Capabilities

Contract structure, tested against current CMS baselines.

Systematic analysis of CAR-T, TIL, and HSC transplant payer-contract structures against current CMS baselines.

Where relevant, HealthPulse tests for outlier-payment gaps, single-case-agreement deficiencies, and Revenue Code 891 billing opportunities, and delivers a written gap analysis with dollar-quantified recovery opportunities ranked by payer and contract.

Relevant for organizations navigating
  • New or scaling CAR-T programs
  • FY2027 commercial contract alignment
  • Unexpected per-case reimbursement losses
  • Pre-program launch contract design
Advanced Therapy Programs → H4 Reimbursement Intelligence Platform →

Discuss an advanced therapy reimbursement issue.

A short conversation is how HealthPulse determines whether the evidence supports further work.


Discuss an Advanced Therapy Reimbursement Issue →