Clarifying Reimbursement Pathways to Protect Investment

A medical device company partnered with CWH Advisors to evaluate reimbursement pathways, validate its go-to-market strategy, and establish realistic timelines to revenue, helping leadership make informed investment decisions and avoid significant unanticipated costs.

Client Pain Points

  • Needed clarity related to time-to-revenue and anticipated reimbursement for a new device in process of FDA approval prior to making material related investments.
  • Needed validation of Go-to-Market strategy and the overall economic model for the business initiative.
  • Needed market validation with Medicare Advantage payer market on reimbursement and time-to-revenue on product.

CWH Solutions

  • Performed a complete Go-to-Market assessment, providing a market-informed plan, execution recommendations, and P&L guidance.
  • Provided fee schedules timeline for Centers for Medicare & Medicaid Services and Medicare Advantage payer market.

CWH Delivering Value

  • Provided critical direct market feedback from Medicare Advantage payers on their process, timing, and requirements to accommodate new device into fee schedules.
  • Saved client a large amount of investment dollars understanding realistic time-to-revenue.

We really appreciated the insight. The analysis saved us from investing millions of dollars that we had not budgeted.”
Operating Executive Medical Device Company