Contract structure against current CMS baselines.
Systematic analysis of CAR-T, TIL and HSC transplant payer-contract structures against current CMS baselines.
How the work runs.
Where they apply, HealthPulse examines outlier-payment terms, single-case agreements and how Revenue Code 891 reporting affects payment, as evidence within the contract analysis.
An assessment of payment gaps and financial exposure, with quantified scenarios where the available evidence supports them.
Built for programs dealing with
New or scaling CAR-T programs
Contract design before and during a program ramp.
FY2027 commercial contract alignment
Commercial terms checked against the current federal baseline.
Unexpected per-case reimbursement losses
A bounded Validate review of what the per-case number is doing.
Pre-program launch contract design
Terms settled before the first infusion rather than after.
Advanced Therapy Programs
CAR-T, TIL and transplant programs under FY2027 rates.
Who this servesAnalytical approach
How this analysis is done, including H4, the firm's internal analysis system.
The analytical approachStart with one payer and one product.
A single contract is usually enough to show whether the structure is sound or whether the gap is systematic.
Discuss a decision