SNN will be purchased. Syncera will not make an impact. Once the prices stabilize at $2500 per knee, reps will be fighting over coming into any repless model's OR when they see the problems and chaos occurring in the OR.
The orthopaedic rep provides great value to the SPD department, surgical staff, OR business manager, surgical staff educator, orthopaedic coordinator, hospital marketing department, orthopaedic surgeon, orthopaedic physician assistant, materials manager. This all can be evidenced by the rep's hours logged into reptrax.
For a knee that costs $2500, with 7% commission, as a 1099, with the hospital paying no benefits to the rep, for $175 per procedure the hospital is getting a wonderful value. An average procedure includes shipping costs, case delivery, case setup, case coverage, case and instrument resetting, implant restocking fees to the rep. At $45 in shipping costs, the rep is left with $130 for his team. The team will spend an average of 4 hours on this single total knee.
This equates to $32.50 per hour for a 1099 rep that is paying his own health benefits, dental benefits, liability insurance, his own gas, his own car, his cell phone bill, his payroll processing, his own 401K benefits, and his 100% of his FICA tax.
Cost of benefits employed vs 1099 typically runs in the 40% range. Therefore the rep is actually making about $18 per hour. This equates to $34,560 per year.
How can a hospital run 3 shifts per day, 7 days per week, 365 days per year, buy instruments, buy implants at a cost lower than $2500 per unit, increase their liability exposure, pay employees less than $34,000 per year to cover 3 shifts per day, 7 days a week, and come out ahead? There is, in the end, a higher cost to the hospital with a repless model.
I'm all ears here. It sounds like a desperate short term attempt for SNN to use up old inventory until SYK buys them.