Ben Barclay
Senior Director of Health Economics and Market Access @BD
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WORK HISTORY
Senior Director of Health Economics and Market Access @BD
Phoenix, AZ, US
Responsible For:• Leading a team of 4 U.S, and 12 international HEOR and Market Access representatives across 3 business platforms, representing over $1.5 Billion in sales • Maximizing sales force success through effective use of health economic tools and messaging• Developing strategies to guide critical market access objectives and associated evidence generation plans• Harnessing Real World Evidence (RWE) to shape markets and drive competitive differentiationKey Accomplishments:• Successfully led a cross-functional (HEOR, Market Access, Public Policy, Clinical and Sales) effort to obtain a Category I CPT Code through the AMA’s CPT Editorial Panel. This involved driving the evidence strategy and engaging physician societies (SVS, SIR, ASDIN and RPA) resulting in a HOPD payment rate of over and a physician office payment of Overturned three negative local coverage determinations (LCDs), one with a Medicare Administrative Contractor (NGS) and two with commercial payers (Aetna, BCBS) representing over $150M in business across the U.S.• Successfully petitioned CMS to change coding and reimbursement for an existing product, enabling the procedure to be done in physician offices, a new market which was previously untapped due to lack of reimbursement• Utilized health economic evidence to influence CMS that resulted in an increase in reimbursement of over per procedure, a 65% increase• Secured Medicare Contractor (MAC) payments of $12,500 for an innovative procedure in physician offices (global payment) and professional payments over $1,200 for physicians performing the procedure in the HOPD and ASC settings• Led a field reimbursement team that obtained coverage and payment from major US commercial payers such as United, Aetna and BCBS Anthem with procedure reimbursement ranging from to over Overcame CMS denial of coverage for a Category B IDE study, resulting in over $1M in clinical study savings
EDUCATION
Thunderbird School of Global Management
MBA, International Business
Utah State University
B.S., Finance
SKILLS
ABOUT BEN BARCLAY
HEOR and Market Access professional with strong commercialization background, who leads by example with a proven track record of both individual and team achievements. Formulates and executes on effective evidence generation strategies to enable coding, coverage and payment for innovative technologies on a global stage. Experienced in working with CMS, Medicare Contractors (MACs), commercial payers and International Ministries of Health for medical device and drug/device combination products.
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