Analyses of Shifting Healthcare Market Dynamic to Optimize Diagnostic Reimbursement Strategies | Focus on Trends Impacting the Industry such as Value-Based Agreements & Increasing Prior Authorization | Deciphering Public & Private Payer Cost-Efficiency Requirements & LBMs’ Involvement
Within the rapidly evolving healthcare market, test developers and laboratories face unique challenges in obtaining reimbursement for new diagnostics as payers’ focus increasingly shifts towards cost-efficiency as a priority, in addition to optimized patient outcomes. The necessity to prove value in direct relation to a specific health condition’s market economics is more important than ever before, implying robust evidence not only of scientific benefits but also optimized cost-savings. In the effort of continuously developing evidence-targeted reimbursement strategies, ensuring a clear understanding of Laboratory Benefit Managers’ role is also pivotal to maximize chances of positive decisions and satisfactory coverage. The rapid rise in payer demands for diagnostic test prior authorization also create a new landscape for the industry, raising many questions about the process and overall responsibility.
The 14th edition of the renowned Q1 Diagnostic Coverage & Reimbursement Conference will once more dive deep into a variety of pressing matters, also including updated insight into policies such as PAMA entering the new consultation period, how to access NCDs as well as a comprehensive approach to value-based agreements with payers. Through a multitude of perspectives including private and public payers, LBMs, thought industry leaders and legal partners, topics of critical importance will be addressed with a holistic approach. To ensure the highest level of education possible, the audience will also have an opportunity to gather in peer-to-peer learning groups, enabling an exclusive and engaging platform to exchange knowledge and experience in test-specific challenges making this semi-annual conference series a must-attend.
Eric Jahnke | Sr. Marketing Manager | Q1 Productions
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