From Bundled Payments to New Codes: How CMS is Driving Change

Posted by Kate Templeton on October 2, 2019

Sundeep Karnik co-wrote this blog post with Kate Templeton. 

The fragmentation of the U.S. healthcare ecosystem is often cited as a cause of many evils: high prices, conflicting incentives, lack of transparency and a bias toward the status quo. Anyone wanting to affect large-scale change in the system is confronted with a massive collective action problem, where no one benefits enough from solving it to warrant the blood, sweat and tears to make it happen. Widespread change requires an external catalyst that forces various stakeholders to align on incentives.


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The Rise of Patient Stakeholders: What CMS’s Shared Decision-Making Policies Mean for Medtech

Posted by Kate Templeton on June 13, 2019

This post is the first in a multipart series on how the rules of the road are changing in medtech, and the implications on commercial strategy. Sundeep Karnik contributed to this blog post.

A few months ago, I attended the 2019 American College of Cardiology conference and was surprised by the number and diversity of sessions on shared decision-making. The concept has taken on a more prominent role in conversations lately thanks to CMS, whose changing policies have opened the door for patients to play an expanding role in therapy selection. In fact, for the second time in six months, the rising role of the patient in the treatment decision-making process was a talking point at a major conference: It was also on display rather poignantly during TCT 2018, when patients joined key opinion leaders on several panels to share their experiences and perspectives on topics ranging from clinical trial design to the impact of particular technologies.


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