Payer Strategies

Doctor with calculator in hand - 1 to 1 ratioWe help clients confidently navigate a complex payer environment. Our goal is to provide our clients an integrated, robust pricing and payer strategy that optimizes brand share, revenue, and profit. We are customer-focused to help clients sharpen their understanding of the unforeseen drivers of an effective pricing and payer strategy. We also help to design effective marketing programs and refine product messaging.

An optimal strategy considers the needs and contributions of many key decision-makers and stakeholders:

  • Facilitate competitive positioning and messaging of your products with your brand, clinical and     strategic accounts teams
  • Develop gross/list price determination through scenario modeling with your finance team
  • Ensure price differentiation through segmentation, profitable contracting, and rebates/discount     programs with your managed markets team
  • Our research identifies the underlying drivers most critical to the product’s viability from a clinical, reimbursement, and formulary access perspective, including:

  • Payer mix analysis to determine key payers for client products and services by setting of care
  • Private payer market assessments to develop effective market strategies for our clients’ medical     technologies
  • Professional society support development for coverage
  • Payer Advocacy for appropriate pricing of medical technologies
  • Development of payer advocacy trend reports for executive reporting