New Enterprise Ventures的动态

Strategies for #startups: 1. Business strategy ? 2. Regulatory strategy ? 3. Reimbursement strategy ? Thanks, Tom Corry for sharing your insights on #reimbursement strategies for start-ups. Tom defined the acronyms from #CMS to #HHS and many in between. We discussed when to consider reimbursement strategies (spoiler alert: yesterday), CPT codes, OUS companies, and where to find resources! #reimbursement #startups

?????????????? ???????????? ?????????????????????????? ??????????????????: ???????????????????? ?????? ???????? ???? ???????????????? ?????? ???????????????????? The Digital Health Reimbursement Framework aims to bridge the gap between regulatory approval and payment pathways to facilitate the adoption of innovative healthcare technologies, such as AI-based diagnostics, RPM, RTM, and PDTs. Central to this framework are HCPCS and CPT codes, essential for billing, and bundled payment models that improve cost efficiency and streamline reimbursement through systems like Medicare’s PPS. Programs like NTAP and MCIT play a crucial role by offering temporary payments for new, high-impact technologies to support early adoption. Legislative efforts, including the Access to Prescription Digital Therapeutics Act and the Expanding Remote Monitoring Access Act, further bolster reimbursement by expanding access to telehealth and digital therapeutics. However, regional challenges persist—while Europe adopts integrated regulatory and reimbursement frameworks (e.g., Germany's DiGA), the U.S. struggles with fragmented systems that complicate access despite FDA approvals. Developers must engage early with payers and regulators, align trials to payer needs, and address reimbursement disparities across Medicare, Medicaid, and commercial insurers. As healthcare shifts toward value-based care, aligning global policies, refining coding frameworks, and expanding innovative reimbursement programs will be essential for the sustainable integration of digital health technologies into everyday clinical practice. Video Link: https://lnkd.in/eaQhgh5H We are excited to invite you to our upcoming webinar, “Digital Health Regulatory & Reimbursement Frameworks for HealthTech Professionals.” This webinar is designed to provide healthtech professionals with an in-depth understanding of the regulatory and reimbursement frameworks that govern the development and commercialization of digital health products in the U.S. healthcare market. Agenda SaMD & AI/ML-Enabled Medical Devices FDA Regulatory Frameworks FDA-Approved SaMD & AI/ML-Enabled Medical Devices Landscape? Digital Health Products FDA Regulatory Frameworks Digital Health Coding & Coverage Pathways Global Perspective: S. Korea & Germany Date/Time October 17, 2024 (Thu) | 12:00 pm - 1:00 pm ET Register Here: https://lnkd.in/eBHNusam #DigitalHealth, #HealthTech, #FDARegulation, #SaMD, #Reimbursement, #MedicalDevices, #DigitalTherapeutics, #AIinHealthcare, #Telehealth, #HealthTechInnovation, #HealthcareCompliance

???? The U.S. healthcare system is a complex network of public and private entities. It is a fertile ground for innovative medical technologies but navigating its intricacies can be daunting. Central to the public side of this system are Medicare and Medicaid. These are federal and state programs respectively, that provide healthcare coverage to a wide range of Americans. On the flip side, commercial payers, which encompass a vast array of private insurance companies, offer coverage that varies widely in scope and scale. Understanding how each of these entities evaluates and funds new technologies is crucial for innovators looking to make an impact in healthcare. ?? For medical technology innovators aiming to penetrate the U.S. healthcare market, understanding these pathways is just the beginning. Success requires strategic navigation of the regulatory landscape, effective communication of value, and thorough market analysis. That’s where ValueConnected comes in. With a track record of successful projects in the U.S., we offer deep insights into Go-To-Market strategies and strategic analyses tailored to the challenges and opportunities of the U.S. healthcare system. Schedule a meeting with our CEO and Founder Ernesto M. Nogueira today: ?? https://lnkd.in/eeiHmvja #US #HealthCare #MediCare #Medicaid #MedTech

Join me next week on March 12 for the American Health Law Association Telemedicine Series Part I: Telehealth Today – Compliance and Reimbursement Considerations webinar. This webinar will review state licensing laws, reimbursement, the status of #COVID waivers, and more including:? - Highlighting the legal framework for state Corporate Practice of Medicine, licensing, and e-prescribing laws and the issues for #Telehealth? - Exploring key issues related to #Medicare, Medicaid, and commercial coverage? - Developing a familiarity with Direct-to-Consumer business models and the legal risks #healthlaw #telemedicine #healthIT

