Why It Matters
Clearance is a milestone, not a market
Most IVD companies hire a consultant for one of three reasons: a regulatory submission, a reimbursement strategy, or a commercial launch plan. The strongest engagements span all three. Selecting a consultant who can only solve one stage will leave gaps that surface late — usually after launch, when they are most expensive to fix.
What to evaluate
- • IVD-specific experience. General MedTech experience is not the same as diagnostics. Coding, coverage pathways (CPT, PLA, MolDx), and payer evidence expectations differ meaningfully.
- • Reimbursement fluency. Ask for concrete examples of coverage decisions they have shaped, not just submissions they have written.
- • Evidence strategy. A strong consultant aligns clinical utility studies with payer questions before launch — not after a denial.
- • Commercial readiness lens. Look for someone who can connect regulatory claims, payer strategy, and sales narrative into one coherent story.
- • Independence. Avoid advisors whose recommendations are tied to a single lab partner, CRO, or distribution arrangement.
Generalist advisor
Helpful for regulatory submissions but typically lacks payer-side relationships and coding strategy depth.
Commercialization specialist
Maps regulatory pathway, reimbursement architecture, and go-to-market sequencing into a single readiness plan.
Questions to ask before signing
- • Which payer coverage decisions have you directly influenced in the last 24 months?
- • How do you sequence clinical utility evidence relative to launch?
- • How do you align regulatory claims language with the payer value story?
- • How will you measure commercialization readiness at the end of the engagement?
- • What does handoff to our internal commercial team look like?
Start with a readiness baseline
Before hiring anyone, run a structured commercialization readiness assessment. It exposes the gaps a consultant should actually solve and prevents scope from being defined by whichever vendor you happened to talk to first.
Take the Assessment