Market Access
We design and execute market access strategies that ensure innovative technologies are positioned for optimal coverage and payment — across commercial payers, Medicare, and Medicaid — from early development through full commercialization.
For novel technology companies, established device manufacturers, and conception-stage innovators alike, our market access work addresses the full continuum: coding, coverage, payment, pricing, and long-term commercial viability.
We bring clinical fluency and payer intelligence together to build strategies that are rigorous, audit-ready, and grounded in how care is actually delivered and reimbursed.
CPT/HCPCS Coding Assessment
Determining whether existing codes apply to your technology, identifying gaps, and defining the pathway to new coding where needed.
Coverage & Reimbursement Strategy
Building the roadmap for payer coverage across care settings, including outpatient, physician, and facility environments.
Coding & Payment Pathway Design
Navigating the full reimbursement landscape for novel technologies, including Category I CPT code qualification and billing validation.
Payer Engagement & Policy Monitoring
Tracking regulatory and CPT editorial changes that affect your coverage position, and engaging payers with the evidence needed to support adoption.
Pricing Strategy & Market Adoption Analysis
Integrating pricing directly into your reimbursement strategy to align with payer expectations and drive sustainable market adoption.
Commercialization Roadmap
For companies at the conception stage, we build the full strategic roadmap from early market planning through commercial launch. This is a long-term partnership model — working alongside your team across every phase of the reimbursement lifecycle, from initial payer strategy and coding assessment through post-launch implementation and account-level execution.
Prevara guides clients through the coding and reimbursement process. We do not provide billing services on behalf of providers.
Ready to build your market access strategy?
Let's talk about where your technology is in development and how Prevara can help you get to market.
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