Past publications & newsletter articles can be found at the bottom of this page
Wound Care Re-imbursement
Advanced Dressings Now a Legal Right in Italy
Notes on Reimbursement in Switzerland
Brief Summary of our Community Reimbursement Services
Getting Reimbursement right is fundamental to Sales Growth
As wound care industry specialists we have the experience to assess your best route to reimbursement in the community or adoption in the secondary care hospital sector in Europe, Canada, USA, Latin America and Australia.
For the "Community" sector (outside of the secondary care hospital) national or regional reimbursement lists apply in many countries. They represent the gateway to approximately 80% of the market for most wound care technologies.
WMC conducts due diligence on your product's case for reimbursement in the community and works with you to construct an effective strategy, including the generation of relevant clinical and economic data. We can also handle the reimbursement application itself as a turn-key project.
For the "Hospital" sector WMC can work with you to ensure that your product is supported by a comprehensive and competitive Business Case for its adoption onto hospitals' product formularies.
Design for reimbursement as early as possible:
Reimbursement criteria differ significantly from country to country, so it is critical that you are aware of their impact on your product's design as early as possible. The same goes for reimbursement's influence on your market entry plans. What held good in your home market may not be true for many export markets, even in such fundamentals as the product's physical configuration.
Our Reimbursement Services:
Our COUNTRY SPECIFIC REIMBURSEMENT OVERVIEW REPORTS will inform you of the reimbursement landscape & the requirements pertinent to your product and our structured COMMUNITY REIMBURSEMENT APPLICATION SERVICE and HOSPITAL ADOPTION BUSINESS CASES will give you the best chance of reimbursement success.
COUNTRY SPECIFIC REIMBURSEMENT OVERVIEW REPORT
This enables you to UNDERSTAND the Reimbursement landscape relevant to your wound care product. What we deliver (typical content of report):
Principles of Reimbursement for Wound Care Technologies
Primary Care / Community:
Who Pays and where?
Who is Eligible?
How are decisions made?
Structure of Reimbursement
What are the Criteria for Reimbursement?
What are the Reimbursement Categories?
Which criteria are used to allocate a product to a category?
Which technologies or Clinical Indications are NOT reimbursed?
Process of Applying for Reimbursement
How does this process vary for different categories or indications?
Timetable for reimbursement applications & decisions
Reimbursement Authority Criteria for Approval
Reimbursement Prices / Values
Indicative prices of common types of products
How are products paid for in the community when not reimbursed on prescription?
What changes are expected in Reimbursement?
Secondary Care / Hospitals:
Overview of funding for wound care
Technology approval pathways
Impact of Diagnostic Related Groups - DRGs
COMMUNITY REIMBURSEMENT APPLICATION SERVICE
We REVIEW your current position. PLAN what additional documents/evidence may be required and ACTION your reimbursement application. What we deliver (typical tasks undertaken):
Checking that the type of reimbursement targeted is aligned with your strategy for the product.
Collating the documents & information you have available that may be required for reimbursement.
Due Diligence/Gap Analysis of product claims and clinical and economic evidence against what may be required.
Delivery of additional data either by you or by WMC.
Drawing up the Reimbursement application for your review, then submitting & tracking the application.
Coordinating responses to any post application queries.
HOSPITAL (Secondary Care) ADOPTION BUSINESS CASE
We DELIVER powerful, clear health-economic messages to those who may influence the purchase of your product. What we deliver (typical tasks undertaken):
A Health Economics Business Case designed to see your product listed on hospital formularies
Mapping local approval criteria & process.
Due Diligence on the Value Proposition relevant to the customer's local concerns.
Designing local Clinical Evidence Programmes to support the application.
Coaching local Sales Forces in the creation & use of local Business Cases.
Successful Sales Strategies are built not only on Reimbursement but also on a well-defined Value Proposition...
Because we are specialists in wound care with services applicable to all stages of your product's lifecycle and the creation of its value proposition, you can select a package of services tailor-made to your company's needs:
Other WMC Services related to Reimbursement:
Market Assessments enabling you to assess the value / feasibility of entry to the market in question.
Bespoke Surveys gathering intelligence first hand from the clinical & commercial professionals who influence the success of your product in the market.
Clinical Evidence Design to ensure that the clinical & economic evidence required to support your product development decisions & reimbursement applications is relevant to the customer and closely aligned to your objectives.
Clinical Evidence Management to deliver the supporting evidence you require for reimbursement & marketing statements, cost-effectively and on time.
Distributor Identification & Qualification to ensure that in a world of many product offers and few strong independent wound care distributors you have the best partner for your product.
Why ask Wound Market Consulting to help you with your Wound Care Product Reimbursement?
Because your business can benefit from us...
Being practical commercial specialists in wound care and bringing a strategic view point to every project.
Collectively having decades of experience of developing, reimbursing and launching wound care technologies.
Having handled numerous international strategic reimbursement and market entry projects across all types of wound care technologies.
Having a comprehensive range of services which allows us to support you through all stages of product development and enables you to select a package tailor made to meet your needs.
What our clients say...
"We wanted professional support to achieve reimbursement for our wound care product in the UK and Wound Market Consulting delivered this & more.
Their knowledge of reimbursement pathways, wound care products and the international wound care industry was invaluable and it enabled them to provide a strategic view.
At the start of the project they made it clear what steps would be required and what documentation & information we needed to provide and why. They explained what restrictions we might face during the reimbursement application process, proposed solutions and actioned them.
They were communicative and delivered regular project status updates through-out, which saved us time & gave us confidence that we were in good hands.
We have now had them undertake a number of pieces of work and I would highly recommend working with them."
Mr Miika Jokinen
(Chief Executive Officer)
Recent publications & newsletters can be found at the top of this page
Amendment to Reimbursement of Wound Care Products in Germany 2017
German Parliament Amendment to Law on Devices for Healing and Aids to Living
New Non-Dressing Technology