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Post by Deleted on May 14, 2016 19:12:15 GMT -5
I think they used the VDEX model to come up with the idea of nurse educators. Unfortunately it looks like MNKD has cut the legs out from underneath this business. As sales progress and there eventually are too many people who need training for MNKD's staff to help them, these centers might get the overflow, but that's only if MNKD doesn't hire more nurse educators. PVRS: where do you get the idea that MannKind cut the legs out of VDEX. Please don't make up things you can't verify as being true. VDEX was not a MannKind company and I'm sure the investors of that operation will reveal their plan and model when it's ready. But let's not spread mis-information unless you know the real details regarding their business plan. Agreed.
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Post by agedhippie on May 14, 2016 20:33:10 GMT -5
Good point there in my book reverselo. Though I don't have any idea what VDEX might be planning, I don't think Castagna and MNKD necessarily view VDEX as important part of their current growth strategy. Looks like their are plenty of diabetic care centers to currently drum up plenty of business from. Personally I wonder if there is a business there. Diabetes clinics are notoriously expensive to run as insurance reimbursement rates for CDEs are terrible and difficult to claim (there are limits on who can provide it, the format, and how much can be provided). Likewise endocrinologists do not have any of the juicy procedures that other specialties have, you are really limited to ordering blood panels. Hospitals usually have to subsidies their clinics. This is not to say that it is impossible to make money from a diabetes clinic, but it is not easy. One of the ways it is done is to be very selective about what insurance you accept. Some, like Integrated Diabetes, don't accept insurance at all although they will give you detailed invoices so you can claim where possible. Atlanta Diabetes Associates doesn't accept Medicaid or almost any of the Marketplace plans.
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Post by prvs on May 15, 2016 6:22:35 GMT -5
I was not making anything up, I was rendering an opinion. My opinion is based on the fact that VDX has continuously pushed back the opening dates and locations and has now gone silent. As far as spreading mis-information, my opinion has only been stated once and only on this board. Where is it spreading TO? Here's another opinion, and hopefully it won't offend anyone. I believe MNKD has gotten itself into this situation either through wrong actions or through inaction or through trusting the wrong people (SNY, Haken, you can come up with a list). I think that they must get themselves out of the situation. I don't think they can rely on VDX or any other auxiliary company do it for them. I also believe that in the 11th hour they have come up with a viable plan and that they are doing their best to execute it. I am long and very very underwater, but I remain bullish because if this company and it's stock reaches it's true potential I will be wealthy beyond my imagination. An embarrassment of riches, if you will
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Post by Deleted on May 16, 2016 9:34:40 GMT -5
I think everyone can agree that VDX could be the icing on the cake. The success or failure of MNKD does not rest in their hands.
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Post by dreamboatcruise on May 16, 2016 9:51:54 GMT -5
Good point there in my book reverselo. Though I don't have any idea what VDEX might be planning, I don't think Castagna and MNKD necessarily view VDEX as important part of their current growth strategy. Looks like their are plenty of diabetic care centers to currently drum up plenty of business from. I think they used the VDEX model to come up with the idea of nurse educators. Unfortunately it looks like MNKD has cut the legs out from underneath this business. As sales progress and there eventually are too many people who need training for MNKD's staff to help them, these centers might get the overflow, but that's only if MNKD doesn't hire more nurse educators. If you knew about Minimed I don't think you'd assume the notion of nurse educators and patient centered marketing is something that would have needed to be seeded as an external idea within MNKD. It does seem a bit out of left field to assume MNKD somehow impeded VDEX, if for no other reason than it would be a crazy strategy to tout them as part of your success plan and then "cut their legs off". I suspect what happened at VDEX is that management is new to clinical medicine and misjudged the regulatory and/or insurance/reimbursement issues.
