Carolyn Graziano

Director Health Economics & Reimbursement

My Background:   Encompasses three major career phases.  Early in my career I was involved in medical/surgical supply and pharmaceutical sales.  I then went on to a successful career in health insurance operations and human resources management before taking my consulting skills in another direction.  I became a licensed physical therapist in 2002 and followed a path that led me to roles as a clinic operations director and various practice administration positions.  I practiced as a clinician in outpatient orthopedics, occupational health, and home health.   Reimbursement is an integral component of practice management and it was in this setting where I became most versed in coverage, coding and reimbursement.  As a CPC, my most recent experience has been in reimbursement, health economics and market access consulting for a variety of medical device companies.  I chose to join PRIA to continue to help medical device companies with reimbursement and market access challenges and specifically to work with a leading-edge team dedicated to moving the dial in this space.

My Goal at PRIA: To support PRIA’s current programs and service offerings by utilizing my clinical knowledge and through application and experience in AMA CPT coding and reimbursement pathways; and to expand upon those offerings to solve market access problems for innovative technology through the development of creative market access tools and strategies.

My Motivation:  I thrive on solving problems and the challenge of developing succinct, impactful, clinical and value evidence stories for my clients to facilitate the commercialization and adoption of medical innovation, ultimately for improved patient access to needed care.

There are so many innovative advancements in the medical world that can truly help patients improve their quality of life, perhaps avoid an invasive surgical procedure or ameliorate pain when surgery is not an option.  Payers hold the key for the advancement of technology, and it is critical that their benefit and clinical evidence is communicated in a manner that resonates and results in effective public policy.

On a Personal Note:  I have a love-hate relationship with GOLF depending on the day and how I’m hitting that little white ball.  I am also a dog lover and enjoy National Parks and the great outdoors.