Development of reimbursement dossier featuring clinical and economic data (including Canadian real world data)
Our client had a request from clinicians for assistance to develop a reimbursement submission dossier for an innovative technology. Since the new technology was more expensive than what was currently used, a key element of this submission would be a linking the clinical benefits with savings and sustainability.
The submission dossier required a review of clinical and economic benefits from peer reviewed references and a correlation to Canadian process and costs using real world data to generate projected costs and savings.
Research was conducted to enhance understanding of challenges and develop a working model that was used to develop a discussion guide. Clinicians, administrators, and government agencies were interviewed, provided information on challenges with current products, benefits of the new technology, and volumes and costs related to patient visits/testing/interventions. A submission dossier was prepared that explained the clinical and economic benefits, budget impact/savings analysis with links to healthcare sustainability.
The client, clinicians, and administrators were pleased with the document and used the submission to apply for additional funding for the new technology.