Market Access/Reimbursement

Market access and reimbursement aligns clinical evidence, health economics, coding (CPT/HCPCS), and payer engagement to translate military medical innovations into reimbursable products. By generating real-world evidence, cost-effectiveness data, and regulatory/commercial pathways, it sustains trauma, infection-control, and prolonged field-care solutions for deployed forces.

Technical Challenges

  • Heterogeneous payer requirements across DoD, VA, TRICARE, and civilian insurers complicate coverage decisions

  • Limited randomized controlled trial data for battlefield interventions and devices in austere or prolonged-care settings

  • Gaps in procedure and device coding (CPT/HCPCS) for novel therapies impede billing and reimbursement

  • Difficulty capturing relevant clinical and economic outcomes in delayed-evacuation, polytrauma, and remote-care scenarios

Emerging Opportunities

  • Standardized combat-trauma registries and interoperable real-world evidence platforms

  • Early health-economic modelling tied to military use-cases (cost-effectiveness, budget-impact)

  • Rapid coding pathways or temporary codes for emergent devices, diagnostics, and procedures

  • Structured payer engagement frameworks tailored to expeditionary and prolonged-field-care deployment

Current and Emerging Technologies in Market Access/Reimbursement

Real-world evidence platforms & registries

Deployable registries and cloud-based RWE platforms that capture longitudinal combat-trauma outcomes, infection metrics, and device performance to support coverage decisions and post-market surveillance.

Health economic and value-assessment modeling

Cost-effectiveness, budget-impact, and decision-analytic models that quantify lifetime disability avoidance, readiness benefits, and downstream savings from hemorrhage control, infection prevention, and reconstructive therapies.

Coding, billing, and claims-management tools

Automated mapping to CPT/HCPCS, claims submission workflows, and temporary-code strategies to accelerate reimbursement for novel devices, diagnostics, and procedures used in field and fixed facilities.

Value-based contracting & outcomes-based agreements

Contracts that link payment to clinical outcomes, readiness metrics, or reduced long-term care costs—enabling payers to share risk and support rapid fielding of high-impact solutions.

Digital health reimbursement & telemedicine models

Reimbursement frameworks for remote monitoring, teleconsultation, and digital therapeutics that extend prolonged and distributed care into austere environments while documenting clinical value.

Importance to Military Medicine

Ensures deployed Warfighter access

Reimbursement enables procurement, sustainment, and routine use of life-saving technologies at point-of-injury and in forward treatment sites.

Supports prolonged and austere care

Value evidence drives adoption of telehealth, remote-monitoring, and modular devices critical during delayed evacuation and prolonged-field-care.

Preserves readiness and reduces long-term costs

Coverage decisions that reflect readiness and disability avoidance incentivize technologies that return Warfighters to duty and lower lifetime care burdens.

Accelerates fielding from prototype to practice

Market access planning integrated early in development shortens transition timelines for combat-relevant innovations.

Alignment with the MTEC Mission

Directly accelerates Warfighter benefit by linking clinical evidence to procurement and payer pathways.

Enables public–private partnerships consistent with MTEC’s mission to transition military-relevant technologies to real-world use.

Leverages dual-use civilian markets to expand evidence generation, scale manufacturing, and reduce costs.

Supports multidisciplinary teams—clinical, regulatory, economic, and contracting—central to MTEC-sponsored projects.

Dual-Use (Military + Civilian) Applications

Civilian uptake of military-proven technologies increases evidence volume, shortens payer acceptance timelines, and improves scale economies.

Shared regulatory and reimbursement strategies support biodefense and pandemic-response tools that serve both military and public health needs.

Value-based contracting lessons from civilian health systems inform DoD procurement models that reward readiness and long-term outcomes.

Dual-use reimbursement pathways encourage industry investment in ruggedized, deployable medical devices and diagnostics.

Explore MTEC Members with Market Access/Reimbursement Capabilities

MTEC members bring clinical trial networks, health-economics expertise, regulatory and coding specialists, and commercialization experience to bridge evidence-generation and payer adoption. Our consortium model convenes DoD stakeholders, industry, and academia to design studies, capture real-world outcomes, and negotiate procurement and reimbursement pathways. Explore member profiles to identify partners who accelerate deployment, scale manufacturing, and ensure that trauma, infection-control, and prolonged-care innovations reach the field.

