anonymous
Guest
anonymous
Guest
Ex rep. Thank you for your response. I appreciate your insight.. Was it this mgmt team that pushed back against your suggestions or the prior team? I agree with you that the foundation of the business model can not be based on office based practices adopting and integrating PTNS into their practice. As demonstrated to this point that is good for the business as it exists today, not the potential of the business. Analogous to your PT based model is to utilize existing underutilized resources/infrastructure along the lines of the infusion/dialysis model where a single caregiver, a NP or PA can administer tx to multiple puts in parallel not in series. In your experience with the company did you call on any of the large incontinence centers whose practice and business model is focused on incontinence care? Thank you
It was this current team and yes I had large centers. What this current management team lacks is forward vision. They are fed numbers of how many people are affected by overactive bladder and expect PTNS results to match the marketing numbers. In fact, there are many other variables that need to be taken into account, that are not. Reimbursement is the biggest, space, lack of time and employees are all smokescreens for reimbursement. The product has been out for many years and 99.8% of all Urologists treating overactive bladder have heard of it and know it works to some degree. The clinical sale is not the main component of the sale. The only issue holding back extensive growth is dollars!!!!! I'm now the business manager for a large practice, I have limited space to see as many patients a day as possible. I book them in 15 min increments to maximize the number of patients that can be seen in a day. last time I looked (years ago) the national average to see a urologist was 22 days. I'm sure that has gone up. These practices are booked solid for months. Now the dr. says he wants to book this patient for PTNS for 45 min and I'll loose three patient blocks. I make $65 for the 45 mins of PTNS (30 for the procedure and 15 for prep and post)or $265 for the three 15 patient blocks. NO BRAINNER HERE!!!!!! In addition, BOTOX is a great option and for many territories that did not have Medicare coverage, it is the standard of care. BOTOX works, it takes less time and is done in the surgical center that does not take away from patient blocks. What does this tell me is that PTNS, must be taken out of the office setting like you said. The current mgt team does not have the vision to make this happen, in my opinion.
Another reason for concern is the merger with Vision Sciences. I can't speak for the other modalities, but this product is not NEEDED in Urology. Yes it is a "nice to have" and will eliminate infections, but every patient is given a 35 cent pill to reduce infection and UTI's are not life threating. If I'm a business manger, I'd rather have the $35 the sheath costs in my pocket than Cogentix's. Also, if I'm a busy center, I can buy a new scope every three or four months for what the sheaths costs, so the always ready argument falls quickly.
I could ramble on for days here, but I'm glad I moved on and good luck to everyone who remains. UPC is a great product, but the company is run by...........insert insult