Our Sectors

Focused on the health industry.

Laboratory Diagnostics and Medical Devices

McDermottPlus advises medical device and diagnostics manufacturers and laboratories of all sizes, from startups to multinational corporations. We serve some of the United States’ most innovative advanced diagnostics laboratories and diagnostic kit developers.

Representative Experience:

  • On behalf of a diagnostic test manufacturer, developed and deployed an advocacy strategy that persuaded the Centers for Medicare and Medicaid Services (CMS) to reverse its proposal to reduce payment for a test by 75 percent, and convinced CMS to allow local Medicare contractors to continue to locally price claims
  • On behalf of a coalition of diagnostic testing suppliers, successfully advocated for changes in a critical practice expense input under the Medicare Physician Fee Schedule
  • On behalf of a coalition of laboratory test manufacturers, successfully advocated for changes to a section of CPT® codes and the subsequent valuation of those codes under the Medicare Physician Fee Schedule to improve payment rates
  • On behalf of a manufacturer of diagnostic imaging agents and products, persuaded CMS to reverse a proposal that would have reduced reimbursement for echocardiogram procedures using contrast agents because of reconfiguration of the relevant APCs under the OPPS

Health Service Providers

McDermottPlus serves the full spectrum of health service providers, from the United States’ largest health systems to small community hospitals, physician organizations and allied health professionals, post-acute care providers and ambulatory surgery centers.

Representative Experience:

  • Served as the Washington, DC, representative for numerous hospitals and hospital coalitions by drafting summaries and preparing impact analyses of relevant legislative and regulatory developments
  • Obtained sole community hospital status for a hospital, involving a quantitative analysis of weather pattern data to demonstrate that the hospital met the distance requirement
  • Analyzed hospital cost reports on behalf of Medicare Dependent Hospitals to calculate hospital Medicare margins to support efforts to successfully extend the program
  • Developed a model to analyze the impact of alternative payment methodologies for hospitals, laboratories and physician pathology services

Pharmaceuticals and Biologicals

McDermottPlus advises some of the world’s largest and most innovative pharmaceutical and biological developers and manufacturers.

Representative Experience:

  • Developed a model for a life sciences company to use with its hospital clients to demonstrate the change in payment and costs associated with including its product on a hospital’s formulary
  • Developed a coding, coverage and reimbursement plan for a life sciences company in support of the launch of a novel treatment option for Parkinson’s Disease patients
  • On behalf of a medical device company, obtained a favorable hospital outpatient department payment rate under Medicare for a procedure that uses a product developed by that company

Trade Associations, Professional Societies & Foundations

McDermottPlus works with a variety of representation organizations, including medical professional societies, trade associations and patient advocacy organizations.

Representative Experience:

  • Conducted a nationwide assessment on behalf of a nonprofit foundation and provided recommendations on the feasibility and operational requirements necessary to scale up a care model approach covering a predominantly Medicaid-covered population
  • Assessed the viability of cardiac-related episode of care as the subject of an Advanced Alternative Payment Model within the criteria defined by the MACRA statute for a cardiac sub-specialty organization
  • Worked with a major surgical specialty society to model the negative impact of reweighting the Advancing Care Information (ACI) Performance Category to the Quality Performance Category on clinicians exempted from ACI
  • Acted as lead consultant supporting CPT® Editorial Panel and RUC initiatives, including conducting surveys and supporting CPT® and RUC workgroups, on behalf of a medical specialty society
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