57 Members with Market Access/Reimbursement capabilities.

Member
IQVIA

IQVIA is a global leader in advanced analytics, technology solutions, and clinical research services for the life sciences industry. With a mission to accelerate innovation for a healthier world and a vision to power smarter healthcare for everyone, everywhere, IQVIA leverages unparalleled data, transformative technology, and deep healthcare expertise to drive better patient outcomes. Operating in over 100 countries with approximately 88,000 employees, IQVIA supports pharmaceutical, biotech, medtech, public health, and government organizations with a comprehensive portfolio of services and solutions. The company is recognized for its Connected Intelligence™, healthcare-grade AI, and commitment to sustainability, innovation, and evidence-based insights that shape the future of healthcare globally. IQVIA is also dedicated to reducing health inequities and driving sustainable change through innovation, collaboration, and data-driven solutions, partnering with organizations worldwide to address complex healthcare challenges.

Member
Advanced Regenerative Manufacturing Institute (ARMI)

The Advanced Regenerative Manufacturing Institute (ARMI) is a member-based, nonprofit organization dedicated to advancing the bioeconomy of the United States. Its mission encompasses enhancing manufacturing, healthcare, and education and workforce development, aiming to create a scalable and effective manufacturing ecosystem for engineered cells, tissues, and organs.

Member
Cost Plus Drugs

Cost Plus Drugs is a public-benefit corporation committed to providing access to affordable and safe prescription medications by eliminating intermediaries and promoting transparent drug pricing. The company distributes both generic and select brand-name medications directly to patients, details price breakdowns, and is advancing into domestic pharmaceutical manufacturing to enhance supply security and cost savings.

Member
MK Strategy Group

MK Strategy Group is a certified Service-Disabled Veteran-Owned Small Business (SDVOSB) and a leading government contractor specializing in innovative healthcare solutions for military, government, and commercial sectors. With over two decades of experience, the company excels in medical procurement and facility development. MK Strategy Group bridges the gap between medical technology providers and government agencies, offering tailored, turnkey solutions that accelerate success in the government market. Their approach combines military precision, deep industry expertise, and a commitment to quality, innovation, and financial stability—enabling them to manage large-scale, complex projects with efficiency and reliability.

Member
Deloitte

Deloitte is a leading global provider of audit, consulting, tax, and advisory services. The company is committed to improving public outcomes through a focus on people and developing relevant, timely, and sustainable solutions for clients. Deloitte's mission is to lead with purpose and drive positive change for people and communities, with a strong emphasis on social impact, sustainability, equity, and trust. Deloitte is also dedicated to helping the power, utilities, and renewables industry grow to become more sustainable, safe, and efficient, and is a fierce champion of industrials, inspiring optimism for the future.

Member
BioPharma Connections

BioPharma Connections is an independent, woman-owned consulting firm founded in San Francisco in 2007, providing strategic business development, technical operations, regulatory, product development, and commercialization support to the life sciences industry. Serving pharmaceutical, biotechnology, medical device, and diagnostic companies globally, the firm specializes in facilitating connections between organizations, service providers, CROs, CDMOs, and investors—guiding clients from concept to commercialization, with deep expertise in regulatory compliance, emerging technologies, and diverse therapeutic areas.

Member
Ease Healthcare

Ease Healthcare (a registered DBA of MPS Medical, Inc.) is committed to advancing next-generation military medicine by accelerating access to clinically validated diagnostic tools, monitoring devices, and health and wellness technologies. As a trusted commercialization partner and distributor, the company empowers providers, organizations, and individuals with advanced solutions that support early detection, timely intervention, and improved health outcomes in both civilian and military settings. With a mission to make cutting-edge science and technology accessible to all, Ease Healthcare focuses on addressing critical health challenges such as 02 delivery, cancer, and cardiovascular disease —areas that directly impact force readiness and resilience. The company’s vision is to break barriers in healthcare by delivering innovative medical solutions that are affordable, accessible, and simple to use, regardless of economic or geographic limitations. In addition to bringing transformative technologies to market, Ease Healthcare provides turnkey services for medical device manufacturing and distribution, guiding partners from product development through regulatory compliance and successful deployment. By combining technical expertise with a dedication to accessibility, Ease Healthcare supports the Department of Defense’s priorities in preparing and protecting service members with next-generation healthcare solutions.

Member
EmergingDx

EmergingDx is dedicated to inventing, developing, and commercializing emerging technologies and products aimed at improving the quality of the human condition while positively impacting the environment and society. The company comprises a diverse team of world-class scientists, engineers, product designers, and business leaders with a proven track record of innovation and successful technology transition.

