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It goes without saying we live in a generic world in terms of Manged Care. That said:

10 Great Reps=decent Managed Care Access all things considered, but still challenging.

50 Good Reps=Very challenging Managed Care Access

"The rest that should just go away"=You're not going to win any trips, no matter how "great" or hard working you are because of difficult Managed Care.

It would be interesting to see how a "Superstar" rep would perform if they were suddenly taken out of their Cake Territory and put in a territory that has NEVER performed well.

I'm pretty sure it's more the territory itself than the actual rep's performance.