Securing Medicare Coding for a New Medical Device
A manufacturer of urological products faced an important hurdle as it prepared to bring a new urine management product line to market. Before its products, which were designed…
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Restoring Medicaid Reimbursement for Life-Sustaining Diabetes Supplies
For over three decades, our client has connected patients with the home-delivered medical supplies they need to manage serious chronic conditions. Among the products it distributes are insulin…
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Strategic Engagement with CMS Restores Medicare Reimbursement for Critical Drugs When Used in Outpatient Settings
An international pharmaceutical company with a broad portfolio of therapies used in hospital settings faced a significant reimbursement challenge when several products commonly administered in the hospital outpatient…
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Advancing Access to Liver Transplantation
A client health system came to Applied Policy when it faced an untenable choice: either turn away Medicare beneficiaries with intrahepatic cholangiocarcinoma (iCCA) or absorb the $800,000 to…
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Shaping Medicaid Coverage for Advanced Diabetes Technology
Our client, a long-established medical device supplier, has built a national reputation for leadership in integrated diabetes management. By combining technological innovation and patient-centered design, the company brings…
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Supporting Physician-Owned Hospitals in Advancing GME Policy Reform
A physician-owned health system serving more than 1.3 million residents through general acute care services, graduate medical education, and wellness and preventative programs across 70 sub-specialties faced a…
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Crossover Claim Reimbursement for Dual-Eligible Beneficiaries
A durable medical equipment (DME) supplier delivering insulin pumps and related supplies sought crossover claim reimbursement for Qualified Medicare Beneficiaries (QMBs) in a Northeastern state. Although the supplier…
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From NTAP Approval to Provider Education: Expanding Access to a New Antibiotic
A pharmaceutical manufacturer preparing to launch a new antibiotic in the inpatient hospital setting faced a significant reimbursement barrier. Under Medicare’s Inpatient Prospective Payment System (IPPS), hospital services…
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Navigating Bundled Payment Reforms
A global pharmaceutical manufacturer turned to Applied Policy for strategic guidance as the Centers for Medicare & Medicaid Services (CMS) introduced emerging bundled payment initiatives. The client, based…
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Physician-Owned Hospital’s Plans to Double in Bed Size Are Approved After Successfully Navigating CMS’s Expansion Application Process
Our client is a physician-owned health system providing general acute care services, graduate medical education, and individually tailored wellness and preventive health programs across 70 subspecialties to more…
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