Beyond Medical Policy: Different Strategies for MedTech to Engage Payers

Published on: 05/06/2024

Not every MedTech device gets written into policy. Here’s how to engage U.S. payers even when your innovation falls outside the playbook.

Payer EngagementMedical Policy GapsPre-authorizationReimbursement StrategyClaimsMarket AccessValue-based ArrangementsVBAFee-For-ServicePay-for-PerformanceP4Pthird-party administratorsTPACost-Effectiveness AnalysisCenters of ExcellenceCOEReal-World DataRWDEvidencePayersPatient Advocacy GroupsDirect-to-ConsumerD2C
Beyond Medical Policy: Different Strategies for MedTech to Engage Payers

What Do Payers Mean by “Clinical Utility”?

Published on: 01/06/2024

“Clinical utility” is one of the most misunderstood payer terms. This article explains what U.S. payers expect and how to prepare.

AIArtificial IntelligenceMachine LanguageMLClinical UtilityEvidenceAI/MLInterventionPayersRegulatory ApprovalFDAFood and Drug Administration
What Do Payers Mean by “Clinical Utility”?