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

Fauzea Hussain

Senior Vice President

Fauzea
Hussain

Fauzea Hussain, Senior Vice President, advises clients on integrated market access strategies, product commercialization tactical plans, and public and private payer engagement activities.  Fauzea collaborates with life sciences companies on integrated market access strategies aimed at optimizing product positioning by ensuring that evidence generation activities align with the evolving demands of payers, providers, and patients as well as coding bodies such as the AMA CPT Editorial Panel.  Fauzea has more than 15 years of experience in physician payment and leads our work with physician specialty societies on payment and other strategic issues.

Prior to joining Avalere, Fauzea was Assistant Director of Reimbursement Policy for the American Academy of Physician Assistants, and has also worked as a medical assistant.

Fauzea has a BA in Psychology, a BS in Biology, and a MPH from George Washington University. 

Amy Palatiello

Senior Manager

Amy
Palatiello

Amy Thornton Palatiello, Senior Manager, advises clients on reimbursement and product commercialization for medical devices, diagnostics and pharmaceuticals with a focus on the impact of regulatory and legislative changes related to Medicare payment policy.  In particular, Amy has extensive experience in Medicare coverage policy, end-stage renal disease payment issues, and durable medical equipment (DME) competitive bidding policy.

Prior to Avalere, Amy was a Healthcare Policy Analyst for the Washington Research Group where she informed institutional investors from the nation's largest mutual, hedge, and retirement funds about how Washington legislation and regulations would impact publicly traded healthcare companies.  Amy also worked for the Centers for Medicare & Medicaid Services as a health policy specialist focusing on Part D implementation and waste, fraud and abuse policy.

Amy has an MPH in Health Policy and Administration from the University of Minnesota and a BA from the University of Wisconsin.

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.

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