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PRIA’s ‘Why’

10 years ago, providers received in-demand medical devices when they asked for them. Payers complied with the needs of providers and patients. The industry and innovation thrived. Millions of patients benefited.

That was then, this is now…

Empower providers with the autonomy to make informed decisions and drive your healthcare innovation forward.

At PRIA Healthcare, we understand the challenges that providers face when it comes to reimbursement and market access. The current system often hinders innovation and limits patient and provider access to new technologies. PRIA is here to help you overcome these obstacles and achieve success in the ever-changing healthcare landscape.

  • The first problem: In the US Healthcare market reimbursement system, innovators are faced with a myriad of challenges when bringing new technologies to market. At PRIA, we believe that reimbursement should support and incentivize the adoption of new technologies. Our team of Reimbursement, Value Generation, and Market Access (RVMA) experts are dedicated to navigating the complexities of the reimbursement system and advocating for fair and positive coverage policies on behalf of innovators like you.
  • The second issue stems from the lack of effective communication between payers and your customers. This communication gap can lead to delays in market access and hinder your ability to reach full commercialization. At PRIA Healthcare, we bridge this gap by facilitating meaningful dialogue and collaboration between all stakeholders, ensuring a smoother path to market access and sustained market momentum.
  • By partnering with PRIA Healthcare, you can expect the following benefits:
    Increased revenue through optimized reimbursement strategies.
    Accelerated speed to full commercialization, maximizing your market potential. Unleashed market momentum by addressing communication barriers and fostering collaboration.

Don’t let the complicated US Healthcare reimbursement system and communication challenges hinder your technology’s success. Together, we can overcome these hurdles and pave the way for your innovation’s success.

Contact us today to learn how PRIA Healthcare can support your reimbursement and market access needs.

PRIA Healthcare – Accelerating Healthcare Innovation

 

 

Connect with PRIA's RVMA Experts Today!

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Landscape Assessments & Strategy Development

  • Coding, coverage, payment assessment & analysis
  • Evidence review
  • Development of a RVMA plan

 

Clinical Trial Reimbursement Services

  • Medicare IDE approval for reimbursement
  • Clinical trial site reimbursement onboarding, education & materials development
  • Clinical trial authorization & appeals support
  • Collection of economic data to support future coding and payment strategies

 

Coding & Payment Initiatives for New Technologies

  • CPT®, ICD-10, HCPCS application process
  • New technology add-on payments
  • Transitional pass-through payments

 

Medical Director Services

  • Payer advisory panels
  • Policy Analysis and Considerations for Coverage
  • Payer insight into technology assessment and coverage decisions

 

Reimbursement Hotline Services

  • Customer onboarding & Education
  • Dedicated resource for customer reimbursement inquiries
  • Customer support for claim adjudication

 

Payer Engagement Services

  • Policy monitoring services
  • Targeted payer outreach for coverage
  • Value brief and evidence dossier development
  • KOL payer presentations

How can PRIA propel your technology?