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ANR CONSULTING SERVICES

Maintaining competitive advantage after launch and adoption: Your questions:

  • How do we differentiate our clinical value proposition?

  • How do we compare to existing technologies in the treatment pathway?

  • How do we achieve unique coding and premium payment for our product?

  • How do we demonstrate the economic benefits to payers of our solution?

  • How do we stay current on the changes in policies and payment rules?

Maintaining competitive advantage after launch and adoption:

Your questions:

  • Positioning into existing treatment pathway

  • Creating compelling Payer Dossier and messaging

  • Framing costs and benefits (models, claims analyses)

  • Conducting impact analysis of changing costs of care.

    • New coding strategies and submissions (CPT, HCPCS, ICD-10)

    • Payment reassignments (APCs, DRGs)

  • Ongoing health-policy monitoring

    • Medicare annual payment rules, national/local coverage determinations

    • Medicaid enrollment and reimbursement trends

    • Commercial payers policies, trends

Our tools and tactics:

  • Payer dossier development

  • Chain-of-evidence review

  • New coding strategies and submissions (CPT, HCPCS, ICD-10)

  • Payment reassignments (APCs, DRGs)

  • Framing costs and benefits (economic models, budget impact models, claims analyses)

  • Ongoing health-policy monitoring

  • Medicare annual payment rules,

  • Medicaid enrollment and reimbursement trends,

  • commercial payers policies, trends

  • Alternative payment models and opportunities for partnerships with providers/payers

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