Member
PPD

PPD, a clinical research business of Thermo Fisher Scientific, is a leading provider of global contract research organization (CRO) solutions. The company is dedicated to helping clients accelerate the development of life-changing therapies through comprehensive drug development, laboratory, and lifecycle services. With a commitment to operational excellence and innovative technology, PPD empowers its customers to bring therapies to market faster and improve patient health. PPD has been recognized as an industry leader in clinical development digital transformation services and patient engagement digital transformation. With over 30 years of clinical leadership and a workforce of more than 30,000 employees globally, PPD has conducted over 2,100 trials in the past five years.

Member
Simbex

Simbex is a leading partner in medical device and consumer health product design and development, recognized for transforming complex ideas into commercially successful solutions. With a multidisciplinary team, Simbex excels in engineering, product design, software, data analytics, and commercialization strategy, supporting innovators from concept to market. Their mission is to deliver impactful medical devices and consumer health products that improve health outcomes and quality of life. Simbex is known for its holistic approach, deep regulatory expertise, and commitment to innovation and excellence in the health technology sector. The company is also active in thought leadership, regularly publishing regulatory and reimbursement updates, and hosting educational webinars for the MedTech community. Simbex maintains a robust Quality Management System compliant with ISO 13485 and FDA 21 CFR 820, ensuring high standards in product development. The company is also committed to supporting diversity in MedTech, including initiatives for women in the sector. Simbex's leadership and advisory team bring decades of experience in biomedical engineering, commercialization, regulatory affairs, and technology innovation, further strengthening its position as a trusted partner in the MedTech ecosystem.

Member
Martin, Blanck & Associates, LLC

Martin, Blanck & Associates, LLC (MBA) is a healthcare consulting firm based in Alexandria, Virginia, founded in 1998 by Dr. Edward Martin and Mr. Alfred Giambone. The firm specializes in providing critical assistance to private sector clients, nonprofits, associations, and universities focused on federal healthcare delivery systems, public health programs, and government contracting. With over two dozen senior executive partners and more than 500 years of combined healthcare experience, MBA offers expertise in healthcare policy, program development, executive management, strategic planning, informatics, medical countermeasures, public health strategies, and emerging infectious diseases. The firm is committed to professionalism, ethical service, and delivering results for clients in both the public and private sectors.

Member
Policy Wisdom, LLC

Policy Wisdom, LLC is a global public health policy consulting firm founded in 2010, dedicated to delivering evidence-based solutions that positively impact public health worldwide. With a mission to be a benchmark of excellence in health policy, Policy Wisdom partners with governments, NGOs, pharmaceutical companies, and advocacy groups in over 150 countries. The company leverages a 100% virtual business model and a diverse, expert team to provide innovative methodologies and client-centered strategies. Their work spans policy strategy development, capacity building, evidence generation, and the creation of educational resources, all aimed at measurable improvements in health systems and equitable health outcomes. Policy Wisdom is recognized for its leadership in decolonizing global health, advancing precision medicine, and shaping policies that address both emerging and persistent public health challenges across the globe.

Member
Accenture

Accenture is a global professional services company with extensive capabilities in strategy and consulting, digital transformation, technology, and operations. The company aims to drive innovation and efficiency across various industries, helping clients navigate complex challenges and seize opportunities in a rapidly changing environment. Accenture is committed to creating positive change around the world and ensuring responsible business leadership for its people, clients, and communities. The company emphasizes continuous learning, responsible AI practices, and a culture of belonging and diversity.

Member
Smith+Nephew

Smith+Nephew is a portfolio medical technology company focused on the repair, regeneration, and replacement of soft and hard tissue. The company aims to restore people's bodies and their self-belief by using technology to take the limits off living. With a commitment to medical education and improving patient outcomes, Smith+Nephew operates in over 100 countries and is dedicated to sustainability and community health. Their purpose is to promote health and wellbeing, not just through their products but also by ensuring a positive impact on society and the environment. Smith+Nephew is also committed to increasing diversity within the medical device industry through initiatives like the Orthopaedics for All global advisory board.

Member
Flen Health

Flen Health develops, manufactures, and distributes advanced biotechnological solutions for wound and skin healing. Its offerings include topical dressings, gels, cleansers, and educational resources for both clinical professionals and patients. Operating globally in over 40 countries, Flen Health emphasizes research-driven product development, clinical education, and international collaboration to promote inclusive and effective wound care.

Member
Alira Health

Alira Health is a global consulting and clinical services company that aims to humanize healthcare and life sciences through innovative technologies and expert guidance. They focus on improving patient outcomes by integrating patient voices into the development of treatments and enhancing care quality across the healthcare ecosystem.

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