2013 Coverage, Reimbursement and Health Policy Conference


MDMA's 16th Annual Coverage, Reimbursement and Health Policy Conference

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Tuesday, November 5, 2013

1:00pm - 5:00pm

Registration (program begins at 2:00pm)

2:00pm - 5:00pm

Reimbursement Basics & Case Studies

     2:00pm - 3:30pm     Reimbursement Primer

          The Reimbursement Primer will provide a unique, interactive experience for participants developing a reimbursement plan for their company. Learn the basics of the reimbursement process and how to develop a reimbursement strategy.

  • Kelli Hallas, Executive Vice-President, Emerson Consultants, Inc.
  • Barb Peterson, President, Emerson Consultants, Inc.

     3:30pm - 4:00pm     Networking Break

     4:00pm - 5:00pm     Case Studies

          A series of real life reimbursement case studies will be used to utilize and apply basic reimbursement skills. Participants will work in teams with other attendees to analyze a case and present a possible solution to the case study. Each team will be led by a seasoned reimbursement expert who will provide guidance to the group.

  • Kelli Hallas, Executive Vice-President, Emerson Consultants, Inc.
  • Barb Peterson, President, Emerson Consultants, Inc.
  • Judy Rosenbloom, President, JR Associates

5:00pm - 6:30pm

Networking Reception


Wednesday, November 6, 2013

7:30am - 8:55am

Registration and Continental Breakfast

8:55am - 9:00am

Welcoming Remarks

  • Thomas Novelli, Vice President of Government Relations, MDMA

9:00am - 9:45am

Medicare Coverage for Medical Devices

With a changing reimbursement landscape for medical devices, Medicare often sets the benchmark for coverage. This session will provide an overview of CMS current thinking of coverage for medical devices.

  • Louis Jacques, M.D, Director, Coverage and Analysis Group, Centers for Medicare and Medicaid Services

9:45am - 10:45am

Paradigm Shift: Obtaining Coverage for IDE Trials

With potential changes to the coverage policy for IDE devices, what are the best practices for obtaining coverage for your clinical trial? this session will identify key attributes of a successful trial design as well as discuss potential changes to the coverage process.

  • Beth Roberts, Partner, Hogan Lovells
  • Judy Rosenbloom, President, JR Associates

10:45am - 11:00am

Networking Break

11:00am - 11:45am

Health Economics and Medical Devices: The New Normal

With comparative effectiveness research becoming more common in obtaining appropriate coverage for your technology, knowledge of how to develop evidence-based studies will be critical. This session will provide you the information necessary to prepare evidence-based studies for your medical technology.

  • Sean Tunis, M.D., MSc., Founder, President & CEO, Center for Medical Technology Policy (CMTP)

11:45am - 1:00pm

Networking Luncheon

1:00pm - 1:45pm

International Markets: Planning Your Strategy

Reimbursement opportunities continue to grow outside the United States, but what constitutes a successful international reimbursement strategy? Learn how to strategically target reimbursement markets in the EU and Brazil. 

  • Stephen Hull, Principal & founder, Hull Associates
  • Edward Rozynski, Senior Advisor, International, MDMA  

1:45pm - 2:45pm

Coverage Decisions for Medical Devices: Perspectives from the Medical Directors

Device companies seeking commercial payer reimbursement often face unique challenges apart from public reimbursement. With medical directors playing an integral role in the reimbursement of medical technologies, hear from medical directors and other experts as they share the best strategies to obtain reimbursement for commercial payment of your technology.

  • Mitchell Burken, M.D., Medical Director, Novitas
  • Elizabeth Halpern, Partner, Hogan Lovells
  • Fiona Wilmont, M.D., MPH, Consultant and Former Medical Director, BCBS

2:45pm - 3:00pm

Networking Break 

3:00pm - 3:45pm

CPT Coding Reform: What to Expect

In recent years, the ability of companies with disruptive technologies to obtain appropriate CPT codes has been challenging. There is also growing criticism that the coding process itself is not as transparent as it could be. This panel will identify current trends and obstacles in the coding process and highlight the impact on innovation for medical technologies.

  • Michael Beebe, Senior Vice President, ADVI
  • David Kaysen, Former CEO, Uroplasty 
3:45pm - 4:30pm

Payment Reforms and New Payment Models

With passage of historic health care reform legislation, reimbursement for medical device procedures may be affected. learn the basics of new payment modes under the health reform law and what it means for your company.

  • Sean Cavanaugh, Deputy Director, Center for Medicare and Medicaid Innovation