It looks like your are using Internet Explorer.

Unfortunately, Internet Explorer is an outdated browser and we do not currently support it fully. You are seeing a limited view of the meeting details below.

To have the best browsing experience, please upgrade to Microsoft Edge, Google Chrome or Safari.

Scalable Market Access Strategies Targeting Payers in the US

15th March @ 11:45AM EDT

Despite DTx gaining traction in terms of investment, adoption still remains a challenge, and DTx companies struggle to secure reimbursement. Many DTx vendors in the US have targeted payers as their market access model, however, the lack of standardization of reimbursement pathways makes scalable strategies difficult for DTx companies in the US. Currently, demands change across payer organizations, thus DTx vendors tend to approach them on a case-by-case basis, making scaling difficult. Identifying the optimal market access strategies to target and scale within the US payer system is challenging, both in terms of engaging the different types of payers (e.g. Medicaid/Medicare, commercial payers, etc.) and negotiating contract terms to ensure long-term success beyond pilots or small-scale projects.


How can DTx vendors in the US establish scalable market access strategies to gain reimbursement across different payers and geographies? Join this meeting for senior leaders in DTx to deep dive into the following:


  • Building an evidence base that is applicable to multiple payers. How can DTx startups best engage payers, in a market with considerable inter-payer differences in populations and DTx requirements (eg clinical, economic and engagement data requirements)? How can DTx vendors with limited resources successfully build an evidence base?
  • Demonstrating long term value to payers. How can DTx companies best demonstrate economic and cost-effectiveness? How can DTx maximize their impact when speaking to payers?
  • Scalable pricing models. What are the most scalable pricing models for both DTx and payers? (e.g. pay per monthly user, pay per healthcare cost reduction, etc.)
  • Current reimbursement regulatory frameworks in the U.S. Do the current reimbursement regulatory frameworks allow for scalable market access strategies? Does the new legislation in the US  provide standardization of policies? What other legislation will we see introduced  in the next year?
  • Standardization of reimbursement requirements. How can payers be incentivized to standardize their requirements for DTx vendors? What cross-industry initiatives are we seeing that advocate for the standardization of reimbursement requirements?
  • Real examples: Best practices, learnings and contracting expectations for long term success.

We would like to remind you that our meetings are small and intimate sessions with a limited number of seats available, therefore we rely on your attendance and participation to ensure a high quality and valuable meeting for all. If you are confirmed for this meeting we ask if you can please ensure your attendance on the day.

Apply to Attend

Thank you! Your submission has been received.

An invite invite link has been sent to you if you do not already have a HealthXL account.
Oops! Something went wrong while submitting the form.

Scalable Market Access Strategies Targeting Payers in the US

Michael Pace
CEO & Founder at PalmHealth.co
Tom Scales
Vice President, Payer Access and Health Systems, Omada Health
Apply to Attend

Scalable Market Access Strategies Targeting Payers in the US

No items found.

Join this HealthXL Event today:

Participate in this Digital Health Sprint in order to:
- Deep dive into a topic over 2 focused sessions.
- Engage with a small group of 10 global thought-leaders throughout.
- This sprint is outcome-focused: HealthXL and participants create exclusive outputs.
- Grow your network with our break out sessions.


You actively participate in this discussion. Spaces are limited to 8 - 12 people, allowing you to focus on quality in-depth conversations.

Don't miss your opportunity to connect with senior leaders to shape the future of digital health. Because only if you are prepared now can you lead the future.

15th March @ 11:45AM EDT

Despite DTx gaining traction in terms of investment, adoption still remains a challenge, and DTx companies struggle to secure reimbursement. Many DTx vendors in the US have targeted payers as their market access model, however, the lack of standardization of reimbursement pathways makes scalable strategies difficult for DTx companies in the US. Currently, demands change across payer organizations, thus DTx vendors tend to approach them on a case-by-case basis, making scaling difficult. Identifying the optimal market access strategies to target and scale within the US payer system is challenging, both in terms of engaging the different types of payers (e.g. Medicaid/Medicare, commercial payers, etc.) and negotiating contract terms to ensure long-term success beyond pilots or small-scale projects.


