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Post by audiomr on Aug 4, 2017 12:03:16 GMT -5
Particularly interesting is the form added at the bottom. Wonder if anyone has taken them up on their offer to help others set up VDEX clinics.
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Post by dreamboatcruise on Aug 4, 2017 12:30:59 GMT -5
Particularly interesting is the form added at the bottom. Wonder if anyone has taken them up on their offer to help others set up VDEX clinics. Would you do it if they are not yet profitable?
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Post by sportsrancho on Aug 4, 2017 17:21:44 GMT -5
Particularly interesting is the form added at the bottom. Wonder if anyone has taken them up on their offer to help others set up VDEX clinics. I already posted the answer to that:-)
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Post by akemp3000 on Aug 4, 2017 17:42:11 GMT -5
It's hard to imagine a more slam-dunk business opportunity than a walk-in diabetes clinic. They're needed in every city. The clinic should be owned by a doctor who does not have to be present full-time. A nurse practitioner, who is present full-time, can see the patients and write scripts working under the doctor's supervision. If a patient has advanced diabetes complications beyond the NP's expertise, the NP can set up an appointment with the doctor who comes in one or two days a week. The majority of the profit opportunity will not come from the pocket of the walk-in customers but from VDex insurance billings. This appears to be a very big market opportunity that doesn't require a typical franchise fee and will have very limited competition if any.
...or you could open a restaurant.
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Post by dreamboatcruise on Aug 4, 2017 17:57:34 GMT -5
It's hard to imagine a more slam-dunk business opportunity than a walk-in diabetes clinic. They're needed in every city. The clinic should be owned by a doctor who does not have to be present full-time. A nurse practitioner, who is present full-time, can see the patients and write scripts working under the doctor's supervision. If a patient has advanced diabetes complications beyond the NP's expertise, the NP can set up an appointment with the doctor who comes in one or two days a week. The majority of the profit opportunity will not come from the pocket of the walk-in customers but from VDex insurance billings. This appears to be a very big market opportunity that doesn't require a typical franchise fee and will have very limited competition if any. ...or you could open a restaurant. One might think that, but then just this past week there was thread about a chain of diabetes clinics closing down for financial reasons. And there was an article from years ago about the same thing... diabetes clinics (even ones with good patient outcomes) weren't financially sustainable because of the reimbursement problems with insurers.
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Post by careful2invest on Aug 4, 2017 18:01:31 GMT -5
It's hard to imagine a more slam-dunk business opportunity than a walk-in diabetes clinic. They're needed in every city. The clinic should be owned by a doctor who does not have to be present full-time. A nurse practitioner, who is present full-time, can see the patients and write scripts working under the doctor's supervision. If a patient has advanced diabetes complications beyond the NP's expertise, the NP can set up an appointment with the doctor who comes in one or two days a week. The majority of the profit opportunity will not come from the pocket of the walk-in customers but from VDex insurance billings. This appears to be a very big market opportunity that doesn't require a typical franchise fee and will have very limited competition if any. ...or you could open a restaurant. One might think that, but then just this past week there was thread about a chain of diabetes clinics closing down for financial reasons. And there was an article from years ago about the same thing... diabetes clinics (even ones with good patient outcomes) weren't financially sustainable because of the reimbursement problems with insurers. Understood, but those diabetic clinics were not promoting a revolutionary treatment for the disease. AFREZZA is a game changer! And finally, the game is beginning to change!
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Post by dreamboatcruise on Aug 4, 2017 18:06:40 GMT -5
One might think that, but then just this past week there was thread about a chain of diabetes clinics closing down for financial reasons. And there was an article from years ago about the same thing... diabetes clinics (even ones with good patient outcomes) weren't financially sustainable because of the reimbursement problems with insurers. Understood, but those diabetic clinics were not promoting a revolutionary treatment for the disease. AFREZZA is a game changer! And finally, the game is beginning to change! Afrezza currently has worse coverage by insurers than the non-revolutionary diabetes treatments. I'd sure want to see VDex's financials for the past year before working with them to replicate their model.
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Post by brotherm1 on Aug 4, 2017 18:20:46 GMT -5
Oh my..... I believe the article that was posted about the 12 Diabetes America clinics having closed in Texas in the Spring refernced problems with insurers no longer paying for number of visits and they instead moved to a different model to pay for outcomes?
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Post by dreamboatcruise on Aug 4, 2017 18:25:58 GMT -5
Oh my..... I believe the article that was posted about the 12 Diabetes America clinics having closed in Texas in the Spring refernced problems with insurers not paying for number of visits and they instrad moved to. a different model to pay for outcomes? It would be nice if there were many insurers that used that model, but unfortunately I don't think that is the case.
