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Clinical trial consulting · Thomas Serena, M.D.

Make the right decisions early

SerenaGroup helps medical technology companies align Medicare reimbursement, FDA strategy and clinical evidence from the start, before costly decisions are locked into the development program.

Led byThomas Serena, M.D., Founder and Chief Executive Officer
A wound care dressing being applied to a patient's foot
SerenaGroup's impact
350+
Publications
200+
Clinical Trials
2,500+
Invited Lectures Worldwide
Why engage SerenaGroup early

The costliest mistakes in medical technology often happen before the trial begins

A study designed for one audience rarely satisfies the others. FDA, CMS and commercial payers each ask a different question, and the answers are easier to build into a protocol than to add to one later.

Regulatory strategy, clinical evidence and reimbursement are usually planned in sequence. Planning them together is what keeps a development program from paying for the same evidence twice.

Regulatory Clinical Evidence Reimbursement SG
68%

of 510(k) submissions receive an FDA Additional Information request during the first substantive review cycle.

FDA authorization

does not guarantee Medicare coverage or payment.

Three decisions

CMS treats coding, coverage and payment separately.

4.7 years

is the reported average path to nationwide coding, coverage and payment.

Evidence gaps

A trial designed only for FDA may not generate the evidence CMS, payers or the market need.

A cast being removed from a patient's lower leg

Align early. Avoid costly decisions.

SerenaGroup helps companies align regulatory strategy, reimbursement planning and clinical evidence early, before costly decisions are locked into the development program.

Our services

Clinical, regulatory and reimbursement advice in one engagement

Development programs stall when the protocol, the regulatory plan and the payment plan are designed separately. SerenaGroup brings them together.

Early Medicare and reimbursement strategy

Coding, coverage and payment approached as three separate decisions, and considered before the protocol is locked.

FDA and regulatory guidance

A regulatory path defined early, so the evidence you generate is the evidence the submission calls for.

Protocol development

Protocols written with endpoints, inclusion criteria and visit schedules that trial sites can deliver.

Site selection and feasibility

Site selection informed by direct experience of which sites see the patients a protocol needs.

Clinical trial execution

Trial conduct by a physician led research organization that specializes in wound care studies.

Data analysis

Analysis planned around the questions regulators, CMS and payers are likely to ask.

Publication support

Support preparing trial results for peer reviewed publication.

Who we work with

Built for clinical trial sponsors

  • Device and biologic manufacturersPlanning a first pivotal study, or building the evidence behind a product already on the market.
  • Early stage innovatorsTurning a technology into a development plan, a first protocol and a route to payment.
  • Established sponsorsLooking for a second opinion on a protocol, a regulatory plan, or a program that has stalled.
About Dr. Serena

A pioneer in wound care research

Thomas Serena, M.D. speaking at a podium

Thomas Serena, M.D.

Founder and Chief Executive Officer, SerenaGroup

Dr. Serena founded SerenaGroup, the physician driven research organization that has become a trusted source of evidence in wound healing. He brings experience in wound care innovation, clinical research, product development and regulatory strategy to the sponsors he advises.

Because SerenaGroup also designs and runs clinical trials, his advice comes from teams doing this work.

Build the right evidence once. Build it for approval, reimbursement and adoption.

Tell us about your product

For medical technology manufacturers, sponsors and innovators. Share a little about your product and what you need.

 

Please do not send confidential product data or patient information through this form. We will arrange a confidentiality agreement before any detailed discussion.