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​

Complementary Products

Team

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

All Staff

Reginald Williams

Senior Vice President

Reginald
Williams

Reginald Williams, Senior Vice President, leads teams that deliver research, analytic, and strategic support to clients, with a focus on the needs of life sciences manufacturers and patient groups. He advises clients on medical technology policy, regulatory and market access strategies for new products, and the evolution of public and private payers' use of evidence for formulating coverage and reimbursement decisions, with a focus on the Medicare program.

Prior to joining Avalere, Reggie was a member of the health policy team at the National Academy of Social Insurance (NASI).He also served as the Howard R. Swearer Public Service intern in the Rhode Island Department of Health's Office of Minority Health.

Reggie has an AB in Biomedical Ethics from Brown University. He also serves on the board of directors of Mental Health America, a nonprofit dedicated to helping people live mentally healthier lives. He is a Patient-Centered Outcomes Research grant reviewer and a member of NASI and Health Technology Assessment International.

Danielle Showalter

Senior Director

Danielle
Showalter

Danielle Showalter, Senior Director, advises clients on reimbursement, policy and market access strategies for diagnostic, medical device and pharmaceutical companies. Danielle provides a rich background in consulting and research services, particularly in the areas of physician payment, CPT® coding, device reimbursement strategies and diagnostic payment policy.

Prior to Avalere, Danielle was the Director of Health Policy and Reimbursement at ADVI, assisting diagnostic and device clients in developing and implementing coding, coverage and reimbursement strategies, as well as understanding the impact of regulatory and legislative changes. Danielle also worked for Altarum Institute, providing research support, expertise and primary IRB review for TRICARE. 

Danielle has a MA in Public Health from the George Washington University and a BA from the University of Virginia.

Emely Amaya

Executive Assistant

Emely
Amaya

Emely Amaya, Executive Assistant, provides internal client support in the areas of scheduling, time management, research, and project management. She assists the Market Access & Reimbursement practice by providing customer service and client follow-up.

Prior to joining Avalere, Emely served as an Executive Assistant with The Pew Charitable Trusts, as a language editor/translator with the Pan-American Health Organization, and as an Operations Manager with Bank of America. 

Emely has a BA in International Affairs and a BA in History from the University of Mary Washington. 

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