Be honest. You are destroying it with HA because you are destroying Medicare's finances.
Reimbursement always changes for all drugs. Medicare isn't stupid and will not continue to pay astronomical prices for these products when alternatives that work just as well and cost a fraction.
Let’s be honest....CMS set the reimbursement amount.
Ok, please enlighten us- what works as well as HA injections for OA of the knee and "cost a fraction"? If you are talking about steroid injections you are a misinformed idiot, and I hope for your patients that you are not a HCP.
Should MCR reimburse the same amount for all one-injection HAs, or for the 3-week group, etc? That's another argument for sure, but there is a reason payors cover this therapy.
Look at Gel-Syn versus Euflexxa or Orthovisc. Gel-Syn costs 3 times more for Medicare than the others. Does Gel-Syn work 3 times better? What single advantage over the other products does Gel-Syn have to continue costing this much? It’s all sold on profits which is a cost to Medicare. The offices we talk to using it admit it themselves.
Gel-One costs Medicare half of what Durolane costs.
You are selling government budget busters. You capture market share by increasing costs dramatically so you can “kick back” profits to offices.
What are you? Posting police pointing out the obvious? You are often wrongsame competitor posted at different times in all threads trying to strike dear about reimbursement bc they can’t wrap their heads around why we are destroying it with HA. You’re an idiot.
Look at Gel-Syn versus Euflexxa or Orthovisc. Gel-Syn costs 3 times more for Medicare than the others. Does Gel-Syn work 3 times better? What single advantage over the other products does Gel-Syn have to continue costing this much? It’s all sold on profits which is a cost to Medicare. The offices we talk to using it admit it themselves.
Gel-One costs Medicare half of what Durolane costs.
You are selling government budget busters. You capture market share by increasing costs dramatically so you can “kick back” profits to offices.
Ok, understood. Same issue happened to us years back when Euflexxa hit the market- their spread was impossible to compete with as a new product, and they took most of my business at the time, at least in the larger clinics. I guess this cycle will happen and bounce around as new HAs hit the market until generics/biosimilars appear and get reimbursed.
True, datFerring has always reported ASP. The company is selective with their accounts when providing discounts and use contracts.
If Ferring stayed on WAC, they wouldn't need to be selective and would have captured a lot more share and slapped Medicare a higher bill as they book cheaper products out of the marketplace.
You should visit you CP thread - Ferring, and brag on how great and thankful you are to be a part of their team.Ferring has always reported ASP. The company is selective with their accounts when providing discounts and use contracts.
If Ferring stayed on WAC, they wouldn't need to be selective and would have captured a lot more share and slapped Medicare a higher bill as they book cheaper products out of the marketplace.
Will WW also investigate the waste and abuse of Medicare resources by Bioventus for not reporting ASP to Medicare? This was a decision made by the company that results in charging patients higher out of pockets and continue to promote the spread for offices. The company motto is supposed to be “patients first” on their website. There is no other explanation for mainainting WAC.
You are a tool. Medicare waste is everywhereWill WW also investigate the waste and abuse of Medicare resources by Bioventus for not reporting ASP to Medicare? This was a decision made by the company that results in charging patients higher out of pockets and continue to promote the spread for offices. The company motto is supposed to be “patients first” on their website. There is no other explanation for mainainting WAC.