Payer Perspectives: Value in Healthcare

Medicare is clearly moving to a pay for value paradigm, and commercial payers continue their own march away from traditional fee-for-service payment. How can you develop and articulate a persuasive value proposition for your specific product when the payers’ decisionmaking context is a much bigger picture? Successful diagnostic companies will clearly convey the impact of their test result on downstream patient outcomes. Payers expect to see evidence of patient benefit, and for diagnostic tests this means clinical utility.