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Post by mnholdem on May 16, 2016 10:02:42 GMT -5
It may also be possible that VDEX may be waiting for the new Afrezza 4/8 and 8/12 sample packs, which Matt Pfeffer announced are being prepared to facilitate more effective titration of Afrezza during patient introduction.
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Post by kc on May 16, 2016 10:31:29 GMT -5
My guess is that VDEX is still in the works but it takes time to get past all the insurance and regulatory work that is necessary to get a clinic open. Let's hope that the plan is a good one and the launch it shortly. Since VDEX is not MannKind it will not be an agenda topic at the shareholder meeting other than anecdotal comments that might be made or from questions a shareholder might ask on the potential of clinics prescribing Afrezza.
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Post by lakon on May 16, 2016 10:38:54 GMT -5
I think that VDEX has a great opportunity to get out in front of this paradigm shift. While other doctors are conservative and slow to change, the innovative doctors and medical professionals at VDEX can steal away their under served patients, not to mention target new patients with better alternatives. The growing number of diabetics need better alternatives and more personalized care.
If MNKD survives the Afrezza challenge, they could start providing a multitude of hormones on Technosphere. VDEX could develop the treatment protocols for many hormone replacement therapies. Going forward, this knowledge could be very valuable.
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Post by brotherm1 on May 16, 2016 10:54:38 GMT -5
dreamboatcruise you stated above, "It does seem a bit out of left field to assume MNKD somehow impeded VDEX, if for no other reason than it would be a crazy strategy to tout them as part of your success plan and then "cut their legs off"."
I know very little about the VDEX subject. When and where did MNKD tout VDEX as being part of their strategy? How does anyone know if VDEX was planning on using Afrezza in their planned centers? The only material I've ever seen was the picture and a story about Mr. Mann on their website. I guess one can assume they would be using Afrezza as part of their care but I've never heard any facts about it. I used to go to the Yahoo message board to read and when I did I once read a post on there from someone claiming that VDEX was started by doctors, investors, and lawyers and their plan was to include Afrezza in their care centers. However, that was just an anonymous person posting on the YMB. Are there other indications I'm not aware of from MNKD or elsewhere, that MNKD would be involved with VDEX?
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Post by sportsrancho on May 16, 2016 11:27:54 GMT -5
dreamboatcruise you stated above, "It does seem a bit out of left field to assume MNKD somehow impeded VDEX, if for no other reason than it would be a crazy strategy to tout them as part of your success plan and then "cut their legs off"." I know very little about the VDEX subject. When and where did MNKD tout VDEX as being part of their strategy? How does anyone know if VDEX was planning on using Afrezza in their planned centers? The only material I've ever seen was the picture and a story about Mr. Mann on their website. I guess one can assume they would be using Afrezza as part of their care but I've never heard any facts about it. I used to go to the Yahoo message board to read and when I did I once read a post on there from someone claiming that VDEX was started by doctors, investors, and lawyers and their plan was to include Afrezza in their care centers. However, that was just an anonymous person posting on the YMB. Are there other indications I'm not aware of from MNKD or elsewhere, that MNKD would be involved with VDEX? David Warshawsky Hello Jill, we are focused on the details for our opening and do have plans for more outward communication at that point. However, here is what we can tell you for now; we will be full service for patients. We have a partnership with Jones Medical Instruments and will have a high end spirometer at every location. We will have a doctor on premise and an endo on call who will consult with a patient when necessary. We will have samples of AFREZZA available for those patients that it is an appropriate therapy. And we will help people with processing insurance follow up on prescriptions where necessary. Also we will have diabetic education program available for patients. And no appointment will be necessary. Vdex Diabetes Care Centers will work with a patients PCP and offer high quality, easily accessible care. Please stay tuned... And thank you for your support... Read more: mnkd.proboards.com/thread/5234/vdex-diabetes-care-centers#ixzz48pwpHxzg
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Post by mnholdem on May 16, 2016 12:09:25 GMT -5
brotherm1,
As far as your question, "When and where did MNKD tout VDEX as being part of their strategy?" I believe that Matt first introduced that they were "partnering" with a diabetes care center back in February when they (Matt & Ray) introduced the MannKind 2.0 plan.
