SMT focuses on achieving the commercial objectives of pharmaceuticals and devices through proper coverage, reimbursement, formulary preference, and payment levels associated with their product(s) or services. SMT’s multi-disciplinary team can maximize product profits by overcoming the financial hurdles presented by CMS, carriers, fiscal intermediaries, health plans, managed care and employers.

We specialize in overcoming the hurdles created by Tiered Copay, insurance prior authorization requirements, Pay for Performance, Episodes of Care, Bundled Payments for services and/or medications, Medicare Inpatient Prospective Payment System, Medicare Outpatient Prospective Payment System, Never Events, Hospital Acquired Conditions, Value Based Purchasing, and Deductibles and copayments which are modified based upon performance.

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