Practical Guidance for MedTech Reimbursement and Market Access

Insight on what matters most, and what it all means for your next milestone.

What Qualifies as DME? How Manufacturers Prove Durability

Learn Medicare's DME durability requirements and how manufacturers can build evidence to support DME classification and reimbursement. ...more

Payer Coverage

June 15, 20265 min read

What Qualifies as DME? How Manufacturers Prove Durability

PDAC Before CMS? What DME Companies Need to Know

Before pursuing a new HCPCS code, understand how PDAC evaluates your product and why coding strategy often begins before CMS. ...more

Coding and Payment

June 15, 20264 min read

PDAC Before CMS? What DME Companies Need to Know

What 2022-2025 CMS HCPCS Decisions Reveal About DME Reimbursement

Review four years of CMS HCPCS decisions and uncover 7 trends shaping coding, coverage, payment, and market access for DME technologies. ...more

Coding and Payment

June 15, 20268 min read

What 2022-2025 CMS HCPCS Decisions Reveal About DME Reimbursement

TPT and NT-APC: What MedTech Innovators Often Miss

TPT and NT-APC applications may look simple, but approval depends on understanding Medicare payment systems, pricing, coding, and adoption economics. ...more

Payer Coverage

June 15, 20265 min read

TPT and NT-APC: What MedTech Innovators Often Miss

Inside the AMA CPT Process: Lessons for MedTech Founders

Learn what happens inside the AMA CPT process, why coding takes years, and how CPT decisions influence reimbursement, payment, and adoption. ...more

Coding and Payment

June 15, 20264 min read

Inside the AMA CPT Process: Lessons for MedTech Founders

Featured Insights for MedTech Innovators

Insights to help you validate your pathway, align with payer expectations, and move forward with confidence.

Clinical Trial Reimbursement in the U.S.: FAQs for MedTech Companies

Clinical Trial Reimbursement in the U.S.: FAQs for MedTech Companies

A clear FAQ guide on how MedTech startups can secure Medicare reimbursement for clinical trials—and when it’s worth it. ...more

Coding and Payment ,Evidence Planning &Featured

March 19, 20254 min read

Beware Basing Your MedTech Pricing on Short-term New Tech Payment Mechanisms

Beware Basing Your MedTech Pricing on Short-term New Tech Payment Mechanisms

New tech payments like NTAP can’t justify long-term pricing. Here’s what MedTech founders need to know. ...more

Coding and Payment ,Commercialization &Featured

March 04, 20253 min read

The Hidden Bias in Reimbursement: Why First Movers May Have It Easier

The Hidden Bias in Reimbursement: Why First Movers May Have It Easier

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

Coding and Payment ,Evidence Planning Fundamentals &Featured

February 06, 20254 min read

The World After FDA Clearance: From HOORAY! To WAIT, WHAT?

The World After FDA Clearance: From HOORAY! To WAIT, WHAT?

FDA clearance is a milestone—not the finish line. Why reimbursement hurdles follow right after. ...more

Commercialization ,Fundamentals &Featured

August 20, 20245 min read

How Hospital Financial Decisions Shape the Fate of New MedTech Innovations

How Hospital Financial Decisions Shape the Fate of New MedTech Innovations

Hospitals are the gatekeepers of device adoption. Learn how to align with their economics. ...more

Commercialization ,Fundamentals &Featured

August 07, 20245 min read

Relearning English When it Comes to FDA and CMS Jargon

Relearning English When it Comes to FDA and CMS Jargon

MedTech teams often misunderstand what regulators mean. This article translates FDA and CMS jargon into actionable insights for reimbursement. ...more

Fundamentals ,Featured

June 04, 20241 min read

Helping MedTech innovators achieve widespread reimbursement coverage in the U.S.

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