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8 - Reimbursement, marketing, sales, and product liability

Published online by Cambridge University Press:  03 November 2022

Shreefal S. Mehta
Affiliation:
The Paper Battery Company
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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.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2022

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References

References and additional readings

Atkins, N, and Bohmer, R. (2000). Aspect Medical Systems. Case Study no. 9-600-076. Cambridge, MA: Harvard Business School Publishing.Google Scholar
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Phelps, CE. (2003). Health Economics, 3rd ed. Reading, MA: Addison-Wesley, 2003. ISBN-13: 978-0321068989Google Scholar
Pizzi, LT, (2016). The Institute for Clinical and Economic Review and its growing influence on the US healthcare. American Health & Drug Benefits 9(1), 910.Google ScholarPubMed
Provines, CD. (2012). Strategic Pricing for Medical Technologies: A Practical Guide to Pricing Medical Devices & Diagnostics. Christopher D Provines. ISBN: 978-0615661896Google Scholar
Shiroiwa, T, Fukuda, T, Ikeda, S, et al. (2017). Development of an official guideline for the economic evaluation of drugs/medical devices in Japan. Value in Health 20(3), 372378.CrossRefGoogle ScholarPubMed
Walker, TP. (2018). Insights: 33 Lessons Learned in Medical Device Marketing. Utah: Life Catalyst Publishing. ISBN: 978-0997635829Google Scholar
Walley, T, Haycox, A, and Angela Boland, A. (2004). Pharmacoeconomics. Churchill Livingstone Press. ISBN: 044307240XGoogle Scholar

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