Our Services

Overcoming challenges. Leveraging opportunities.

Policy, Lobbying and Advocacy Strategies

When clients are faced with policy or regulatory changes that raise barriers to market entry, challenge business efficiency or viability, threaten to reduce rates of return for investments, or slow customer adoption of health items or services, McDermottPlus develops data-driven policy alternatives and implements lobbying strategies that advance preferred solutions.

Key Offerings:

  • Formulate and implement objective-specific advocacy strategies to achieve client priorities grounded in deep knowledge of the relevant laws and regulations as well as the business and practical realities of the health care sector
  • Monitor congressional and administrative developments relevant to client priorities, and provide timely summaries and analyses of legislative and regulatory developments focusing on the impact on clients’ businesses
  • Prepare written and oral testimony, position papers and related advocacy materials
  • Design and draft legislation and regulatory text to achieve client objectives
  • Arrange and lead client meetings with legislators, legislative staff, executive branch and agency officials

Data Modeling, Including Health Finance Analysis, Budget Impact and Cost-Effectiveness Models

Our advocacy is rooted in data. Whether clients need to demonstrate the impact of proposed policy solutions to legislative and regulatory authorities or need due diligence analysis in support of sound business transactions, we model reimbursement outcomes, including Congressional Budget Office and Office of Management and Budget impact models.

Key Offerings:

  • Analyze proposed and final rule changes to Medicare payment policies (e.g., Medicare Physician Fee Schedule, Outpatient Prospective Payment System, Ambulatory Surgery Center) and publicly available Medicare data (including payment, cost and utilization data) to evaluate client strategies
  • Develop models that assess the cost impact of proposed legislation on Medicare expenditures
  • Analyze national and local coverage determinations, and model alternative outcomes
  • Conduct health financing data and analysis modeling in support of litigation, due diligence or transaction-specific client needs

Public and Private Payer Coverage, Coding and Pricing Strategy

When clients are planning to introduce new products or services, McDermottPlus prepares coding applications and shepherds them through the ICD, CPT® and HCPCS processes. McDermottPlus works with clients to navigate the payer marketplace in which the new product or service will be sold, and to develop and implement strategies to optimize profitability.

Key Offerings:

  • Analyze clinical and economic data to determine ideal strategy
  • Prepare clinical evidence dossiers to support coverage for new products at launch
  • Prepare template reimbursement assistance documents to support the launch of new products pending adoption of new billing codes, including letters of medical necessity, claim forms, procedure reports and bibliographies
  • Analyze and comment on preliminary and final pricing determinations
  • Provide meeting support, including onsite work at the CPT® Editorial Panel meetings and annual CLFS Public Meeting

Political Communications Strategy

McDermottPlus crafts and deploys effective audience-specific communications to facilitate business objectives when major business changes provoke political reactions. We also work with clients to advance public relations objectives in the public sector.

Key Offerings:

  • Prepare and implement outreach and communication strategies to build support for expressed client goals
  • Identify and develop key stakeholder, congressional and agency contacts
  • Develop materials for clients’ use in communications with such contacts
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