2 saves a day

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Anonymous said:
Just heard the rep claim 2 saves a day and totally reimbursed by insurance and medicare. How much of this is BS?
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Total BS. you have a newbie and they re going to really get it handed to them when they start seeing the reimbursement and all those negative adjustments in their revenue due to lack of reimbursement. Also physicians will be furious when they are told totally reimbursed and then their patients come back telling them about the large bills that they are getting from Zoll and they can't afford it or pay it. Lastly the 2 saves per day may be accurate for across the nation. The problem is you're playing the lottery and with a roughly 1% save rate your doctors will need to order at least 100 LV to get that 1 save. Thats the problem they don't wan to waste the large amounts of money for 99 other patients to get the 1 patient save especially when a lot of the saves are not really saves..as the patient more than likely would have came out that VT on their own if given a few more seconds. It's a big fat dud.
 






Anonymous said:
Just heard the rep claim 2 saves a day and totally reimbursed by insurance and medicare. How much of this is BS?
Click to expand...


The average wear time for patients is several months- say 60 days, with only approximately 1% of those receiving a shock, with many shocks inappropriate, say 50%. That means, on average, for him/her to have 2 saves a day, they have to have 60 days/1% shock rate/50% appropriate rate*2 saves/day = 12000 patients he/she is covering.

and being "totally" reimbursed is not quite true, nor ethical given both the save rate and cost to rent this thing.

Either way, the rep is just doing what the company pressures them to do. Lie. Don't blame them. Blame Zoll.
 






getting away from the romanced "saved" numbers for a minute. 1.) VT doesn't automatically mean "death" or even syncope (passing out). 2.) Zoll saves are not "standard" apples to apples measures with the clinical data and will never be. VEST is not a RCT with a mortality effect endpoint anymore. VEST is just another events trial (yep defibrillation works). 3.) Why do you think AICD's have ATP algo's?

The device is oversold and if the argument comes up about patient choice, then pricing transparency should be finalized up front. The process of signing a patient agreement as a binding financial contract at the bedside under duress is a disgraceful practice that needs to be highlighted. No wonder Zoll corporate completely avoids this division and the disgraceful slime ball management so as not to jeopardize other hospital lines.
 
























Anonymous said:
getting away from the romanced "saved" numbers for a minute. 1.) VT doesn't automatically mean "death" or even syncope (passing out). 2.) Zoll saves are not "standard" apples to apples measures with the clinical data and will never be. VEST is not a RCT with a mortality effect endpoint anymore. VEST is just another events trial (yep defibrillation works). 3.) Why do you think AICD's have ATP algo's?

The device is oversold and if the argument comes up about patient choice, then pricing transparency should be finalized up front. The process of signing a patient agreement as a binding financial contract at the bedside under duress is a disgraceful practice that needs to be highlighted. No wonder Zoll corporate completely avoids this division and the disgraceful slime ball management so as not to jeopardize other hospital lines.
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Wait...what is this about contracts at the bedside? Is this allowed?
 






Anonymous said:
Wait...what is this about contracts at the bedside? Is this allowed?
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Yes it's done every single day with every LV. Patient must sign or they can not be fit for the vest. PSR or Rep must get the patient agreement signed. And yes, the poster is right in many instances it is done under duress and pressure on the patient. It's disgusting!
 






We used to get a contract and an ABN at the bed. Many times it would be done with the patient's family in the room (because the patient was disoriented). You had to talk them through it and really couldn't disclose copays because you had no idea what it could be. Then you would see the booked revenue after the fit on your report and knew that you were sticking them with a 500-2000$ monthly copay. That was an uneasy feeling. So glad to be done with that.
 






























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