Our services
What we do best
Working together
We help healthcare innovators get paid
Deep, foundational market access & reimbursement analyses and assessments form the basis of our actionable strategies for coverage, coding, contracting, reimbursement, pricing, and evidence.
We guide and support early-stage and established diagnostic labs, companion diagnostics, platform companies, medical devices, SaaS, and SaMD.
We also assist organizations making informed Market Access decisions driven by insights derived from our coverage and claims data platform, MA360i.
How we work
Engagement Process Overview
Define success
How would you characterize the success of an engagement with NGS Reimbursement Solutions?
Define the needs
What is your motivation for reaching out to consultants?
What are the key assumptions, do they need testing?
What are the known questions you need to answer?
What are possible, until now unasked questions which concern you?
Summarize the Issues
Design the plan
NRS creates a proposal to address the identified needs
Testimonial
“We have some folks who thought they knew Market Access; you have opened everyone’s eyes, thank you!”
Chief Commercial Officer, medical device startup
We've been there
Completed Journeys
Our broader team includes experts in regulatory, lab implementation, billing services evaluation and implementation, and market research.
Helped negotiate a reimbursement rate of ~95% of list price with a MAC
Led a multi-organizational effort to challenge a CMS proposed pricing which led to a ~14-fold increase in the final pricing
Negotiated a risk-based contract with an IDN to develop needed evidence for coverage
Helped to found and chaired several committees of a coalition of labs for expanding coverage of a test by commercial payors and Medicaid
Co-created a training program to help genetic counselors better understand and communicate important reimbursement information to their patients
Led cross-company teams that successfully developed and implemented Evidence Development Strategies that aligned the teams, resources, and priorities
Map critical reimbursement processes
Map will help maintain or accelerate strategic commercialization milestones
Craft investor communications
Build a strong foundational understanding of how your product will be reimbursed
Develop and conduct Market Access / Reimbursement training
Understand where the market is and how to influence it for the best results
Support the creation of an evidence development strategy
Plan to align evidence needs, budgets, and priorities across the organization
Regulatory paths strategy decision support
Develop strategy with implications for Market Access / Reimbursement
Develop and shape value messaging
Speak to payors, laboratory benefit management companies, and Medical Societies in their own language
Develop Medical policy
Consider elements such as National Coverage Decision (NCD) / Local Coverage Decision (LCD) for Medicare and commercial policies
Understand payors and help them solve their challenges
Payor Market Research Surveys / Interviews / Advisory Boards to develop payor-centric strategies and value messages that resonate with payors
Conduct deep, foundational market access & reimbursement analyses and assessments
Asessments will form the basis of actionable strategies for coverage, coding, contracting, reimbursement, pricing, and evidence
Create market access, reimbursement & payor collateral
On brand visuals for internal and field-based personnel
Testimonial
“Wish we had called you earlier in the process!”
CEO, early-stage AI start-up