Lesson 01
Incomplete
How Insurance Reimbursement Actually Works
The price on the invoice is almost never the price anyone pays, and the gap between them is where most healthcare business models break.
Open lesson →Biotech
Understand how money actually moves through the healthcare system so you can price, sell, and position a healthcare product without getting ambushed by reimbursement reality.
4 lessons · 58 minutes · Beginner
Lesson 01
Incomplete
The price on the invoice is almost never the price anyone pays, and the gap between them is where most healthcare business models break.
Open lesson →Lesson 02
Incomplete
Healthcare pricing is not what you charge — it is what survives a payer's cost-effectiveness review, a hospital CFO's margin analysis, and a clinician's workflow tolerance simultaneously.
Open lesson →Lesson 03
Incomplete
A QALY is not an abstraction — it is the unit payers use to decide whether your product deserves to exist in their formulary.
Open lesson →Lesson 04
Incomplete
Payer negotiations are not sales calls with more paperwork — they are multi-year contractual relationships where the wrong first agreement sets the ceiling on everything that follows.
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