Transcript Corporate Biography
Corporate Biography
August 2013
WASHINGTON DC AUSTIN SAN FRANCISCO 1
About Us
2
History ADVI
, a merger of HillCo HEALTH and AccelusHealth Partners was founded by Marc Samuels and Lawrence Leisure in 2013.
Our team members translate the value of client products and services into the language and currency of payers, both public and private. In doing so we create value for new or existing clients by accelerating time to revenue and profitability with a higher degree of market certainty.
3
Where we are
Menlo Park Austin Washington DC London EU Brazil Primary Offices Global Associate Network Australia 4
Our Mission
Be
unique
among advisory firms Provide a
balanced viewpoint
on reimbursement, accelerating time to revenue, and idea generation Be
relentless
to ensure we do the right thing for the right reasons for our clients with a view on the world as it will be, not just as it is today 5
Therapeutic Area Knowledge
Tech
Healthcare Delivery Systems EMR Digital and Interactive Health Media Diagnostics Image Processing Specialty Pharmacy Distribution DME Distribution
Diagnostics
Biomarkers Pan cancer Multianalyte and NEXTGEN sequencing tests Companion diagnostics In Vivo diagnostics Molecular diagnostics Point of Care tests Image Mapping technology
Biotech & Drugs
Oncology Oncology Supportive Cardiovascular Diabetes Respiratory Osteoporosis Alzheimer’s CNS Radiopharmaceuticals ESRD/CKD Multiple Sclerosis Dermatology General Surgery Transplant medicine Sensory organs Sports Medicine Urology Women’s Health
Devices
Brain cancer mapping and treatment Breast cancer monitoring Bio stimulation Cardiovascular technologies Bone Growth repair Urinary Incontinence Anal Bulking Ophthalmologic Spinal devices Transplant devices Sleep Apnea devices Deep Brain Stimulation Orthopedic Implant Wound Care Radiopharmaceuticals 6
Our Strengths
Industry leading
practice venture capital, private equity and investment banking cross firm
Global Focus:
International team with payer, industry and government experience
VIP
PASS
Unique access
to national, regional and local payers across the USA, in both public and private settings of care
Rare knowledge
community of the people, politics and processes inherent in CMS, FDA and HHS as well as the cancer
Proven Results
Global markets in pricing, reimbursement and market access strategies across US and
Pharmacist and physician panels
in oncology, radiation oncology and diagnostics
Modelling capabilities
to support health technology assessment (HTA)/gap analysis and business case development
Access to cutting edge data analytics
and research 7
ADVI IS UNIQUE:
Government, scientific, industry, payer, and professional consultancy experience and expertise
in one company
8
About Our Process
9
ADVI Strategic and Tactical Expertise
Obstacles in Obtaining Reimbursement
Inconsistent decision-making criteria Systems not designed to recognize medical value Different systems in each country Lengthy process Multiple agencies and parties Data Outcome Scientific Economic
1
Coding & Payment Strategy
2 2
Payor Strategy
3 1 Value Foundation:
Clinical value and health econ value established
2 Reimbursement/Payer Strategy:
Targeted payers identified, and approach developed
3 Keeping Pressure:
Influencers identified and managed, momentum sustained ADVI CAPABILITIES
REACH ACROSS THE SPECTRUM
10
Key Strategic Questions
Early Engagement Reimbursement and Payer Action Plan Focus Resources, Align Interests 1.
2.
1.
2.
1.
2.
3.
Can you maximize the use of your resources by trying to capture payer related evidence during clinical trials plan?
activities?
?
What is your reimbursement strategy? And do we need payer specific strategies?
success?
success?
?
Who are the stakeholders in pushing / guiding Payers on decisions?
?
11
Possible Strategy
Investigate Understand
current opportunities and challenges coding, coverage and reimbursement
Identify
challenges, barriers and opportunities
Develop
strategies of how the organization can create and maintain favorable access, reimbursement and across payer types
Implement
tactics to create such an environment 12
Possible Strategic Implementation
Analyze
coding scenarios and develop strategic product positioning within the American Medical Association (AMA) CPT and RUC, CMS, and key medical specialty organizations; and create strategic solutions that complement marketing initiatives
Develop
landscape assessments mindful of evolving legislative and regulatory policies and national and local coverage trends; facilitate advisory boards, focus groups, and interviews with payer decision makers to assess issues and formulate strategies
Advance
strategic policy plans with appropriate agencies (CMS, AHRQ, state agencies, and targeted private payers); cultivate patient and professional advocacy support to address policy changes ADVI KEY CAPABILITIES
DRIVE SUCCESS
13
ADVI.COM
202 509 0760
610 10 TH STREET N.W.
SUITE 400 WASHINGTON, DC 20001 WASHINGTON DC AUSTIN SAN FRANCISCO 14