How can DTx vendors in the US establish scalable market access strategies to gain reimbursement across different payers and geographies? Join this meeting for senior leaders in DTx to deep dive into the following:


  • Building an evidence base that is applicable to multiple payers. How can DTx startups best engage payers, in a market with considerable inter-payer differences in populations and DTx requirements (eg clinical, economic and engagement data requirements)? How can DTx vendors with limited resources successfully build an evidence base?
  • Demonstrating long term value to payers. How can DTx companies best demonstrate economic and cost-effectiveness? How can DTx maximize their impact when speaking to payers?
  • Scalable pricing models. What are the most scalable pricing models for both DTx and payers? (e.g. pay per monthly user, pay per healthcare cost reduction, etc.)
  • Current reimbursement regulatory frameworks in the U.S. Do the current reimbursement regulatory frameworks allow for scalable market access strategies? Does the new legislation in the US  provide standardization of policies? What other legislation will we see introduced  in the next year?
  • Standardization of reimbursement requirements. How can payers be incentivized to standardize their requirements for DTx vendors? What cross-industry initiatives are we seeing that advocate for the standardization of reimbursement requirements?
  • Real examples: Best practices, learnings and contracting expectations for long term success.

We would like to remind you that our meetings are small and intimate sessions with a limited number of seats available, therefore we rely on your attendance and participation to ensure a high quality and valuable meeting for all. If you are confirmed for this meeting we ask if you can please ensure your attendance on the day.

Apply to AttendRegister to AttendApply to Attend

Participants

Participants

Michael Pace

CEO & Founder at PalmHealth.co

Tom Scales

Vice President, Payer Access and Health Systems, Omada Health

Leo Bekerman

Engagement Manager, ZS

Evgueni Ivanov

Director, Digital Healthcare Transformation at UCB

Patrick Leyseele

Founder and CEO, 3.life

Cathy Zaremba

Director of Product Marketing, BrightInsight

Benjamin Peskin

Vice President Of Business Development, GoMo Health

Ron Kamienchick

Digital Health Realization Lead, Roche

Jared Smith

Sales Director, Health Plan Sales, Big Health

Eric Gordon

CEO & Founder, ATENTIV Health

Jordan Silberman, MD, PhD

Director of Clinical Analytics and Research, Digital Care Delivery, Anthem, Inc.

Roel Van Den Broeck

Digital Business Transformation Lead at UCB

Number of Participants


Up to 12
Date  
March 15, 2023
Community

Scalable Market Access Strategies Targeting Payers in the US

Despite DTx gaining traction in terms of investment, adoption still remains a challenge, and DTx companies struggle to secure reimbursement. Many DTx vendors in the US have targeted payers as their market access model, however, the lack of standardization of reimbursement pathways makes scalable strategies difficult for DTx companies in the US. Currently, demands change across payer organizations, thus DTx vendors tend to approach them on a case-by-case basis, making scaling difficult. Identifying the optimal market access strategies to target and scale within the US payer system is challenging, both in terms of engaging the different types of payers (e.g. Medicaid/Medicare, commercial payers, etc.) and negotiating contract terms to ensure long-term success beyond pilots or small-scale projects.


How can DTx vendors in the US establish scalable market access strategies to gain reimbursement across different payers and geographies? Join this meeting for senior leaders in DTx to deep dive into the following:


  • Building an evidence base that is applicable to multiple payers. How can DTx startups best engage payers, in a market with considerable inter-payer differences in populations and DTx requirements (eg clinical, economic and engagement data requirements)? How can DTx vendors with limited resources successfully build an evidence base?
  • Demonstrating long term value to payers. How can DTx companies best demonstrate economic and cost-effectiveness? How can DTx maximize their impact when speaking to payers?
  • Scalable pricing models. What are the most scalable pricing models for both DTx and payers? (e.g. pay per monthly user, pay per healthcare cost reduction, etc.)
  • Current reimbursement regulatory frameworks in the U.S. Do the current reimbursement regulatory frameworks allow for scalable market access strategies? Does the new legislation in the US  provide standardization of policies? What other legislation will we see introduced  in the next year?
  • Standardization of reimbursement requirements. How can payers be incentivized to standardize their requirements for DTx vendors? What cross-industry initiatives are we seeing that advocate for the standardization of reimbursement requirements?
  • Real examples: Best practices, learnings and contracting expectations for long term success.

We would like to remind you that our meetings are small and intimate sessions with a limited number of seats available, therefore we rely on your attendance and participation to ensure a high quality and valuable meeting for all. If you are confirmed for this meeting we ask if you can please ensure your attendance on the day.

Participate in the Meeting

HealthXL Roundtables

HealthXL community meetings connect senior leaders from around the world.

Our virtual Roundtables are small, participant-led discussions where the HealthXL community discuss digital health challenges and offer solutions.

Participant-Led

HealthXL community members lead discussion on a defined topic among a maximum of 12 participants. There is no audience and no recordings, just an interactive space to reflect and share learnings.

Developed for a Busy Schedule

At 60-minutes long, roundtables are long enough for meaningful discussion among peers, but short enough to fit into busy schedules.