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Post by Deleted on May 16, 2016 12:13:51 GMT -5
dreamboatcruise you stated above, "It does seem a bit out of left field to assume MNKD somehow impeded VDEX, if for no other reason than it would be a crazy strategy to tout them as part of your success plan and then "cut their legs off"." I know very little about the VDEX subject. When and where did MNKD tout VDEX as being part of their strategy? How does anyone know if VDEX was planning on using Afrezza in their planned centers? The only material I've ever seen was the picture and a story about Mr. Mann on their website. I guess one can assume they would be using Afrezza as part of their care but I've never heard any facts about it. I used to go to the Yahoo message board to read and when I did I once read a post on there from someone claiming that VDEX was started by doctors, investors, and lawyers and their plan was to include Afrezza in their care centers. However, that was just an anonymous person posting on the YMB. Are there other indications I'm not aware of from MNKD or elsewhere, that MNKD would be involved with VDEX? David Warshawsky Hello Jill, we are focused on the details for our opening and do have plans for more outward communication at that point. However, here is what we can tell you for now; we will be full service for patients. We have a partnership with Jones Medical Instruments and will have a high end spirometer at every location. We will have a doctor on premise and an endo on call who will consult with a patient when necessary. We will have samples of AFREZZA available for those patients that it is an appropriate therapy. And we will help people with processing insurance follow up on prescriptions where necessary. Also we will have diabetic education program available for patients. And no appointment will be necessary. Vdex Diabetes Care Centers will work with a patients PCP and offer high quality, easily accessible care. Please stay tuned... And thank you for your support... Read more: mnkd.proboards.com/thread/5234/vdex-diabetes-care-centers#ixzz48pwpHxzgFrom when is this update?
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Post by sluggobear on May 16, 2016 12:53:40 GMT -5
Maybe these reasons were mentioned previously: possibly VDEX is still working through regulatory, billing, and payer issues to get operational?
But a couple months will also allow time for Mannkind to roll out the imminent improvements in field sales, marketing, doctor & patient support for Afrezza (availability of 2.0 launch brochures, patient instructions, new Mannkind sample conformations) and provide clarity around pricing of Afrezza going forward (post-Sanofi remaining product). There may be other things that Mike Castagna mentioned that I don't remember.
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Post by sportsrancho on May 16, 2016 14:38:25 GMT -5
David Warshawsky Hello Jill, we are focused on the details for our opening and do have plans for more outward communication at that point. However, here is what we can tell you for now; we will be full service for patients. We have a partnership with Jones Medical Instruments and will have a high end spirometer at every location. We will have a doctor on premise and an endo on call who will consult with a patient when necessary. We will have samples of AFREZZA available for those patients that it is an appropriate therapy. And we will help people with processing insurance follow up on prescriptions where necessary. Also we will have diabetic education program available for patients. And no appointment will be necessary. Vdex Diabetes Care Centers will work with a patients PCP and offer high quality, easily accessible care. Please stay tuned... And thank you for your support... Read more: mnkd.proboards.com/thread/5234/vdex-diabetes-care-centers#ixzz48pwpHxzgFrom when is this update? This was from their FB page I believe. I don't have FB. But most of the answers to all the questions are right here on PB. It's like playing that old card game, Concentration. You just have to remember what thread they are under. In this case it's page one of this thread:-)
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Post by Deleted on May 16, 2016 14:39:56 GMT -5
From when is this update? This was from their FB page I believe. I don't have FB. But most of the answers to all the questions are right here on PB. It's like playing that old card game, Concentration. You just have to remember what thread they are under. In this case it's page one of this thread:-) ok so its an old update from feb or so..I thought this was the latest update from may... confusing - i am sure it was for others too
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