RE:lopsided contracts I think about weight loss. Obese people with chronic diseases get told to lose weight. They are given plans to follow, get nutritional advice, get told they'll get more sick if they don't lose weight. Maybe about 10-15% succeed (this is just behavioural interventions not the newer drugs). I think this is a good analogy. You can get 10-15% of patients to do what you want. If they are running at just 3% onboarded being revenue generators now then maybe there's still some upside to come.
It might be the skill is in identifying the 'patient types' that are more likely to generate revenue. Idk maybe post-operatives are more likely to participate, something like that, just a guess. Maybe they can find the right device/ disease combo that makes people more likely to submit daily data. Maybe the next stage is just to get better at identifying your likely revenue generators and focusing resourses on them. It seems unlikely to me they solve the problem of getting their massive pool of patients to become revenue generators in one giant leap. Likely small steps. Getting to 10% would be a short term win.
This has to be a problem for the whole industry. At least they have a pool of patients to work with.
lscfa wrote: Reliq onboards patients and tries to get patients to comply with CMS minimum requirements for reimbursement (16 days of data readings per month). First attempts are automated voice messages. If that fails, care managers increase nagging. This is all at Reliq's expense.
If Reliq is able to get patients to comply and submit a minimum 16 readings per month then Reliq gets paid because physician gets a reimbursement from CMS. If Reliq gets < than 16 readings per month it does not get paid.
But 5, 10, 15 readings per month still benefits patient with fewer trips to emergency room and physician benefits by avoiding penalties (and possibly a share of cost savings) for frequent readmission by patient.
No wonder Cognizant does not want any part of this arrangement and Reliq had to raise funds to hire more care managers.