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Obtaining appropriate coverage and reimbursement policies for a newly approved product or an established product with a new labeled indication starts by working with the various payer segments. The Palomino Group is highly experienced in implementing successful Coverage Introduction programs for products across all payer types, including Medicare, Medicaid, BCBS, PPOs, HMOs, and other managed care plans. The Palomino Group utilizes a state-of-the-art, comprehensive, payer database that includes all key payer decision-makers.
By delivering vital information in a concise manner to the appropriate payer decision-makers, the Palomino Group supports the payer’s ability to make positive coverage determinations and to establish appropriate reimbursement policies for the product. During this process, the Palomino Group is able to identify payers that establish less than positive coverage determinations and will recommend appropriate follow-up by the manufacturer or through a Payer Advocacy Project.
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