Episode 3: Medtech Reimbursement in 2021: Securing Coverage and Payment for Your Innovative Device

June 23, 1:00 – 2:00 pm EDT

WEBINAR DESCRIPTION:

Medtech MVP is well-known for gathering the leading innovators, investors, and executives from around the nation to discuss the timeliest issues and opportunities. Covid19 forced us to postpone this year’s in-person event, but we didn’t want the helpful and impactful conversations our audience enjoys, to stop; hence we launched the Medtech Talk Digital Discussion Series. Like the conference, this series will feature discussions (panels or fireside chats) moderated by Medtech Talk podcast host Geoff Pardo that explore relevant topics for medtech leaders.

This third episode will feature an exclusive panel interview with several reimbursement experts to discuss medtech reimbursement challenges, opportunities, and strategies for 2021 and beyond. The panel will cover:

  • Coding and payment issues that are particularly pertinent to small/mid-sized companies
  • Impact of recent changes to accommodate breakthrough devices, including MCIT, Add-On payment, NTAP, and TPT
  • CMS’s approach to handling issues/questions and how to best work with the agency
  • Thinking wholistically about bringing your product to market (more than just FDA approval)
  • Influence of advocacy efforts by physician specialty societies on coding and payments

You will not want to miss these valuable insights!

PANEL:
Moderator: Geoff Pardo, General Partner, Gilde Healthcare; Host, Medtech Talk podcast

Panelists:
Mary Hailey, CCM, CDMS, Vice President Health Economics and Reimbursement, Relievant Medsystems, Inc.
DeChane Dorsey, JD, Executive Director of AdvaMed Accel, AdvaMed
David Gregory, Principal, Healthcare & Life Sciences Consulting Leader, Baker Tilly


SPEAKERS’ BIOGRAPHIES:

Geoff Pardo
Geoff Pardo joined Gilde Healthcare in 2011 as a Partner working out of the office in Boston/Cambridge, MA and is focusing on Gilde’s investments in North America. He led the investments in Inari Medical (NASDAQ: NARI), Axonics Modulation Technologies (NASDAQ: AXNX), Eargo (NASDAQ: EAR), CVRx, Ablative Solutions, Vesper Medical, InovaLabs (acquired by ResMed), BionX (acquired by Ottobock) and Vapotherm (NYSE: VAPO) and represents or has represented Gilde as a member of the board of directors for each company. Previously, he was a Partner at Spray Venture Partners where he led investments into Interlace Medical (sold to Hologic), Solace Therapeutics, TearScience (sold to J&J) and Cascade Ophthalmics. He served on the board of Solace, TearScience and Cascade, and was actively involved in Interlace and Conventus Orthopedics. Geoff also served as President & CEO of Facet Solutions, a spinal implant company focused on treating lumbar spinal stenosis until the company was sold to Globus Medical in 2011. He has also worked at Cardinal Partners as an Associate leading their investing activity in the medical device sector. Geoff began his career in medical devices as a product manager with Synthes USA, and he has a BA with honors in History from Brown University and an MBA from the Wharton School of Business. He is a US citizen based in Gilde Healthcare’s Cambridge, MA office.

Mary Hailey
Mary is an accomplished leader in the Medical Device Reimbursement and Health Economics sector with over 30 years of experience developing and executing strategic reimbursement plans for medical technologies from regulatory approval through commercialization. She has a comprehensive understanding of the U.S. healthcare environment with demonstrated success supporting new medical technologies across various clinical applications. In addition, she has extensive experience developing and managing reimbursement and patient access strategies to secure coverage and payment from government and third-party payers. Mary has also worked closely with institutional investors conducting due diligence to evaluate various private equity medical technology investment opportunities.

DeChane Dorsey
DeChane L. Dorsey is the Executive Director of AdvaMed Accel, a division within the Advanced Medical Technology Association (AdvaMed). AdvaMed Accel represents small and mid-sized companies and works to address concerns specific to this group of companies that comprise more than 70% of AdvaMed’s overall membership. Prior to assuming her current role, Ms. Dorsey was a Vice President in the Payment and Health Care Delivery Department at AdvaMed where her responsibilities included policy development and analysis of regulatory issues affecting the medical technology industry, including the Hospital Outpatient Prospective Payment System (OPPS), reimbursement for Ambulatory Surgical Centers (ASCs), advanced wound healing and tissue regeneration, coding, and physician payment issues. Prior to joining AdvaMed’s staff in June 2006, Ms. Dorsey was the Director of Health Policy for the American Academy of Ophthalmology (AAO) where she managed issues affecting coverage and reimbursement for ophthalmology procedures. Before joining the AAO, Ms. Dorsey was a Senior Counsel with the U.S. Department of Health and Human Services’ Office of Counsel to the Inspector General, where she worked as a litigator on a variety of fraud and abuse issues including enforcement of exclusion authorities, the Emergency Medical Treatment and Active Labor Act (EMTALA) statute, civil monetary penalties, and compliance monitoring. She holds a B.A. in Political Science from Syracuse University and a J.D. from the Georgetown University Law Center.

David Gregory
David Gregory has a varied healthcare economics background, ranging from hospital operations management to managed care underwriting/pricing to reimbursement optimization. As the leader of Baker Tilly’s healthcare consulting practice, he directs projects for life sciences companies, hospitals, senior living providers and health plans. His specialties include financial analysis and reimbursement modeling, strategic planning and marketing, new technology value analysis and reimbursement assessments, hospital revenue cycle reengineering, health plan medical expense reviews and value-added managed care program development and contract negotiations. David has directed numerous projects for life sciences and technology companies that have resulted in widespread market access, peer-reviewed publications and posters, as well as reimbursement optimization tools. He is regular speaker on strategic and operational topics at healthcare and life sciences industry events, including previous breakout sessions at the Medtech Conference. David has also been published as a co-author in numerous peer-reviewed publications, including Journal of Managed Care Medicine, Expert Review of Pharmacoeconomics & Outcomes Research and American Health & Drug Benefits.


Contact the Team:

TOPIC SUGGESTIONS FOR FUTURE EPISODES:
Benjamin Lakin, PhD
Series Producer
Cambridge Healthtech Institute
Phone: 781-972-5454
Email: blakin@cambridgeinnovationinstitute.com

PARTNERING AND SPONSORSHIP:
Patty Rose
Sr. Business Development Manager
781-972-1349
Email: prose@cambridgeinnovationinstitute.com


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