Tuesday, January 28, 2025

How to Do "Reimbursement Roadmaps" (A Model by Svetlana Nikic, Precision Oncology Consulting POC)

 https://www.linkedin.com/posts/svetlananikic_biomarker-reimbursement-landscaping-analysis-activity-7289669408979841025-mzGO/?utm_source=share&utm_medium=member_ios

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While you are considering how we could potentially work together, here's another case study based on couple of recent projects that we've executed from Precision Oncology Consulting: Oncology Biomarker and Reimbursement Landscaping Analysis Across EU.

In these projects we aim to provide a comprehensive, yet digestible overview of complex and heterogeneous reimbursement processes across EU as well as present molecular testing trends and identify key stakeholders, that every manufacturer of Mol Dx solution should be engaging with, and is seeking reimbursement in EU.

Reach out if you would like to have a chat on how we could support you and your organization!
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Chat GPT summarizes

The PowerPoint slide focuses on biomarker reimbursement strategies in oncology, showcasing a structured roadmap for delivering insights and value to a molecular diagnostics provider. Below is a detailed summary:

Project Overview:

  • Objective: Conduct a landscaping analysis of reimbursement processes and biomarker adoption in oncology, focusing on the clinical and economic utility of a molecular diagnostic (Mol Dx) tool.
  • Timeline: The project is divided into three phases:
    1. Kick-off (Week 0): Initial alignment on project goals.
    2. Interim Report (Week 4): Midway findings and progress update.
    3. Final Report (Week 8): Delivery of comprehensive insights and recommendations.

Approach and Deliverables:

  1. Literature Review and Data Extraction:

    • A systematic search across databases to identify publications relevant to biomarker testing and reimbursement.
    • Studies were screened using predefined inclusion/exclusion criteria, focusing on:
      • Current standards of care (SoC) for biomarker testing.
      • Clinical utility and economic impact of the Mol Dx tool.
      • Health economic data.
    • Extracted data was synthesized into a comprehensive overview of the current landscape and the tool’s value proposition.
    • Highlighted unmet needs in the diagnostic pathway that the tool could address.
  2. Clinical and Economic Utility Assessment:

    • Clinical Utility: Analysis of how the tool improves patient outcomes (e.g., diagnosis, treatment selection, survival, quality of life).
    • Economic Utility: Evaluation of the tool's cost-effectiveness and budget impact, emphasizing healthcare system savings.
  3. Key Deliverables:

    • Biomarker Landscape Report: Detailed characterization of current biomarker testing practices, guidelines, challenges, and patient outcome impacts.
    • Mol Dx Tool Analysis: Comprehensive dossier summarizing:
      • Clinical performance and advantages over SoC.
      • Economic analysis, including published cost-effectiveness data.
    • Value Proposition: Tailored communication highlighting clinical, economic, and patient-centric benefits for European payers (Spain, Italy, France, Germany, UK, Netherlands, Belgium).

Value Created:

  • Provided an in-depth understanding of the biomarker testing landscape.
  • Developed a compelling value proposition aligned with European Health Technology Assessment (HTA) requirements, emphasizing real-world evidence and patient-centric benefits.
  • Delivered actionable insights to support reimbursement and adoption strategies in targeted markets.

Client Profile:

  • US-based Molecular Diagnostics Provider seeking strategic insights to navigate reimbursement pathways in European markets.

This detailed approach integrates clinical and economic insights to establish a strong foundation for reimbursement strategies tailored to European healthcare systems. Let me know if you'd like me to elaborate on any specific aspect!