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#403: Global Perspective on Medical Device Reimbursement
Manage episode 479944147 series 1017311
In this episode of the Global Medical Device Podcast, Etienne Nichols speaks with renowned regulatory and reimbursement expert Karandeep Singh Badwal to uncover the complexities of medical device reimbursement across the US, EU, and Asian markets.
From the influence of governmental systems to the nuances of coding, coverage, and payments, Karandeep shares real-world insights for MedTech companies developing their global market strategies. Learn why early planning for reimbursement is just as crucial as regulatory approval, and how future-proofing your strategy against political and economic changes can safeguard your device's success.
Key Timestamps:
00:00 – Intro and Sponsor Message (Greenlight Guru Quality)
02:30 – Why Reimbursement Must Be Considered Early
07:15 – US Reimbursement System: Medicare, Medicaid, and Private Insurers
13:10 – EU Reimbursement: Challenges with Fragmented National Systems
17:45 – Asian Market Differences: Japan, China, and South Korea
23:20 – The Importance of a Reimbursement Expert
28:05 – Navigating Political Changes in Global MedTech Markets
33:30 – Special Challenges for AI and Software as a Medical Device
40:00 – Direct-to-Consumer vs. Prescription Strategies
46:20 – Integrating Real-World Evidence and Post-Market Surveillance
52:00 – How Management Reviews Can Align Business and Quality Goals
01:03:10 – Pros and Cons: US vs. EU Reimbursement Models
01:18:20 – Final Takeaways and Closing Thoughts
Standout Quotes:
"Reimbursement isn’t just the final step after regulatory approval — it is a core business strategy."
Why it matters: Many companies fail by not building reimbursement into their earliest development and design decisions.
"You can have the most innovative medical device in the world, but without a reimbursement pathway, you won't have a viable business."
Why it matters: Innovation alone isn’t enough; financial strategy is crucial to survival and growth.
Top Takeaways:
- Start with reimbursement in mind: Align your product claims, indications, and market strategies with potential reimbursement pathways early.
- Tailor by region: US, EU, and Asian markets all have distinct reimbursement landscapes — success in one doesn't guarantee success in another.
- Hire jurisdiction-specific experts: Use consultants experienced in your target markets to avoid costly mistakes.
- Leverage post-market surveillance: Integrate real-world evidence gathering into your QMS and management reviews to support reimbursement claims.
- Build strategic flexibility: Political and regulatory landscapes shift — maintain backup jurisdictions and alternative market strategies.
References:
- Etienne Nichols on LinkedIn
- Greenlight Guru Quality Management System
- Medtech Podcast hosted by Karandeep Singh Badwal
MedTech 101 Section:
What is "Reimbursement" in MedTech?
Reimbursement refers to how a company gets paid for a medical device after it’s cleared for use. This usually involves navigating government programs (like Medicare) or private insurance, and it determines how easily hospitals, clinics, or individuals can buy and use a product.
Simple Analogy: Think of it like getting a movie produced: regulatory clearance is getting your movie rated, but reimbursement is making sure theaters agree to pay you to show it!
Feedback:
We love hearing from you! Share your thoughts, feedback, or topic suggestions by emailing us at [email protected]. We personally respond and value your input to shape future episodes!
Sponsor:
Discover how Greenlight Guru Quality can unify your SOPs, documents, and product development process into a single living system — from idea to post-market. Learn more at greenlight.guru.
430 episodes
Manage episode 479944147 series 1017311
In this episode of the Global Medical Device Podcast, Etienne Nichols speaks with renowned regulatory and reimbursement expert Karandeep Singh Badwal to uncover the complexities of medical device reimbursement across the US, EU, and Asian markets.
From the influence of governmental systems to the nuances of coding, coverage, and payments, Karandeep shares real-world insights for MedTech companies developing their global market strategies. Learn why early planning for reimbursement is just as crucial as regulatory approval, and how future-proofing your strategy against political and economic changes can safeguard your device's success.
Key Timestamps:
00:00 – Intro and Sponsor Message (Greenlight Guru Quality)
02:30 – Why Reimbursement Must Be Considered Early
07:15 – US Reimbursement System: Medicare, Medicaid, and Private Insurers
13:10 – EU Reimbursement: Challenges with Fragmented National Systems
17:45 – Asian Market Differences: Japan, China, and South Korea
23:20 – The Importance of a Reimbursement Expert
28:05 – Navigating Political Changes in Global MedTech Markets
33:30 – Special Challenges for AI and Software as a Medical Device
40:00 – Direct-to-Consumer vs. Prescription Strategies
46:20 – Integrating Real-World Evidence and Post-Market Surveillance
52:00 – How Management Reviews Can Align Business and Quality Goals
01:03:10 – Pros and Cons: US vs. EU Reimbursement Models
01:18:20 – Final Takeaways and Closing Thoughts
Standout Quotes:
"Reimbursement isn’t just the final step after regulatory approval — it is a core business strategy."
Why it matters: Many companies fail by not building reimbursement into their earliest development and design decisions.
"You can have the most innovative medical device in the world, but without a reimbursement pathway, you won't have a viable business."
Why it matters: Innovation alone isn’t enough; financial strategy is crucial to survival and growth.
Top Takeaways:
- Start with reimbursement in mind: Align your product claims, indications, and market strategies with potential reimbursement pathways early.
- Tailor by region: US, EU, and Asian markets all have distinct reimbursement landscapes — success in one doesn't guarantee success in another.
- Hire jurisdiction-specific experts: Use consultants experienced in your target markets to avoid costly mistakes.
- Leverage post-market surveillance: Integrate real-world evidence gathering into your QMS and management reviews to support reimbursement claims.
- Build strategic flexibility: Political and regulatory landscapes shift — maintain backup jurisdictions and alternative market strategies.
References:
- Etienne Nichols on LinkedIn
- Greenlight Guru Quality Management System
- Medtech Podcast hosted by Karandeep Singh Badwal
MedTech 101 Section:
What is "Reimbursement" in MedTech?
Reimbursement refers to how a company gets paid for a medical device after it’s cleared for use. This usually involves navigating government programs (like Medicare) or private insurance, and it determines how easily hospitals, clinics, or individuals can buy and use a product.
Simple Analogy: Think of it like getting a movie produced: regulatory clearance is getting your movie rated, but reimbursement is making sure theaters agree to pay you to show it!
Feedback:
We love hearing from you! Share your thoughts, feedback, or topic suggestions by emailing us at [email protected]. We personally respond and value your input to shape future episodes!
Sponsor:
Discover how Greenlight Guru Quality can unify your SOPs, documents, and product development process into a single living system — from idea to post-market. Learn more at greenlight.guru.
430 episodes
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