ORC Expert Advisory Services ORC International

  home    |    find an expert    |    request an expert    |    join our network    |    about us     expert login  
Expert Consulting and Expert Witness Services
  
  search tips 
Share this page:  Send to LinkedIn Send to Facebook Tweet This Email Print

 Expert  725851

Expert in Medical Device Technology Coverage and Reimbursement, Clinical Trial Design, Protocol Development


Available for your Consulting and Expert Witness Needs

Connecticut (CT)
USA
Education Work History Consulting Services Expert Witness Market Research

Summary of Expertise:

Listed with other top experts in: 

For thirteen years, Expert was National Medical Director of Coverage and Reimbursement for Aetna and Health Net. In those roles he was responsible for developing Medical Policies stating the coverage and reimbursement decisions of the company regarding devices and injectable drugs. He retired from Managed Care in March, 2008, and established his own consulting business helping device manufacturers secure the all-important coverage and reimbursement that they seek. Expert has helped guide many companies with reimbursement strategies to accomplish this long and arduous process. He is an expert in critical analysis of the medical literature, formal technology assessments, clinical trial design and methodology, clinical trial and advisement on strategy to approach payers for coverage and reimbursement decisions and assist with these presentations protocol development and assessment.
 • 

ambulatory care

 • 

biomedical device

 • 

biomedical diagnostic instrumentation

 • 

blood assay diagnostic instrumentation

 • 

cardiovascular diagnostics

 • 

clinical diagnostics

 • 

Current Procedural Terminology

 • 

device code

 • 

diagnostics

 • 

disposable medical device

 • 

durable medical equipment

 • 

electronic medical device

 • 

endoscope

 • 

health care

 • 

health care industry

 • 

health care plan

 • 

health care policy

 • 

health care provider

 • 

implantable device

 • 

in vitro diagnostics

 • 

medical device

 • 

medical device clinical research

 • 

medical device evaluation

 • 

medical device market research

 • 

medical device product development

 • 

Medical Device Reporting regulation

 • 

medical diagnostic imaging

 • 

medical diagnostic test development

 • 

medical diagnostics

 • 

medical pneumatic compression device

 • 

medical product

 • 

medical protocol

 • 

medical pump

 • 

medical reimbursement

 • 

medical technology

 • 

nerve stimulator

 • 

neurodiagnostics

 • 

prosthesis

 • 

reimbursement


Show Secondary and Basic Areas of Expertise
Localities:
Expert, M.D. may consult nationally and internationally, and is also local to the following cities: New York, New York;  Yonkers, New York;  Boston, Massachusetts;  Worcester, Massachusetts;  Springfield, Massachusetts;  Bridgeport, Connecticut;  New Haven, Connecticut;  Jersey City, New Jersey;  Paterson, New Jersey;  and Providence, Rhode Island.

Education:
Year   Degree   Subject   Institution  
1971   M.D.   Medicine   Albany Medical College  
1967   B.S.   Science   Fordham University  

Work History:
Years   Employer   Department   Title   Responsibilities

2002 to 2008

 

Health Net

 

Medical Policy

 

Head of Medical Policy

 

Expert was responsible for developing formal Medical Policies stating the national coverage and reimbursement decisions regarding devices and injectable drugs. During his tenure he wrote 300 Medical Policies.

1992 to 2002

 

Aetna

 

Coverage and Reimbursement Department

 

Head of Coverage and Reimbursement Department

 

Expert was responsible for developing formal Coverage Policies stating the national coverage and reimbursement decisions regarding devices and injectable drugs. During his tenure he wrote 500 Medical Policies.


Consulting Services:
Recent Client Requests:
  • Manufacturer of durable medical equipment expert for consulting on Start-up company looking for DME certification.
Click the green button above to contact Expert, M.D. for a free initial screening call regarding your expert consulting needs.  Expert, M.D. is available for consulting to corporate, legal and government clients.  Remember, your initial screening call to speak with Expert, M.D. is free.

Expert Witness:
Expert Witness Experience Summary:
Litigation between a consulting firm and client where he served as an expert witness.
Click the green button above to contact Expert, M.D. for a free initial screening call regarding expert testimony, litigation consulting and support, forensic services, or any related expert witness services.  A few litigation needs include product liability, personal injury, economic loss, intellectual property (patent, trademark, trade secret, copyright), and insurance matters.  Remember, your initial screening call to speak with Expert, M.D. is free.

Market Research:
Expert's considerable experience as National Medical Director of Coverage and Reimbursement at Health Net for 6 years and at Aetna for 7 years, qualifies him to now offer his advanced skills as a consultant to medical device manufacturers in all specialties to ensure a positive coverage and reimbursement outcome and financial success of their newly developed devices and procedures.

Click the green button above to contact Expert, M.D. for a free initial screening call regarding your marketing research, industry research, and company research needs.  For research needs involving multiple experts or secondary research, a Research Director can be assigned to coordinate the work into a custom report for you as a potentially quicker and more cost effective alternative to doing this work yourself or hiring a boutique consultancy.  Remember, your initial screening call to speak with Expert, M.D. is free.

Additional Skills and Services:
Other Skills and Services

Technology assessments of medical devices, reimbursement strategy, recommendations of clinical trial designs to secure coverage, protocol review, protocol development, coding.


 

Need the right expert?  We can help!

home       find an expert       request an expert       join our network       about us

Intota is now ORC Expert Advisory Services

FOLLOW ORC ON