While we specialize in coverage, coding, and payment, we view reimbursement support for our clients more holistically as the ability to gain, maintain, and grow market access. We translate our nuanced understanding of policy and market dynamics into strategic and tactical guidance throughout the product life-cycle.

For additional information, please email reimbursement@avalerehealth.net.

Services /

Master the policy, payer, and competitive landscape: payer mix analysis, coverage policy analysis, formulary landscape, and due diligence.

Formulate strategies for maximizing access and obtaining appropriate coverage, coding, payment, and formulary placement: integrated market access planning, payer engagement strategies, contracting strategies, support for coding applications, value proposition and message development, and disease awareness and education.

Address challenges and provide solutions to support rapid product acceptance by payers, providers, and patients: payer field team design, sales tool development, patient access and assistance planning, and solutions to payer challenges.

Tools /

Access Avalere Insight /

Diabetes in Focus / Smart Phones and Smart Patients Because diabetes is a disease that requires a significant amount of self-management, patients, manufacturers, and researchers are constantly seeking ways to make care management easier and more accessible. In this quest, patients have increasingly begun to turn to technology as the solution for better care management. » Access Archive

Avalere Health and The West Clinic / Patient and Plan Characteristics Affecting Abandonment of Oral Oncolytic Prescriptions This study, authored by Avalere Health and The West Clinic, examines the economics of cancer patients abandoning their oral oncolytic prescriptions. The study finds that 10 percent of cancer patients are abandoning their medications due to high cost sharing on the part of the patient, as well as high prescription activity.