her deep understanding of the U.S. healthcare ecosystem allows her to guide MedTech innovators throughout the whole Medical Device Lifecycle—from Validation, Clinicals, Regulatory, Commercialization and Broader Market Access.
Absolutely.
We distill complex reimbursement issues into clean, investor-ready messaging. Slides, timelines, and talking points included.
We specialize in U.S. Reimbursement - but work globally.
If the U.S. market factors into your launch strategy or investor pitch, we're the partner to guide you through it.
Yes — and more.
We map out strategies across Medicare, Medicare Advantage, Medicaid, and Commercial payers. Most success stories involve a hybrid path.
Not at all.
Most of our clients are lean teams. We serve as your fractional reimbursement strategist - giving you the roadmap without the headcount.
No - you're right on time.
Engaging early, even pre-clinical or pre-regulatory, gives you time to align your evidence and messaging with what payers will eventually demand. It's how our savviest clients avoid costly missteps later.
A clear FAQ guide on how MedTech startups can secure Medicare reimbursement for clinical trials—and when it’s worth it. ...more
Evidence Planning ,Featured
March 19, 2025•4 min read
New tech payments like NTAP can’t justify long-term pricing. Here’s what MedTech founders need to know. ...more
Coding and Payment Mechanics ,Featured
March 04, 2025•3 min read
Why do better technologies struggle for reimbursement while outdated ones thrive? Discover the hidden bias in payer decision-making—and why second movers in MedTech face steeper evidence hurdles than ... ...more
Payer Coverage ,Featured
February 06, 2025•4 min read
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