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Payer Coverage Strategy for a Novel Cardiac Device

image of pharmacy community engagement activities
Client Profile

Large Medtech

Key Stakeholders

Health Economics, Market Access

Asset

Pre-Launch / Clinical Development

Disease Area

Cardiology

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Client Profile

Large Medtech

Key Stakeholders

Health Economics, Market Access

Asset

Pre-Launch / Clinical Development

Disease Area

Cardiology

Situation

The client was preparing to secure payer coverage for a newly launched, leadless cardiac device.

While the technology represented a meaningful advancement, coverage decisions would depend on how clearly clinical value and economic impact were communicated to payers.

The client engaged Alkemi to develop a structured value narrative and supporting materials to strengthen payer discussions and support coverage decisions.

Approach

1. Developed a U.S.-focused value dossier using available clinical evidence and aligned on key value themes.

2. Conducted an evidence gap assessment to identify data limitations and priorities for future evidence generation.

3. Created payer-facing value messaging and supporting materials to enable consistent communication.

4. Refined materials through cross-functional stakeholder review to ensure alignment and readiness for external use.

The focus throughout:

Equip teams with credible, decision-ready value communication.

Deliverables

1
U.S. Value Dossier summarizing disease burden, unmet need, and evidence-based value messages.
2
Evidence gap assessment identifying critical data gaps and priorities.
3
Value Messaging Executive Summary to support payer engagement.
4
Payer-facing guidance to support consistent adoption of value messages.
5
6

Impact

"Thank you very much Betsy and team! Alkemi has been instrumental in scaling up our research efforts this year." - Senior Director, Value and Access Strategy

Stronger Coverage Readiness:

Teams entered payer discussions with clearer, more credible value messages.

Improved Evidence Planning:

Identified evidence gaps informed future evidence generation strategy.

Accelerated Access Confidence:

A structured value framework supported more effective payer engagement and coverage discussions.

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