Argenta’s goal is to help you evaluate and plan for reimbursement from an early stage to facilitate and accelerate the market adoption of your drug or biologic. Early investment in the reimbursement process helps ensure that other functional areas, such as clinical trial design, regulatory pathways, and marketing, sustain your reimbursement efforts. In our experience, without this early coordination, decisions often are made in various functional areas that unintentionally end up undermining or delaying the reimbursement process, which ultimately means delayed or decreased revenue.
Public Policy Analysis and Strategy
The dynamics of the public policy arena, along with the volatility in our health system, result in a marketplace where change is the norm. An environment like this affects not only our clients, but their customers as well.
Monitoring how public policy affects coverage and payment at state and federal levels enables us to help clients navigate this shifting terrain. Argenta incorporates our public policy surveillance with our client-centered approach to deliver customized analysis and strategy.
Getting Started—Coding, Coverage, and Payment Analysis
The first step in Argenta's consulting relationship is often an analysis of coding, coverage, and payment for your therapy. We ask an extensive range of reimbursement questions. We often involve payer medical directors via Argenta TEC during this phase in order to garner early and important feedback and identify potential issues directly from the decision-makers. Argenta utilizes all of this information to develop a customized, comprehensive, and actionable reimbursement plan for your medical device.
Implementing the Plan
Once the strategic plan has been created, we work with you to tactically implement it, including:
- Developing reimbursement support tools
- Providing clinical trial reimbursement support
- Monitoring CMS for changes that have the potential to impact your product
- Meeting with CMS as appropriate/needed
- Creating customer and payer reimbursement educational tools
- Working with your champion providers and medical specialty societies to develop and support coding applications
Reimbursement Training
In today’s changing environment, it is critical that companies interacting with the medical community have an understanding of the reimbursement environment. This is a critical component to understanding your customer needs.
Argenta creates and delivers customized reimbursement educational programs for internal customers such as sales and marketing teams and executive leadership, as well as for external customers such as physicians, nurses, and office administrators.
In-House Reimbursement Director Services
For companies that do not have an internal reimbursement director, Argenta can provide an outsourced director for your company. This unique model gives your company not only access to experienced interim staff, but also to the entire Argenta advisory team. This model can help facilitate the integration of reimbursement with the rest of your business by having an “in-house” expert. It also is attractive from a financial standpoint. Your company is able to gain an expert resource earlier in your product’s lifecycle without committing to the headcount.
Call us at 866-434-6428 or email us to discuss how we can help you.
