Pricing Strategy and Value Analysis Supporting
Market Uptake
Payers (e.g., Medicare) base their payment rates in varying degrees on the cost of a technology or service. Because of this, a technology’s cost-effectiveness is affected by the manufacturer’s pricing. Argenta’s health economists develop pricing models to help companies assess the value to insurers and providers of a new technology. Argenta’s goal is to enable clients to establish pricing that will provide the company with maximum return while enhancing its attractiveness to insurers and providers.
Cost and Cost-Effectiveness Analyses in Support of Coverage & Payment
Payers often consider more than safety and clinical effectiveness when making coverage decisions; they often consider cost due to the potential budget impact of a technology as they are looking at the value a technology may have within the organization’s network of providers and members. Argenta’s health economists develop economic models that demonstrate to payers the costs and cost-effectiveness (value) of new medical products or services. These analyses can be an important part of payer education materials or other applications for coverage or payment, especially if a technology is priced at a premium. Our goal is to show insurers that the new technology will save them money or, if not, that it is cost-effective and will provide substantial benefits to their health plan members.