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Regenerative Medicine

Leaks out to who; the public?

Shire LaJolla has tried to do their own thing, but the big boys with law degrees from PA are now involved and THEY are the ones that need to be informed. I think they're just getting what Shire RM is feeding them.
Do they know that offices still get results of an OFF LABEL IVR from SHIRE? How is that okay? I have to imagine DOJ is looking into that. ("hey DOJ, what kind of message do you think that sends to reps?") Shire is basically saying, (as they're winking) "Do not sell off label, but we're going to give the off label insurance results that WE researched so the office can still use DG OFF LABEL." sounds really compliant to me.
Quotas were lowered for 2 months at end of year then jumped right back up...quotas which included off-label uses and we were (and continue to be) pressured to acheive those numbers, full knowing they were not all dfu's.
Like eariler poster mentioned regarding clinic time. Does shire not understand that no doc sees dfu's all day long? When you're in clinic all day you are seeing some crazy shit-much of it off-label. Our BAA is useless here and Shire managers continue to pressure us to do this. Why? why else, they want the business.
Shire thinks because we're out of scrubs and wearing a lanyard that that is their solution to show DOJ they've made changes and we're now compliant? that's a crock of crap. Shire is talking out of both sides of their mouth and it's catching up to them. Either take the handcuffs off and let us sell OR keep the handcuffs, chains and muzzle on and provide reasonable quotas that are solely based on DFU useage and provide us with a competent management team who knows how to effectively coach, knows wound care and has the decency to treat us like adults.
They are in so deep I cannot imagine the fine that Shire will be paying.
 


















Mimedx? Lets look back the past couple years. Shire spent $750 to invest in a new therapeutic area. What they got was a fast moving train headed right for them called the DOJ. Instead of really evaluating and developing a strategy to best handle the situation, they panicked and got rid of almost everyone whether they were a trouble maker or not. Sales then slumped dramatically. They then put an unqualified R&D guy in charge who had no business in that role to begin with let alone righting the ship. Follow that with an interim that was sent to Europe because he didn't have what it took to land the Lexington job. Interim? Why? Because DG will be divested soon or because he was convenient or not qualified either. Needless to say, the DG "D team" head choices for an already declining product have all but killed it. Let it continue on as a black eye on all future quarterly financials or sell to another sucker at a huge loss? None are good options!
 






Anonymous said:
Good to know the Mimedx/Epifix Reps care about our company so much still...go worry about your sinking ship while we ride ours to some serious cash!
Click to expand...

Speaking of serious cash, I made a ton on MDXG. Better and cheaper for payers. THat is your ticket to serious cash not a product like DG with its best days behind.
 










































Well....it looks like CMS doesn't see a difference between PMA products and other skin substitutes. That's too bad. Another great decision by our government. Instead let's divide the skin subs into two groups of high cost and low cost. Naturally docs will be made to go to low cost first......plus, Dermagraft bundled at a whopping $1371 isn't going to cut it. I wonder what Shire's big plan is now. I'm guessing they weren't expecting to be carved out in the high cost category but still have such a low-ball reimbursement. Happy Thanksgiving.....can't wait to hear the spin on Monday that tells us to focus through the end of the year to continue to push forward. "still a lot of money on the table, people". Not after January 1.
 












Wait, I thought being in the high cost category instead of low cost helped in terms of recouping some cost. But what does it mean for reimbursement to hospitals to be paid from the low cost vs high cost coding?

How do you figure prices? Average out the high cost products per sq foot?
 










































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