Resources

A New Sales Model for a Changing Orthopedic Market

This article, published in the September 2007 edition of Orthopedic Design and Technology, discusses the need for companies to consider a new sales model in order to meet the changing demands of hospital and physician customers.

Medicare Payment Policy

This new report from the Medicare Payment Advisory Commission provides you with an overview of the Medicare payment systems and an analysis of the payment issues facing the program. 

Getting Reimbursement for Your Product in the United States

Published in Nature Biotechnology, this article reviews the process for developing a reimbursement strategy for biotechnology products. This process is relevant for all types of medical products and offers a reliable structure for any company preparing a launch strategy.

Is a National Joint Registry in our Future?

In this article, published in Orthopedic Design & Technology, Martin Gold discusses the concerns of payers and the future reimbursement outlook for joint technologies.  Although the orthopedic industry is experiencing innovation and growth, Medicare and private payers have reimbursement issues relating to longevity of the implant and the cost-benefit of new technologies. 

Will Changes in Ambulatory Surgery Center Reimbursement Slow Your Sales?

This article reviews the changes in Medicare reimbursement for Ambulatory Surgery Centers from grouper payments and a fee schedule for medical devices to the Ambulatory Payment Classification (APC) system.

Is Change on the Way? Hospital CEOs Think So

Hospital costs are on the rise and reimbursement is far from keeping pace.  This article, published in Orthopedic Design and Technology, explores the concerns of senior hospital executives regarding future trends on orthopedic utilization and reimbursement.

Change in Medicare Payment Expected to Jolt Orthopedics

This article, published in Orthopedic Design & Technology, explains Medicare's new proposed regulations to the Hospital Inpatient Prospective Payment System and the expected negative financial impact on cardiac and orthopedic procedures.

Reimbursement Affects Future of the Artificial Disk Market

Published in Orthopedic Design and Technology, this article details the Center for Medicare and Medicaid Services' (CMS) influence on the future of the Artificial Intervertebral Disk (AID) market.  As the sole US approved AID product in 2005, DePuy Spine's Charite Artificial disc faced reimbursement challenges from CMS. 

New Technology CPT Codes: Benefit or a Hinderance

Published in Medical Product Outsourcing, this article explains New Technology CPT codes (or Category III CPT codes).  Category III CPT codes were created for the purpose of tracking the use of new and emerging technologies.   What is the eventual outcome for products in this category?

Can you be Harmed by your GPO Contracts

Published in Orthopedic Design and Technology, this article reveals the potential problem with GPO contracts between manufacturers and hospitals.  This feature examines the legal case initiated by an orthopedic surgeon against Zimmer, Inc.  In this case, the hospital members of the GPO received incentives for purchasing a sufficient volume of Zimmer products to increase the company's market share.  Were these incentives in reality kickbacks?

Orthopedic Reimbursement: A Minor Change has a Major Impact

For several years, the total joint replacement (TJR) market experienced sales challenges due to increased hospital and implant costs and relatively flat reimbursement.  Previously, Medicare reimbursed hospitals for TJR procedures using a single DRG for both the original implant and the more costlier revisions.  In this article, published in Medical Product Outsourcing, Martin Gold explores Medicare's decision to eliminate the single DRG for both the original implant and revision and create two new, distinct DRGs.

Clinical Data can Make or Break your Product

In this article, published in Medical Product Outsourcing, learn the importance of developing strong reliable clinical data when launching a new product.  Once the clinical value of a technology is proven, publishing the data in well respected journals will support the coverage process. 

New Medicare Payment Methodology can Facilitate Product Adoption

This article, published in Medical Product Outsourcing, explains Medicare's DRG payment system and its limitations for new treatments.  As a result, Medicare implemented a New Technology Add-On Payment system which may present an opportunity for companies whose products meet eligibility requirements.

Is your Device Eligible for Medicare Reimbursement During Clinical Trials?

In this article, published in Medical Product Outsourcing, learn how companies can take advantage of Medicare reimbursement for certain devices during clinical trials.  In 1995, these products, called Investigational Device Exemption (IDE) devices met regulatory guidelines for reimbursement.

Increase Sales with Positive Coverage Decisions

Published in Medical Product Outsourcing, this article explains Medicare's coverage processes and how a well-planned and executed coverage strategy can be advantageous to device manufacturers.

To Ensure Successful Product Launches, Think Reimbursement During Development

This article, published in Medical Product Outsourcing, advises technology companies how to incorporate reimbursement data into the business plan.  Manufacturers that begin a reimbursement strategy early, even before FDA approval is obtained, are better able to realize sales goals and attract investor financing.

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