Check out our platform for the full HealthXL experience

Set up a free HealthXL platform account for a taste of what the community has to offer. Or talk to us about upgrading to a premium account:

  • Join any virtual and in-person events
  • Invite peers to meetings
  • Network
  • Gain full access to all articles and HealthXL reports
  • Get personalised recommendations
  • Join specialised communities in areas like DTx, AI, Clinical Trials Innovation and more
  • Full access to community insights and meeting takeaway reports

HealthXL Masterclasses

HealthXL community events give unparalleled access to digital health leaders from around the world.

Our virtual Masterclasses are 60-minute sessions where a recognised expert in their field provides an in-depth learning experience to a small audience of 8-12 members.

EXPERT-Led

HealthXL Masterclasses give you a chance to join a small group of peers and ask questions of recognised experts in a private, convenient setting.

Check out our platform for the full HealthXL experience

Set up a free HealthXL platform account for a taste of what the community has to offer. Or talk to us about upgrading to a premium account:

  • Join any virtual and in-person events
  • Invite peers to meetings
  • Network
  • Gain full access to all articles and HealthXL reports
  • Get personalised recommendations
  • Join specialised communities in areas like DTx, AI, Clinical Trials Innovation and more
  • Full access to community insights and meeting takeaway reports

HealthXL Webinars

HealthXL community events give unparalleled access to digital health experts from around the world.

Our webinars bring together panels of 3-4 global leaders from the HealthXL community to discuss core trends in digital health.

Expert Panel Discussion

Gain insights on the latest topics in digital health and ask questions of the expert panel via chat. Webinars run for 60 minutes and recordings are shared with all attendees afterwards.

Check out our platform for the full HealthXL experience

Set up a free HealthXL platform account for a taste of what the community has to offer. Or talk to us about upgrading to a premium account:

  • Join any virtual and in-person events
  • Invite peers to meetings
  • Network
  • Gain full access to all articles and HealthXL reports
  • Get personalised recommendations
  • Join specialised communities in areas like DTx, AI, Clinical Trials Innovation and more
  • Full access to community insights and meeting takeaway reports
Virtual Digital Health Meeting

Join from anywhere

No need for a high end laptop to display fancy 3D personas or interactive conference rooms: All you need is a working camera and an internet-ready device to join.

Apply to Attend now

The world of Digital Health in one Hub

Be ready for the future of Digital Health and join a community of passionate leaders, innovators and gamechangers. 

As a HealthXL member, you get access to a wealth of information, resources and connections. From daily curated news by our in-house expert team to industry reports each retailing at €2000 - you have the world of Digital Health right at your fingertips.

Our community is growing fast. Don’t miss out on your opportunity to lead the future.


Join the community here
Reports & Insights
Reports and insights shared by the DTx community
Curated
News
Daily DTx News Curated by our in-house experts
Lists & Dashboards
Interactive dashboards and downloadable organisation data

Your Digital Health Corner

All Posts
Events
April 2, 2024
Tess’ Top Takes from this Month’s Meetings in Digital Health: March 2024
Tess’ Top Takes from this Month’s Meetings in Digital Health: March 2024
Read More
Events
March 13, 2024
#ViVE2024 Unwrapped: Highlights and Insights
#ViVE2024 Unwrapped: Highlights and Insights
Read More
Commentary
February 16, 2024
Tess’ Top Takes from this Month’s Meetings in Digital Health: February 2024
Tess’ Top Takes from this Month’s Meetings in Digital Health: February 2024
Read More

Scalable Market Access Strategies Targeting Payers in the US

15th March @ 11:45AM EDT
Digital Therapeutics (DTx)

Scalable Market Access Strategies Targeting Payers in the US

15th March @ 11:45AM EDT
Digital Therapeutics (DTx)
Michael Pace
CEO & Founder at PalmHealth.co
LinkedIn Profile
Tom Scales
Vice President, Payer Access and Health Systems, Omada Health
LinkedIn Profile
Leo Bekerman
Engagement Manager, ZS
LinkedIn Profile
Evgueni Ivanov
Director, Digital Healthcare Transformation at UCB
LinkedIn Profile
Patrick Leyseele
Founder and CEO, 3.life
LinkedIn Profile
Cathy Zaremba
Director of Product Marketing, BrightInsight
LinkedIn Profile
Benjamin Peskin
Vice President Of Business Development, GoMo Health
LinkedIn Profile
Ron Kamienchick
Digital Health Realization Lead, Roche
LinkedIn Profile
Jared Smith
Sales Director, Health Plan Sales, Big Health
LinkedIn Profile
Eric Gordon
CEO & Founder, ATENTIV Health
LinkedIn Profile
Jordan Silberman, MD, PhD
Director of Clinical Analytics and Research, Digital Care Delivery, Anthem, Inc.
LinkedIn Profile
Roel Van Den Broeck
Digital Business Transformation Lead at UCB
LinkedIn Profile

