Coverage Analysis at UCLA Health System

Coverage Analysis at UCLA is performed centrally by the Clinical Research Finance team within the Dean’s Office School of Medicine and Clinical and Translational Science Institute (CTSI).  

How is Coverage Analysis Initiated? 

Coverage Analysis is integrated in the ResearchConnect study activation and budget development process at UCLA. When a new clinical research study application is submitted in the UCLA webIRB system, the Clinical Research Finance team is automatically notified to begin the Coverage Analysis and budget development process.  

Financial Coverage & Activation Process

Once the Clinical Research Finance team receives an automatic notification that a new clinical research study has been submitted in the UCLA web-IRB system, the Clinical Research Finance team will transfer the Core Study Documents (draft informed consent, protocol, investigator brochure and device manual if applicable) from the UCLA webIRB system into the OnCore Clinical Research Management System, and begin the Financial Coverage & Activation Process by performing the following tasks:

1. Evaluate whether any UCLA Health System resources are required;
2. Evaluate whether any core ancillary department services are required (e.g. Laboratory/Pathology, Radiology, Investigational Pharmacy and/or Industry Clinical Trial Contracting) and trigger automatic notifications to ancillaries and study teams, as applicable;
3. Evaluate whether study required items/services will be: (1) all billed to the study sponsor and/or internal study account; or (2) all billed to the participant and/or their insurer(s); or (3) a mix of patient/insurance costs and study costs.

For additional information and/or questions, please email CoverageAnalysis@mednet.ucla.edu. Please see Related Guidance for more information.