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BioBriefing – Reimbursement Dynamics in US Healthcare: Government vs. Private Insurers

August 7 @ 4:00 pm - 6:00 pm AEST

Edward Black is the President of Reimbursement Strategies, LLC

Edward will be in Melbourne for the Export Ready for North America Program and will discuss: Reimbursement Dynamics in US Healthcare: Government vs. Private Insurers

Medical technology has long been a highly regarded and rewarding enterprise. The primary factors that drive industry success have remained the same for years – creative bio-engineering, raising capital, regulatory clearance, clinical studies and publications, quality manufacturing and reimbursement. It has only been with the past three years that medical technology entrepreneurs have identified “reimbursement” as the most significant barrier to new technology adoption in the U.S. market – ahead of FDA regulatory clearance and raising capital.

This seminar will focus on the essential elements of a successful reimbursement strategy – Product and Service Coding; Hospital, Physician and Equipment Payment Methodologies; and Government and Commercial Insurance Coverage. The session will include a live video Q & A with a former health plan medical director about the challenges of obtaining product coverage in the U.S. and a discussion of the role of Health Economics in U.S. healthcare with a PhD economist.

Date: Monday 7th August 2017
Time: Registration from 3:45pm for 4:00pm – 5:15pm session, followed by a networking 
Where: Melbourne CBD


Do not book tickets here if your organisation has registered for or intends to apply for the Export Ready for North America Program as attendance at this event is included as part of the Program.

BioMelbourne Network Members: $65
(Price includes GST)

Bookings are open to BioMelbourne Network Members only at this stage.

To check if your organisation is a member, click here

Edward Black, President, Reimbursement Strategies, LLC

Edward Black specializes in reimbursement strategy, payer relations and health economics for medtech and biotech companies in the US and abroad. He works with companies to commercialize new products and services and has helped clients worldwide navigate the complexities of US healthcare reimbursement. Mr. Black offers a strong understanding of payer perspectives in health policy and excels in translating government and private payer policies into successful reimbursement planning.

Before founding Reimbursement Strategies, LLC in 2008, Mr. Black worked over 25 years in health and provider network management within the Blue Cross Blue Shield system and served on two national advisory boards responsible for leading consistency in medical, benefit, and payment policy. From 1994 to 2002, Edward served as the executive director of three managed care business partnerships with large multispecialty clinics for which he was awarded the 1995 Outstanding Contribution to the Healthcare Industry citation by Medical Alley Association.
Reimbursement Strategies offers the full line of medtech/biotech/pharma reimbursement services including HCPCS and CPT coding analysis and new code submissions; medical coverage policy research, analysis and advocacy; payment negotiation; clinical trial optimization for reimbursement and health economics for new and existing technologies. The company maintains relationships with most medical societies for clinical guideline development and support of CPT and ICD-10 PCS code applications. Mr. Black is active in several US and international medical technology initiatives and is a frequent international lecturer. He is a co-founder and principal in Life Sciences International, Inc. (www.lifesciencesint.com), and serves as an adjunct faculty member in the University of Minnesota Master of Science in Medical Device Innovation Program and Reimbursement Advisor to the University Office for Technology Commercialization.
Publishing Credits:
• The Journal of Urology –Cost of Neuromodulation Therapies for the Treatment of OverActive Bladder: Percutaneous Tibial Nerve Stimulation vs. Sacral Nerve Stimulation; Martinson M, MacDiarmid S, Black E. Vol. 189, 210-216, January 2013 • International Journal of Urogynecology – Cost Effectiveness of Radiofrequency Microremodeling for Stress Urinary Incontinence; Sand PK, Owens GM, Black EJ, Anderson LH, Martinson MS. 2014 Apr;25(4):517-23. doi: 10.1007/s00192-013-2230-8. Epub 2013 Oct 10. • Journal of Medical Economics – Cost-effectiveness of the Convergent Procedure and Catheter Ablation for Non-paroxysmal Atrial Fibrillation. Louise H Anderson, Edward J Black, Kenneth C Civello, Melissa S Martinson, David C Kress. July 2014, Vol 17, No. 7, Pages 481-491
Member: Medical Alley Association, Medical Industry Leadership Institute, Canada-Minnesota Business Council
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August 7
4:00 pm - 6:00 pm
Event Category:


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