How MedTech Companies Get Paid: Understanding Reimbursement Basics and How Startups Successfully Navigate the US Medical System

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Join Zack Miller, Head of the Investor Community at OurCrowd, and Fauzea Hussain, VP of Avalere Health, a leading advisory company focused on healthcare business strategy and public policy, as they …

Join Zack Miller, Head of the Investor Community at OurCrowd, and Fauzea Hussain, VP of Avalere Health, a leading advisory company focused on healthcare business strategy and public policy, as they address the opportunities and challenges of reimbursement in the MedTech industry. When we invest in a medtech startup, investors frequently ask about the probability of getting a device approved and reimbursed for in the US.
 
Join us to learn about:

Reimbursement basics: what is coding, coverage and payment?

Differences by setting of care: devices to be used inpatient vs devices to be used outpatient

Trends in collection of evidence and health economic data

ACA (Obamacare) trends relevant for medical device manufacturers

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  • 1. How MedTech Companies Get Paid Understanding reimbursement basics and how startups successfully navigate the US medical system
  • 2. Your Hosts Zack Miller Partner, Investor community OurCrowd Fauzea Hussain Vice President Avalere Health
  • 3. Avalere Health / 2014 Outlook March 2014 avalerehealth.net
  • 4. Avalere Provides A Comprehensive Perspective Through our engagement with every sector of the healthcare marketplace, we can support your business goals in an increasingly integrated and financially-constrained environment.
  • 5. Healthcare Reform Increases Covered Lives and Focuses on Shifting Incentives in Care Delivery FEE-FOR-SERVICE (FFS) – THE TRADITIONAL APPROACH TO PAYMENT – VIEWED AS INSUFFICIENT AT CONTAINING COSTS PAST: Rewards Volume FUTURE: Rewards Quality and Efficiency • Siloed FFS • Volume-based rewards • Limited coordination or shared risk • Value-based purchasing • Public reporting • Bundled payments • Direct link between payment and outcomes • Greater focus on care coordination and prevention
  • 6. Historical Paradigm Research & Development Commercial Development Commercialization Inline PRODUCT LIFE CYCLE
  • 7. New Paradigm Required Development Commercialization Inline PRODUCT LIFE CYCLE Commercial Research & Development
  • 8. Connect with Avalere
  • 9. For more information / Please contact: Debbie Garner | EMEA Regional Director dgarner@avalerehealth.net +972-54-945-6260 Fauzea Hussain | Vice President Reimbursement and Product Commercialization fhussain@avalerehealth.net 202-207-3802
  • 10. ’s MedTech portfolio companies
  • 11. Zack Miller OurCrowd +972-2-636-9000 +1-917-617-1026 zack@ourcrowd.com www.ourcrowd.com Fauzea Hussain Avalere Health +1-202-207-3802 FHussain@AvalereHealth.net www.avalerehealth.net Thanks for joining us!