Solving Challenges, Leveraging Opportunities

Budget Impact and Cost-Effectiveness Models

Budget Impact and Cost-Effectiveness Models

Policymakers need to understand the impact of proposed solutions on the federal budget. McDermottPlus augments its lobbying with budget impact models consistent with Congressional Budget Office and Office of Management and Budget modeling methods. McDermottPlus also builds and reviews budget impact and cost-effectiveness models to support the launch of new drugs, biologicals, medical devices, and diagnostics.

Representative Experience

  • Developed models that assessed the cost impact of proposed legislation on Medicare expenditures
  • Secured favorable Medicare pricing for a start-up proton beam therapy provider
  • Developed a prototype model that a life sciences company will use with hospital clients to demonstrate the change in payment and costs associated with including its product on the hospital’s formulary
  • Developed a model to determine the impact of the durable medical equipment competitive bidding program and the impact of alternate policies on federal spending

Case Studies

  • Pathology Test Developers Push Back on Unreasonable Reimbursement Reductions
    When the Centers for Medicare & Medicaid Services proposed reductions to payments for critical diagnostic tests used to manage patients with cancer, our team brought together a coalition of diagnostics manufacturers and clinical laboratories to develop and implement a strategy to show CMS that its proposal was critically flawed and would result in serious limitations to patient access to these critical tests...