Book contents
- Commercializing Successful Biomedical Technologies
- Commercializing Successful Biomedical Technologies
- Copyright page
- Dedication
- Contents
- Preface
- Acknowledgments
- 1 The biomedical device and drug industry and their markets
- 2 Markets of interest and market research steps
- 3 Starting up your company
- 4 Intellectual property and licensing
- 5 New product development (NPD)
- 6 The regulated market: gateway through the FDA
- 7 Manufacturing
- 8 Reimbursement, marketing, sales, and product liability
- Glossary
- Index
- References
8 - Reimbursement, marketing, sales, and product liability
Published online by Cambridge University Press: 03 November 2022
Book contents
- Commercializing Successful Biomedical Technologies
- Commercializing Successful Biomedical Technologies
- Copyright page
- Dedication
- Contents
- Preface
- Acknowledgments
- 1 The biomedical device and drug industry and their markets
- 2 Markets of interest and market research steps
- 3 Starting up your company
- 4 Intellectual property and licensing
- 5 New product development (NPD)
- 6 The regulated market: gateway through the FDA
- 7 Manufacturing
- 8 Reimbursement, marketing, sales, and product liability
- Glossary
- Index
- References
Summary
This chapter simplifies the complex multi-payer healthcare reimbursement market and explains how to position your product for successful reimbursement. The best time to bring reimbursement planning into the product development process is discussed here. The U.S. healthcare system is used as a baseline and the healthcare systems of other countries are reviewed briefly. Reimbursement for devices and administered drugs is based on many factors, and this chapter shows the steps a biomedical product company can take to maximize revenues in the US Healthcare system. The basics of reimbursement – coverage, coding, and payment – are explained in simple terms with diagrams. Case studies help show how individual companies have addressed the reimbursement process for novel breakthrough technologies.
Keywords
CMMSmedicareMedicaidinsurancePBMpharmacy benegit managerformularycodingpaymentcoverageclinicalhealth careCPTDRGdiagnosis related groupCLIAcost-effectivereal-world dataclinical outcomeshealth economicsICERNICEpharmacoeconomicsHCPCSAmerican Medical AssociationICD-11ICD-10IPPSOPPSAPCphsyician fee schedulePLA codesADLTPAMACLFSASPcross-walkingstacked codegap-fillreimbursement planningmarket adoptionKOLsalesMSL medical science liasonliabilityproductnegligencewarranty
- Type
- Chapter
- Information
- Commercializing Successful Biomedical Technologies , pp. 363 - 419Publisher: Cambridge University PressPrint publication year: 2022
References
References and additional readings
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