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Expert in Medical Device Technology Coverage and Reimbursement, Clinical Trial Design, Protocol Development
Available for your Consulting and Expert Witness Needs
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Summary of Expertise:
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Listed with other top experts in: |
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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.
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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.
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Degree |
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Subject |
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Institution |
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1971
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M.D.
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Medicine
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Albany Medical College
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1967
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B.S.
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Science
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Fordham University
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| Years |
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Employer |
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Department |
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Title |
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Responsibilities |
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2002 to 2008
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Health Net
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Medical Policy
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Head of Medical Policy
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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.
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1992 to 2002
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Aetna
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Coverage and Reimbursement Department
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Head of Coverage and Reimbursement Department
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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.
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Recent Client Requests:
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Manufacturer of durable medical equipment expert for consulting on Start-up company looking for DME certification.
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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.
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Expert Witness Experience Summary:
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Litigation between a consulting firm and client where he served as an expert witness.
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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.
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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.
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| Additional Skills and Services: |
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Other Skills and Services
Technology assessments of medical devices, reimbursement strategy, recommendations of clinical trial designs to secure coverage, protocol review, protocol development, coding.
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Education