Reducing OBGYN Reimbursement Delays by 18% with Intelligent Automation In the ever-evolving landscape of healthcare, OBGYN practices face the constant challenge of managing reimbursements efficiently. Delays in claim reimbursements can strain a practice's cash flow, hinder operational efficiency, and ultimately affect patient care. Innobot Health's intelligent automation solutions are revolutionizing revenue cycle management (RCM) by reducing reimbursement delays by an impressive 18%. By harnessing the power of intelligent automation, OBGYN practices can automate tedious tasks such as claim submissions, follow-ups, and status checks. This not only accelerates the reimbursement process but also ensures greater accuracy. In fact, practices utilizing Innobot Health's solutions experience a 22% faster claim status resolution. Faster resolutions mean quicker payments, allowing practices to reinvest in resources, technology, and patient services. Moreover, reducing reimbursement delays enhances the overall patient experience. Patients benefit from smoother billing processes and fewer disputes over insurance claims. Staff members are freed from administrative burdens, enabling them to focus more on patient care and less on paperwork. Intelligent automation streamlines operations, reduces errors, and fosters a more efficient healthcare environment. Innobot Health is committed to empowering OBGYN practices with cutting-edge automation tools that drive financial health and operational excellence. By embracing intelligent automation, practices not only improve their bottom line but also enhance patient satisfaction and care quality. ?? Explore how you can transform your healthcare operations with cutting-edge automation solutions at www.innobothealth.com. For more personalized assistance, give us a call at (888) 341-1009. Let’s revolutionize healthcare together! #IntelligentAutomation #OBGYN #HealthcareInnovation #InnobotHealth #RevenueCycleManagement #RPA #HealthcareAutomation

The topic for this week’s The Kinetix Group-Powered by Petauri? PACT Executive Briefing is the “CMS Interoperability and Prior Authorization Final Rule.” On January 17th, 2024, CMS published the CMS Interoperability and Prior Authorization Final Rule, to improve the electronic exchange of health care data as well as to streamline prior authorization processes. This final rule also adds a new measure for merit-based incentive payment system or MIPS eligible clinicians. Beginning in January 2026, health insurers participating in federal programs including Medicare advantage and Medicaid, must respond to expedited (that's "urgent") prior authorization requests within 72 hours and standard (or "non-urgent") requests within seven days. Insurers must also include their reasons for denying a prior authorization request and will be required to publicly release data on denial and approval rates for medical treatment. Check out The Kinetix Group-Powered by Petauri? growing library of TKG PACT Executive Briefings where you can listen and download the companion PDF infographics. https://lnkd.in/evZKhgre #MarketAccess, #TKG, #TKGPACT, #PriorAuth, #PriorAuthorizationRule, #Drug, #Interoperability, #Authorization

I just read an article on PM360 Magazine titled "Meeting Patients' Expectations While They Search For Care," which discusses the transformative role digital tools play in connecting patients with the right providers. I absolutely advocate the use of technology to enhance learning and patient engagement. This article reinforces how patients are increasingly taking an active role in their healthcare decisions. Pharma has a huge opportunity here—bringing patients and providers together, advancing important treatment conversations, and supporting each individual on their healthcare journey. Read the article: https://hubs.li/Q02SCCBS0 #PharmaLeadership #PatientEmpowerment #DigitalHealth #Biopharma #PatientCareExcellence

Ambience Healthcare, founded by MIT alumni, automates documentation for clinicians before, during, and after patient visits. The founders say clinicians using Ambience save time on documentation, report lower levels of burnout, and develop higher-quality relationships with their patients. #efficiency #productivity #quality #costreduction

Webinar: 3/13 - 1pm (ET) - Hosted by True North Custom Access Care Campaign Best Practices in 2024: Urgent Care, Primary Care, Telehealth and More "Join us for a 20-minute live webinar packed with the latest insights and strategies to build successful access care campaigns in 2024. Whether you're focusing on primary care, urgent care, telehealth, or all three, this session will equip you with actionable knowledge to attract patients and thrive in a competitive market. Throughout the presentation, Eric Silberman, our President and CEO, will discuss the complexities of consumer sentiment around primary care, urgent care, and telehealth services. From the convenience factor driving preference for urgent care and telehealth to the nuanced considerations around location, insurance, and provider preferences, attendees will gain valuable insights into the minds of healthcare consumers."

Unlocking success at every stage for providers! From cost-saving strategies to reimbursement support, we're your growth partners in an evolving market. Trust the experts to elevate your profitability and expand your impact. #InfinityInfusionSolutions #IIS #InfusionTherapy #Providerpractice #ambulatoryinfusioncenters #AIC #medicalclinic #healthcare