Surveillance, Research, & Reporting
- Medicare & Private Insurer Coverage: For a device developer, we tracked development of local Medicare and private payer coverage policies for U.S. launch of a new diagnostic product.
- HIT & Quality: For a professional services firm, we conducted surveillance of federal, state, and regional HIT and quality programs, including HITECH Act funding opportunities, EHR incentive payments, and activities of local quality organizations. We distributed surveillance results via specialized news, Web, and social media products.
- Medicare Payments: For a drug developer, we tracked and reported on pricing developments affecting individual pharmaceuticals.
Analysis, Planning, & Strategy
- Health Care Reform: For a trade association, we analyzed a key provision of health reform legislation and developed specific recommendations for its implementation by CMS.
- Medicare Payments: For a drug developer, we analyzed CMS calculations of average sales prices (ASPs) and OIG comparisons of ASPs and Average Manufacturer Prices.
- RAC Audit Issues: For a drug developer, our surveillance pinpointed newly identified audit issues, and we helped formulate a strategy and contingency plan.
- Medicare National & Local Coverage: For a health care provider, our surveillance platform tracked developments associated with national and local coverage reviews, and we provided ongoing advice on appropriate positioning.
- Medicare Rulemaking: For a device developer, we submitted comments that resulted in favorable CMS regulatory changes, as reflected in the text of a final prospective payment rule.
- Health Care Reform: For a trade association, we developed an op-ed that articulated the group’s messages on a key new CMS initiative.
