.....They don't want to train/hire additional staff to do what a rep can do for "free" ...
Technically, the FU provided by the industry is considered 'gifting' according to Avamed.
The FCR does the ENTIRE FU, yet the physician and the clinic bill for the visit. Oh, I know, the doctor has to be in the same room as the patient during the FU, right ? As soon as remote becomes more entrenched in the FU process, many face-to-face reviews will be rendered obsolete. Plus, the FUs are becoming more and more automated, which then enables med techs to do much (but perhaps not all) of the FUs. Look how automated a threshold test has become -- you just push a button and let the programmer do its thing.
Now, the most advanced devices do daily threshold monitoring REMOTELY and send a message if something is out of range. PS - most of the clinics outside the USA uses med tech people to do the FUs in clinic, and has the med tech people review the REMOTE reports -- they do this to reduce their liability and the companies love it because it reduces cost !!! REMOTE will replace ca. 50% of the current FCR workload in 3-5 years, partner.
Where is Ray going to cut now that he couldn't get his price for Neuromod?
12.17.10 | Thomas Lee | Natick, Massachusetts
Is Boston Scientific’s plan to boost earnings growth unrealistic?
When Boston Scientific Corp. (NYSE:BSX) hosted its investor meeting in late November — its first in years — the company played Van Halen’s “Right Now” and Jesus Jones’ “Right Here, Right Now” during breaks in its presentation.
However, one Wall Street analyst suggested a different song for BSX’s soundtrack.
“After sitting through the meeting, our review of what was said suggests Van Halen’s ‘Dreams’ would have been a more apt pick,” Matthew Dodds, a Citigroup analyst wrote in a research report. “We just don’t envision a scenario of Boston’s combination of revenue acceleration while aggressively cutting costs as viable.”
Ouch.
Suffice it to say, analysts weren’t too impressed. And now that BSX is reportedly dropping plans to sell its neuromodulation unit, the company’s growth plans are looking even more unrealistic.
During its investors presentation, BSX told analysts it could boost earnings per share growth (EPS) by 11-12 percent annually through 2015, mostly through aggressive cost cutting.
The company based in Natick, Massachusetts, with major operations in Minnesota also said it would use $7 billion in projected free cash flow to pay down debt, pursue acquisitions, and reserve funds against legal and tax liabilities.
Wall Street, though, wondered how BSX could afford to do all of that, especially with sluggish sales growth.
“We question how Boston can acquire growth assets and invest to maintain leadership positions with a depressed balance sheet vs. peers and a stated objective to maintain absolute levels of [research and development] spend,” David Lewis, an analyst with Morgan Stanley, wrote in a research report. “Competition for attractive growth assets is likely to be intense, and competitors continue to invest heavily in internal development programs.”
One thing that might have alleviated that depressed balance sheet: selling off neurmodulation.
In October, BSX said it would sell its neurovascular unit to Stryker Corp. for $1.5 billion. Analysts also had expected BSX to fetch $1.5 billion to $2 billion for neuromodulation, where it lags far behind competitors Medtronic Inc. (NYSE:MDT), based in Fridley, Minnesota, and St. Jude Medical Inc. (NYSE:STJ), based in Little Canada, Minnesota.
But Bloomberg News reported this week that BSX abandoned efforts to sell its pain management business because suitors weren’t willing pay what it wanted.
That could be a big blow to BSX’s long term plans. That $1.5 billion to $2 billion equals approximately one year’s free cash flow over the next five years, according to the company’s projections.
And BSX really can’t count on boosting cash flow through sales growth. Analysts say BSX’s pipeline looks thin. Recent acquisitions like its $193.5 million decision to buy Asthmatx, Inc., a maker of catheter-based systems to treat asthma, and $386 million bet on heart valve maker Sadra Medical Inc. aren’t likely to yield any short term benefits to revenue.
“BSX talked up the opportunity in several cardiovascular, neuromodulation, and general surgery markets, but we believe it is sorely lacking in near-term products that can move the needle vs. the competition,” Dodd of Citigroup wrote. “BSX has made some effort to build out its pipeline with the recent deals for Asthmatx and Sadra, but both deals will take a while to have an impact and the internal programs had little to highlight in the way of clinical [trials].”
May I suggest a new song for BSX’s next investor meeting?
“Living on a Prayer,” by Jon Bon Jovi.