Scalable Market Access Strategies Targeting Payers in the US

Despite DTx gaining traction in terms of investment, adoption still remains a challenge, and DTx companies struggle to secure reimbursement. Many DTx vendors in the US have targeted payers as their market access model, however, the lack of standardization of reimbursement pathways makes scalable strategies difficult for DTx companies in the US. Currently, demands change across payer organizations, thus DTx vendors tend to approach them on a case-by-case basis, making scaling difficult. Identifying the optimal market access strategies to target and scale within the US payer system is challenging, both in terms of engaging the different types of payers (e.g. Medicaid/Medicare, commercial payers, etc.) and negotiating contract terms to ensure long-term success beyond pilots or small-scale projects.


How can DTx vendors in the US establish scalable market access strategies to gain reimbursement across different payers and geographies? Join this meeting for senior leaders in DTx to deep dive into the following:


  • Building an evidence base that is applicable to multiple payers. How can DTx startups best engage payers, in a market with considerable inter-payer differences in populations and DTx requirements (eg clinical, economic and engagement data requirements)? How can DTx vendors with limited resources successfully build an evidence base?
  • Demonstrating long term value to payers. How can DTx companies best demonstrate economic and cost-effectiveness? How can DTx maximize their impact when speaking to payers?
  • Scalable pricing models. What are the most scalable pricing models for both DTx and payers? (e.g. pay per monthly user, pay per healthcare cost reduction, etc.)
  • Current reimbursement regulatory frameworks in the U.S. Do the current reimbursement regulatory frameworks allow for scalable market access strategies? Does the new legislation in the US  provide standardization of policies? What other legislation will we see introduced  in the next year?
  • Standardization of reimbursement requirements. How can payers be incentivized to standardize their requirements for DTx vendors? What cross-industry initiatives are we seeing that advocate for the standardization of reimbursement requirements?
  • Real examples: Best practices, learnings and contracting expectations for long term success.

We would like to remind you that our meetings are small and intimate sessions with a limited number of seats available, therefore we rely on your attendance and participation to ensure a high quality and valuable meeting for all. If you are confirmed for this meeting we ask if you can please ensure your attendance on the day.

When:
15th March @ 11:45AM EDT
Apply to attend
Registration Closed

Join this group of peers and get a feel of what it's like to belong to a community of digital health gamechangers.

All meetings are limited to 10 people to allow for honest discussions, so apply fast or become a HealthXL member and get priority access to all meetings, latest industry reports and and much more.

Frequently asked questions: 

What are HealthXL Virtual Meetings?

HealthXL Virtual Meetings are private group meetings limited to 10 people across different demographic and stakeholder groups. For 75 minutes, you take a deep dive into your chosen topic and explore it from different angles. Virtual Meetings are not webinars: There is no audience, no recording and no hiding behind a screen. You actively participate in a discussion to solve your present challenges and design the future of digital health. And through our Community Hub, you stay up-to-date on the latest news and insights, allowing you to fully immerse yourself in the topic before, during and after.

How can I connect with other digital health leaders?

HealthXL brings together gamechangers of digital health to support honest discussions in small, private groups. In our Community Hub, for which you can register for free, you can follow a wide range of communities across telehealth, digital therapeutics, patient engagement and more. As a full HealthXL member, you also get access to curated news, the latest insights and an expert network to connect with. Join exclusive virtual meetings to exchange strategies, viewpoints and learnings with members from like-minded yet diverse stakeholder groups.

What are the benefits of being a HealthXL community member?

As member of HealthXL, you join a community of digital health thought leaders, innovators and game changers around the world. With your membership, you get access to hundreds of insights, reports and resources. You can browse a database with over 90k healthcare organizations and view their active strategic partnerships, commercial relationships, latest funding rounds and research. Through our in-house curated digital health newsfeed, you stay informed on the most impactful news and you can regularly meet with members to share learnings, discuss the latest developments and connect with peers of different demographical stakeholder groups. Contact us today to find out about pricing options.

Through focus groups, we bring together 6-10 thought leaders and industry stakeholders in a series of virtual meetings to collaborate around a defined topic. Each meeting gives the group the opportunity to examine, analyze and collaborate with one another around a digital health topic as well as produce a shareable result.