Medicare Payment Rates Are Just the Beginning: Insight to Private Payer Reimbursement Rates

Medicare Payment Rates Are Just the Beginning: Insight to Private Payer Reimbursement Rates

Medicare Payment Rates Are Just the Beginning: Insight to Private Payer Reimbursement RatesNicole Coustier
Published on: 31/07/2025

Learn why Medicare rates are just the floor—and how private payer rates influence hospital decisions and MedTech adoption.

Payer CoverageU.S. Healthcare Fundamentals
When a Code Is Not Just a Code: What Early-Stage MedTech Founders Need to Know About the Codes “Dr. Google” Identifies

When a Code Is Not Just a Code: What Early-Stage MedTech Founders Need to Know About the Codes “Dr. Google” Identifies

When a Code Is Not Just a Code: What Early-Stage MedTech Founders Need to Know About the Codes “Dr. Google” IdentifiesNicole Coustier
Published on: 28/07/2025

Billing codes can make or break your MedTech strategy. Learn what early-stage founders must know before trusting “Dr. Google” on CPT or HCPCS codes.

Coding and Payment MechanicsU.S. Healthcare Fundamentals
Medicare Physician Fee Schedule 2026: What Medtech Innovators Should Know

Medicare Physician Fee Schedule 2026: What Medtech Innovators Should Know

Medicare Physician Fee Schedule 2026: What Medtech Innovators Should KnowNicole Coustier
Published on: 14/07/2025

Explore key 2026 Medicare policy changes impacting digital, AI-enabled, and value-based medtech. Understand new signals and plan your next move.

Payer CoverageU.S. Healthcare Fundamentals
WISeR and the Future of Medicare: What Early Targets and Gold Carding Really Tell Us

WISeR and the Future of Medicare: What Early Targets and Gold Carding Really Tell Us

WISeR and the Future of Medicare: What Early Targets and Gold Carding Really Tell UsNicole Coustier
Published on: 08/07/2025

WISeR introduces prior auth to Medicare — here’s what early targets, tech-enabled reviews, and gold carding signal for MedTech innovators and payers.

Coding and Payment MechanicsPayer CoverageU.S. Healthcare Fundamentals
Do QALYs Matter in the U.S.?

Do QALYs Matter in the U.S.?

Do QALYs Matter in the U.S.?Nicole Coustier
Published on: 11/03/2025

QALYs are essential in Europe—but not in the U.S. Here's what really drives MedTech coverage decisions and how to pivot.

U.S. Healthcare Fundamentals
Early-Stage MedTech Reimbursement Readiness Quiz

Early-Stage MedTech Reimbursement Readiness Quiz

Early-Stage MedTech Reimbursement Readiness QuizNicole Coustier
Published on: 20/09/2024

This 9-question quiz helps medtech founders assess if they're ready to tackle reimbursement.

U.S. Healthcare Fundamentals