MedTech I.Q.

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Colleagues,

The times ... They are a Changing ...

Device makers will be under increased pressure to prove that their products provide the best clinical outcomes among alternatives as the Center for Medicare and Medicaid Services (CMS), the organization that determines reimbursement, tests out new business models in accordnace with the new health care reform law ...

... As President Obama recently joked at the annual White House Correspondents' Association
dinner, The Patient Protection and Affordable Care Act has literally has hundreds of provisions we don't know about yet ...

One provision that will be of interest to many MedTech-IQ medical device CEOs, investors and business development executives, calls for CMS to operate several new pilot programs ...  Accountable Care Organizations (ACO), Medical Homes and increased bundling payment practices...

... These pilots will deliver care within the framework of scrutinizing the results of the stimulus funded Comparative Effectiveness Research (CER) data to compare clinical performance of different devices to each other, or to other treatment options...

... Eventually, this means that CMS will reimburse, and that providers will choose the products that empirically demonstrate the best clinical outcomes, or, if faced with several equally effective products, will choose those available at the most reasonable costs ...

... CMS said recently that it has three medical home demonstrations in development, and expects to implement its Multi-payer Advanced Primary Care Practice Demonstration soon...

... Similarly, ACOs (Accountable Care Organizations) will be  making purchasing decisions for hospitals and hospital systems by seeking out treatments and therapies that provide the best clinical outcome, or if the treatments are equal, those at the most reasonable cost ...

... This will be a very different business model than traditional fee for service ...

... As Bob Dylan said many years ago ... "The Times ... They are a Changing"...  Start collecting data now...

ENJOY!

CC

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