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Post by careful2invest on Aug 4, 2017 18:40:20 GMT -5
Understood, but those diabetic clinics were not promoting a revolutionary treatment for the disease. AFREZZA is a game changer! And finally, the game is beginning to change! Afrezza currently has worse coverage by insurers than the non-revolutionary diabetes treatments. I'd sure want to see VDex's financials for the past year before working with them to replicate their model. Worse only because AFREZZA is "new" Being that VDex is also new and showcasing/promoting a "new" product, I would guess that their financials at this stage of their existance would certainly be less than super impressive. Especially, as you mentioned, the challenge of insurance providers support among other challenges that AFREZZA has faced. But note the changes in coverage that have transpired over the last year plus...We are going in the right direction there too! Still more work to do in that area, but it appears that the tide is finally turning. Hopefully, AFREZZA will bode well in the soon to be released updated formularies from insurance companies. Along with new label, pediatric studies, international exposure, etc, etc... My bet is that we will see a continued growth in acceptance by the medical community as well as insurance coverage. The more that one knows about AFREZZA, will help clarify that the VDex business model is certainly promising! Opening a VDex center could turn out to be a gold mine! GLTA!
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Post by brotherm1 on Aug 4, 2017 19:17:44 GMT -5
Oh my..... I believe the article that was posted about the 12 Diabetes America clinics having closed in Texas in the Spring refernced problems with insurers not paying for number of visits and they instrad moved to. a different model to pay for outcomes? It would be nice if there were many insurers that used that model, but unfortunately I don't think that is the case. blah, blah, blah, blah, blah.... "The business model did not fit into the current reimbursement model that we’re dealing with in today's world of accountable care,” said Joan Colgin, nursing commissioner on the Texas Diabetes Council. The council advises state and federal governments on establishing diabetes programs and measuring outcomes." www.dallasnews.com/business/health-care/2017/05/05/closure-diabetes-centers-catches-patients-staff-guard
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Post by agedhippie on Aug 4, 2017 21:34:44 GMT -5
It would be nice if there were many insurers that used that model, but unfortunately I don't think that is the case. blah, blah, blah, blah, blah.... "The business model did not fit into the current reimbursement model that we’re dealing with in today's world of accountable care,” said Joan Colgin, nursing commissioner on the Texas Diabetes Council. The council advises state and federal governments on establishing diabetes programs and measuring outcomes." www.dallasnews.com/business/health-care/2017/05/05/closure-diabetes-centers-catches-patients-staff-guardThis is a nice idea and it's how things should be done, but how are they going to achieve that be cause it will put up the insurers costs which will not be popular. It's a hard sell politically with the current system. Insurers want to minimize risk and cost, pay by outcome does neither for them. Diabetes clinics are hard to run at a profit because the insurance reimbursement rates are so low, especially for CDEs and nurses. When you see a CDE (which I do half the time) that's what the insurance pays for, and it is nothing like a doctor's rates. There used to be five major clinics in NYC and now we are down to two. Those two make a significant loss but are subsidized by their hospital groups. The other hospital groups could no afford the losses and closed the other clinics. Integrated Diabetes stays in business because it doesn't take insurance so you pay the real cost (I have used them in the past). It's location makes that approach viable, but it has a small patient list. They use a program based model where you pay a subscription, although you keep your existing endo as well. I seem them as more of an expert coach.
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Post by sayhey24 on Aug 5, 2017 7:20:39 GMT -5
Aged - can you explain the Integrated Diabetes model a little more? What type of coaching are they providing and for what cost? I am trying to guess what type of service Onduo is planning to provide and how that may be different than what Scheiner is providing. The Cleveland Clinic has also just partnered with Oscar Insurance and I suspect diabetes will be a big focus in this partnership.
We also have Roche and their MySugr deal, Medtronic/IBM and others including Dachis/One Drop. How are they all planning on making money?
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Post by brotherm1 on Aug 5, 2017 8:47:02 GMT -5
Background, long form of Peppy shorthand. Oscar Insurance, brainchild of Joshua Kushner, younger brother to President Donald Trump’s senior adviser and son-in-law, Jared Kushner Oscar, a tech based insurance co.....clients wear fit-bit type devices (and perhaps someday CGM's ? if not already?) Google invested several hundred million into Oscar. Google also teamed with Sanofi via Verily, its Life Sciences division to form Onduo to address the diabetes epidemic (Sanofi/Verily, Verily is Google Life Sciences). Dexcom, CGM's, is parter of Onduo Oscar struggling and sells mainly through the Affordable Care Act which is facing major changes (Josh Kushner allegedly spotted at an anti-Trump rally) I could not find Afrezza on Oscar's formulary. Integrated Diabetes owned by endo Gary Scheiner. Has an Integrated Diabetes clinic in Philadelphia. Does not take insurance but clients can sometimes be reimbursed from their insurance co. Gary uses Afrezza integrateddiabetes.com/breakfast gym breakfast kayak shop later
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Post by akemp3000 on Aug 5, 2017 9:52:55 GMT -5
Reminds me of what a banker once said when approached for a business loan, "This is a great idea and everyone loves a pioneer...but always remember that pioneers are usually the first to die!"
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