Medical device manufacturers are encountering significant obstacles in securing reimbursement from the Centers for Medicare & Medicaid Services (CMS) and private insurance providers, according to insights from Market Access Experts, a consultancy specializing in healthcare technology commercialization. Many medical device startups predominantly focus on obtaining FDA approval, inadvertently neglecting the equally crucial aspect of reimbursement strategies. This oversight can dramatically impede a product's market potential and patient accessibility, even after regulatory clearance.
David Davis, CEO of Market Access Experts, underscores the complexity of the reimbursement process, noting that it represents a critical determinant of a medical device's commercial success. The firm offers strategic solutions designed to help manufacturers navigate the intricate landscape of healthcare payment systems. The medical technology industry confronts evolving regulatory requirements and increasingly sophisticated payor expectations. Successful market entry now demands a sophisticated approach that integrates regulatory pathways with comprehensive market access strategies.
Market Access Experts provides tailored consulting that addresses multiple dimensions of device commercialization. Their approach includes conducting detailed market analyses, identifying potential challenges, and developing strategic plans customized to each product's unique characteristics. Key strategies involve engaging critical stakeholders such as healthcare providers, payors, and policymakers to build robust support networks. This proactive engagement is essential for fostering trust and increasing the likelihood of reimbursement approval.
The consultancy's comprehensive methodology aims to reduce barriers to market adoption and accelerate patient access to innovative medical technologies. By aligning reimbursement efforts with regulatory approvals, they help ensure the financial sustainability of medical device manufacturers. With over 25 years of experience in medical coding and market access for implantable devices, the firm offers expertise in securing appropriate coding, developing favorable coverage policies, and establishing suitable payment levels for emerging medical technologies.


