MCRA Health Economics,
Reimbursement & Public Policy Services

  


MCRA's Health Economics, Reimbursement & Public Policy services guide orthopaedic technologies throughout the multiple healthcare economic pathways: from technology development, to commercialization and beyond.

As regulatory and clinical endeavors are paramount to streamlined and successful reimbursement, MCRA’s integration of our five services is both unique and effective. MCRA is the preeminent team for evaluating existing orthopedic technologies’ current coding, coverage and payment options. Further, MCRA’s team can work to assist your company’s desires to affect trends and changes in healthcare policy.

Companies with an early stage technology will find MCRA’s integration imperative, while companies who have had complications in the past will find MCRA’s first-in-class musculoskeletal services invaluable.

CORE HEALTH, ECONOMICS, REIMBURSEMENT,
& PUBLIC POLICY SERVICES
 
 

Strategic Reimbursement Services

  • Strategic Reimbursement Planning
  • Landscape Assessments
  • Coverage Advocacy and Payor
    Messaging
  • Coding Applications and Payment
    Assignment Support

Management Support Services

  • Clinical Trial Management
  • Clinical Trial Coverage
  • CTA Development and Negotiation
  • Study Protocol Review

Compliance Support

  • Compliance Planning
  • Coding Hotlines
  • Audits
  • Reporting

Data Analytics

  • CMS and Commercial Claims Data
  • Market Intelligence
  • Economic Outcomes Analyses
  • Utilization and Economic Outcome
    Studies

Sales Support

  • Coding Guides
  • Hotline Services
  • Patient Access Management
  • Value Analysis

Patient Access Management Support

  • Payor Education & Messaging
  • Insurance & Benefit Verification
  • Prior Authorization
  • Coverage Denial Appeals
  • Independent Review Organization Appeals
  • Claims Review & Appeals

Health Economics & Value Messaging

  • Health Economic Outcome Studies & White Paper Development
  • Value Messaging & Sales Aid Content Development
  • Value Analysis & Faculty Presentations
  • GPO and Group Purchase Agreement Contracting Support Services

 
 
INTEGRATION WITH MCRA'S OTHER DIVISIONS
 
 

Regulatory

  • Recommend Regulatory Pathway Based on Current Coding & Client’s Financial Resources
  • Infusing Healthcare Economic Data Within Regulatory Submissions for Future Coding Purposes

Clinical

  • Clinical Study Review & Recommendations
  • Inclusion of Appropriate Measures in Protocol Design to Demonstrate “Substantial Clinical Improvement”
  • Inclusion of Insurance-Required Sub-Populations
  • Integration of Healthcare Economic Data


The true value of MCRA is the integration of 5 business value creators – orthopedic regulatory, reimbursement, clinical, intellectual property and quality assurance. MCRA places particular emphasis on working with companies at all stages of development, whether they are single-product companies or companies with several thousand technologies.

HEALTH ECONOMICS, REIMBURSEMENT & PUBLIC POLICY BROCHURES





REIMBURSEMENT LEADERSHIP & ACCOMPLISHMENTS

Director, Health Economics, Reimbursement & Public Policy:
Tim Hunter
View Full Biography

Team Accomplishments


REIMBURSEMENT WHITE PAPERS

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LATEST REIMBURSEMENT NEWS

August 2009 - PearlDiver and MCRA Announce Alliance in Orthopedic Patient Data Analysis
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November 2008 - Orthopedic Design & Technology
Product Positioning and Reimbursement
Read More

September/October 2008 - Orthopedic Insights
CMS to Encourage Further Care Coordination and Quality Reporting
Read More

July 2008 - The Gray Sheet
Expectations For Artificial Disc Trials Challenge Market Hopefuls
Read More

May 2008 - Orthopedic Design & Technology
Clinical Trial Reimbursement Integration and Management
Read More

Spring 2008 - BONEZone
Executing Reimbursement Strategies for Innovative Orthopaedic Technologies
Read More

03/03/08 - The Gray Sheet
Reimbursement is More Than Passing thought For Spine Firm in FDA Trials
Read More

03/03/08 - MCRA , PharmaPros Announce Launch of Clinical Trial Reimbursement Solution
Read More

02/11/08 - Gerald Rogan, MD Joins Reimbursement Team of Musculoskeletal Clinical Regulatory Advisers
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02/01/08 - MCRA, LLC Launches Reimbursement Management Center
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11/05/07 - MCRA, LLC Expands Reimbursement Department
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05/01/07 - MCRA, LLC Announces Launch of Reimbursement Department
Read More
   
Phone: 202.552.5800
Fax: 202.552.5798
Email: info@mcra.com
 
 
Musculoskeletal Clinical Regulatory Advisers, LLC is the leading neuro-musculoskeletal / orthopaedic consulting firm assisting established and emerging companies in the development and commercialization of their technologies. MCRA’s consultants are industry leaders who support Clinical, Regulatory, Quality Assurance, Reimbursement, Intellectual Property, and Healthcare Compliance initiatives. MCRA’s integration of these key value creating initiatives, as well as its focused specialization, creates unparalleled expertise to its clientele.