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  • Annemarie V. Wouters
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Annemarie V. Wouters

Wouters_Annemarie_New-Bio-Template-730-x-730

Senior Advisor

Manatt Health
Contact
  • awouters@manatt.com
  • Phone: 202.585.6615
  • Download vCard
  • Washington, D.C.
Bar Admissions
Education
  • Boston University, Ph.D., M.A., Health Economics

    Wesleyan University, B.A., cum laude

Industries
  • Manatt Health

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  • Profile
  • Speaking Engagements
  • Memberships
  • Publications
Profile

Profile

Annemarie Wouters is a senior advisor of Manatt Health, an interdisciplinary policy and business advisory practice of Manatt. Annemarie has more than 20 years of experience, focusing on public and private payer reimbursement and providing insights into ongoing health reform efforts. Annemarie analyzes national healthcare policies and programs, including Medicare and Medicaid, and supports the execution of market access strategies for drugs and devices. Her combined experience as a healthcare strategy and policy consultant, a hospital reimbursement director and a healthcare researcher provides a solid foundation for addressing market access.

Annemarie’s experience includes:

  • Assessing the impact on and opportunities for medical innovations arising from the full range of Medicare, Medicaid, and commercial value-based payment, bundled payment, shared savings, pricing, and value-based payment initiatives.
  • Developing market access and reimbursement strategies for newly launched drugs and medical devices. Technologies have included brand drugs, mobile health, biotechnology, imaging, radiopharmaceuticals, contrast agents, genomics and surgical devices.
  • Supporting the execution of reimbursement and market access strategies for drugs, biosimilars and devices, including establishment of codes, coverage, and payment, and positioning in quality-based payment initiatives.

Prior to joining Manatt, Annemarie was a senior advisor in the healthcare group at a national law firm. Annemarie also served as principal at Littell Group, Inc. (LGI), where she provided reimbursement planning and strategy support to medical technology companies ranging from start-up firms to some of the largest corporations in the industry.

Before joining LGI, Annemarie was director of reimbursement for a Virginia hospital, where she was responsible for the oversight of public and private reimbursement for inpatient and outpatient services, hospital charging practices, and reimbursement feasibility studies. She was also a senior associate with Abt Associates, Inc., where she worked on the redesign of reimbursement systems for various state-level healthcare programs and the implementation of healthcare reform in the former Soviet Union and Eastern Europe.

Speaking Engagements

Speaking Engagements

“Biosimilars Coding and Reimbursement Under Medicare Part B (Medical Benefit),” Pharmacy Care Management Association, Washington D.C., April 27, 2015.
Memberships

Memberships

Reviewer for The American Journal of Managed Care

Member, Academy of Managed Care Pharmacy

Publications

Publications

Co-author, “Trends in Medicare Part D Benefit Design and Cost Sharing for Adult Vaccines, 2015–2017,” February 2018.

Author, “Biosimilars Coding & Reimbursement Significance under Medicare Part B,” Manatt Health Solutions, June 16, 2015.

Co-author, “Synchronization of Coverage, Benefits, and Payment to Drive Innovation,” The American Journal of Managed Care, August 2014.

Co-author, “Five Megatrends Driving the Seismic Shift in Healthcare: How Should Pharma Respond to Succeed in a Transformed Market?” Manatt Health Solutions, July 2014.

Co-author, “The New Face of Quality – Finding the Value Proposition for Medical Technologies,” Health Financial Management Association, Payment and Reimbursement Forum, May 2011.

Author, “Disaggregated Annual Health Services Expenditures: Their Predictability and Role as Predictors,” Health Services Research, June 1991.

Author, “The Cost of Acute Outpatient Primary Care in a Preferred Provider Organization,” Medical Care,July 1990.

Co-author, “Patient Choice of Providers in a Preferred Provider Organization,” Medical Care, March 1988.

Co-author, “Evaluation of a Preferred Provider Organization,” The Milbank Quarterly, 1987.



Annemarie's Articles

  • 01.30.18

    Medicare Part D Cost Sharing Trends for Adult Vaccines

    Vaccination utilization among U.S. adults is low, and well below the Healthy People 2020 targets, despite widespread availability of safe and ...



  • 06.16.15

    Biosimilars Coding & Reimbursement Significance Under Medicare Part B

    On April 15, 2015, The Centers for Medicare and Medicaid Services (CMS) issued a preliminary recommendation for a Healthcare Common Procedure Coding ...



  • 04.21.15

    Passage of Medicare Access and CHIP Reauthorization Act of 2015 ...

    The President has signed into law bipartisan bill H.R. 2, the “Medicare Access and CHIP Reauthorization Act of 2015,” which permanently ...



  • 09.03.14

    Synchronization of Coverage, Benefits, and Payment to Drive ...

    More than 35% of Medicare beneficiaries receive care from providers operating under some form of shared savings/risk type of pay-for-performance ...



Annemarie's Newsletters

  • 07.09.19

    Medicare Part D Out-of-Pocket Caps and Enrollee Spending

    High out-of-pocket costs can be a significant barrier to access for Part D enrollees, especially for non-low-income subsidy (LIS) enrollees with a ...

  • 01.22.19

    Patient Characteristics Vary Across Part D Protected Drug Classes

    Learn how the Medicare Part D proposed rule could impact patients differently depending on which protected class includes their medication.

  • 12.19.18

    Proposed Changes Increase Drug Competition in Medicare Part D

    On November 26 2018, the Centers for Medicare & Medicaid Services (CMS) released the Proposed Rule, Modernizing Part D and Medicare Advantage to ...

  • 02.21.18

    Hospitals and Health Systems Prepare for a Value-Based Future

    There are six key drivers of the movement to a risk-based healthcare environment:

Show More


Annemarie's Events and Webinars

  • 11.14.17

    Discover the Megatrends Remapping the Pharmaceutical Market

    From the shift to new payment models to the explosion of mHealth to the creation of personalized therapies, powerful trends and disruptive ...



  • 04.06.16

    Medicare Part B Drug Payment Model

    The Department of Health and Human Services (HHS) has proposed a major, national payment model that would, if implemented, significantly impact how ...

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