Foley Hoag and the National Venture Capital Association

September 13, 2006

What Early Stage Life Sciences Companies Need to Know About Medicare Coverage and Reimbursement

written by Nick Littlefield

Why we are here today
  • We are celebrating the new Emerging Enterprise Center
  • Because life is grand
  • Because we love PowerPoint

Reimbursement Trends

  • Cost trends pushing payers and policy makers to focus on value and efficiency
  • EBM is growing focus in coverage
  • Cost and cost-effectiveness are considered
  • Clinical and economic results increasingly influence coding and payment policy
  • Coverage with evidence development is a new tool for CMS, possibly private payers
  • Public and private evaluations of clinical and economic effectiveness are increasing