Kathryn Vaughn

About Kathryn Vaughn

Strategic health policy leader with over a decade of success driving national and regional coverage, reimbursement, and patient access initiatives across innovative medical technologies. Proven ability to lead cross-functional teams and collaborate with payers, policymakers, providers, coalitions, and advocacy groups to shape policy, secure coverage, and drive sustainable growth. Skilled in engaging with patient groups and driving policy changes to remove access barriers and improve outcomes. Adept at leveraging data, including Transparency in Coverage (TiC), to develop impactful payer segmentation strategies and reimbursement tools. Known for expanding access to care—most notably establishing new HCPCS codes, improving coverage and reimbursement and increasing the annual value pool. Passionate about building patient-centered access strategies that deliver real-world impact.

Experience

1. Director Market Access

   Coloplast

   Apr 2021 — Present · San Francisco, CA, US

   Lead the Market Access team, developing and executing strategic initiatives designed to enable patient access to Coloplast products, delivering results for expansion of payor coverage and reimbursement. I am also serving as interim Medical Affairs Director. Lead team to tackle inequities in state Medicaid and commercial health policy, improving access and reimbursement for intermittent catheters, transanal irrigation and ostomy products Direct strategy for expanding Medicaid and commercial plan coverage for device without favorable Medicare benefit category Leverage Transparency in Coverage and data insights to drive payor segmentation and targeting, educating suppliers on opportunities to act on high impact payor contracts for new HCPCS codes Mobilize coalition, and society stakeholders to protect and expand access and reverse price erosion, resulting in removal of unfavorable Medicare policy language and annual value pool increase Nurture relationships with coalitions, industry stakeholders, specialty society and patient groups, activating stakeholders to support access initiatives and prevent and minimize threats to business Collaborate with patient advocacy groups to influence coverage policy and integrate patient perspective into strategies Cultivate and maintain relationships with payers, DME’s, IDN’s and industry stakeholders to explore payment models and opportunities for price protection, including value-based care and rate floors legislation Envision and guide the creation of impactful market access tools and training for commercial teams to gain market share Facilitate inclusive team culture with commitment to excellence, employee engagement scores above benchmarkAreas of Focus: Strategic Leadership, Payer Relations, Medicaid and Commercial Policy Strategy, Coalitions, Reimbursement, Patient Advocacy, Transparency in Coverage Data (TiC), Health Economics and Outcomes Research (HEOR), Commercial Team Support

Education

• Northeastern University

  Doctor of Physical Therapy

  2008 — 2009

• Northeastern University

  Bachelor of Science - BS, Science with a Minor in Psychology

  2003 — 2008

Skills

• Hospitals
• Physical Therapy
• Rehabilitation
• Sales Management
• Sales
• Healthcare
• Business Development
• Neurology
• C-Suite Selling
• Clinical Trials
• Customer Engagement
• Patient Education
• Strategic Leadership
• Orthopedics
• Training & Development
• Customer Relationship Management (Crm)
• Medical Devices
• Lead Generation
• Management