Avalere Health
An Inovalon Company
Services

Market Access and Reimbursement

Optimize Access and Adoption

Today, an expanded universe of stakeholders are defining and evaluating the value of medical interventions beyond the requirements for FDA approval. Payers and providers develop utilization management strategies, including clinical pathways, appropriate use criteria, and bundled payments, to deliver value to the marketplace. Manufacturers also address evolving definitions of value by integrating customer needs and working with guideline and measure developers to ensure health outcome goals are met. Avalere looks at this complex world of commercialization through a single, yet multi-dimensional lens. We draw from policy expertise, private and public payer perspectives, patient and provider requirements, as well as a multitude of other stakeholders to create one integrated market strategy. Specifically, Avalere uses The Payer Edge®, our proprietary network of payer decision makers to inform your coverage and access action plan. From launching new technologies to navigating access challenges for existing products, we help you secure reimbursement and access.

What's Your Challenge?

  • Public and private payer landscape analysis
  • Distributor and specialty pharmacy strategies
  • Reimbursement tools: coding, pricing, contracting
  • Patient support services
  • Field team design and deployment strategy​

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Team

Meet a few of our experts ready to partner with you.

All Staff

Caroline F. Pearson

Senior Vice President

Caroline F.
Pearson

Caroline Pearson, Senior Vice President of Policy and Strategy, oversees the firm’s content generation across consulting services, research products, and public visibility. 

She previously led Avalere’s Health Reform & Policy Practice. In Caroline’s twelve years at the firm, she has focused on implementation of the Affordable Care Act (ACA), prescription drug pricing, and public and private insurance benefit design. She is regularly quoted in national and trade press and is a frequent presenter to audiences seeking to understand the health policy landscape. In 2009, Caroline contributed to a report, led by Senators Tom Daschle and Bob Dole at the Bipartisan Policy Center, which advanced a comprehensive, bipartisan health reform proposal.  

She graduated Magna Cum Laude from Harvard University with a B.A. in Government.

Kunal Joshi

Senior Associate

Kunal
Joshi

Kunal Joshi, Senior Associate, supports clients on market access, product commercialization, and reimbursement policy. He utilizes his background in pediatric oncology regulatory programs, incentive programs, and medical sciences to maximize product access and improve healthcare delivery.

Prior to joining Avalere, Kunal was Director of Operations and Research at Kids v Cancer, performing necessary research on newly developed drugs, FDA policies, and the drug development process. In addition, he managed operations and developed program content. He also has experience as a Research Assistant at the Feinberg Cardiovascular Research Institute.

Kunal earned a BA from Northwestern University, and an MS in Biophysics and Physiology form Georgetown University.

Tim Epple

Manager

Tim
Epple

Timothy Epple, Manager, advises clients on the reimbursement and product commercialization of medical devices, diagnostics and pharmaceuticals. 

Prior to joining Avalere, Tim was a Senior Associate at the Advisory Board where he supported hospital and health system clients through analysis and modeling of healthcare and regulatory trends. Prior to that, as a Senior Associate at ADVI/Precipio Health, he provided data analytics to life sciences, pharmaceutical, medical device and healthcare services companies around political, regulatory and market trends.

Tim has a BA in Economics and a BA in Political Science from the University of Texas at Austin, and completed coursework towards an MS in Predictive Analytics from Northwestern University. 

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