Reliq Health Technologies Inc V.RHT

lopsided contracts

[lscfa]

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.

[Qwerty54321]

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

[lscfa]

It's even more lopsided than I first pointed out.  Physicians prescibe RPM/CCM for the eligible patients and then it's up to Reliq to get them to comply or the physician pays nothing to Reliq. So physician has no incentive to be selective. Just send every damn eliglble patient he can to Reliq to deal with.

[SISBOOMBAH]

Add the hardware headache.    Patients are using the hardware, but some are not compliant.  How many months will none compliant patients keep using the hardware before being asked to return it?  If patients have gone home, how will the doctor (clinic) retrieve the hardware?  Once the hardware is back under the control of the doctor, a new patient is identified and the

[Lifeboat1]

Where you see challenges, I see opportunities.  If the market was easy there would be lots of competition but since it is challenging Reliq is gaining huge market share.  They need to turn that into revenue but that will come with time.  Every market challenge that Reliq resolves is just another competitive advantage and differentiator.  Reliq originally didn't want to be

[Humanist]

whta else is new 

[Lifeboat1]

Where you see lopsided contracts is really just a value added SAAS model.   SaaS companies have been leaving the traditional subscription pricing model in favor of usage-based pricing that better aligns with current buying behavior and the value of various products. 7 of 9 SAAS IPOs, including, Snowflake, Slack, and Elastic, which recorded the best retention over the previous years have

[Lifeboat1]

Physician are not going to load up patients that are eligible that they don't believe are going to be adherent.  They have to do pre assessments on the patients and for every patient they put on they are spending a few hundred dollars on a device.  There is also the medical liability for any medical program. No doctor is going to put patients on without assessing them and monitoring

[Qwerty54321]

......... ......... That's right. Then it's Reliq's job to see how to extract the most revenue from this large pool of patients. I have to say I think the 60%-80% target for long term compliant patients from their whole pool of patients seem like pie in the sky to me. Maybe with x amount of resourses invested in a patient you can get them compliant for at least one month but that

[Lifeboat1]

It's not just Reliq it's the entire industry.  It is still a relatively new industry with the only significant increase in usage post Covid.  Despite what some claim Reliq experience working out and optimizing the model is only going to pay benefits in the future.  It is likley thenreason they are landing large health plans.

[lscfa]

Reliq is landing large health plans because it's throwing around Cognizant's name. But Cognizant is not going to supply care managers if Reliq keeps using the we-don't-get-paid-until-you-get-paid model. Thus the equity rasie to hire more care managers in house.

[lscfa]

p.s. If asked I bet Reliq won't break down expenses to show how much it has used Cognizant outsourcing to date. I suspect it is zero.

[Lifeboat1]

Pure speculation on your part.  Even if true, kidos to the CEO of a small Canadian healthcare company that can land Cognizant as a partner and as a result land top US health plans.

[Gangsterme]

Lisa was president and CEO of Natrix when it was sold to Merck. She has had more corporate experience that few if any here. Many some might consider this when making comments, showing your ignorance.  Kudos to her for sure.

[Peggy123]

What was it at when she was CEO and what was it sold for. Important info   Papi

[Lifeboat1]

It was a private Company sold to a public one.  Terms were not disclosed

[Peggy123]

Thanks LB  Why did i know that LOL  Well she has said i belive she wants to take it as far as she can and sell and no you Papi haters,not near this price but in multiple dollars. Enjoy yoyr day peoples Papi

[teeswater]

She will sell when it makes sense and makes millions for her...Papi haters can go F themselves

[Bucketshop]

NOBODY hates Papi. He is the best provider of GUARANTEED losses in any stock that most of us has ever seen. I retired at 46 going against anything he said. In fairness....he listens to Bruce Campbell  

[kentucky77]

Hey BS (somewhat apprortate initials) you are sorrily mistaken... Papi did VERY well a couple years ago on TheScore when takenover by PENN.   We accumulated solid positions over time and it was a blast on the buyout.  Do yourself a favour and listen to his sage advice.  Let's to do it again Papi!

[Peggy123]

Nice to hear from you 77. Hope all's well. How long did we have to wait,how many ups and downs,how frusterated we got and IT PAID OFF BIG TIME.   Papi

[Bucketshop]

Perfect,are you another one of his many ALIASES???  The spelling mistakes certainly sound like him. The SAGE advice I didnt take was...CMC, Fuel,Avn among others. 

[EdinColorado]

Always happy to hear of good things happening to people. Hoping to join you this time for a repeat. Thanks for the post, Kentucky.

[lscfa]

Vitalhub was sold for a measly $3 million so no big whoop there.

[lscfa]

Correction: Vitahub bought for a crummy $1.47 million (13.6 mill shs x $0.11)

[Lifeboat1]

The physicians are already around 20% with the patients they were managing and Reliq was above 70% with the patients they were managing per the Company's webinar a while back.  Once Rliqngets all patients under their management and adherent revenue will increase significantly.  Just getting it to 50% will more than double revenue in 2024

[theinvestor22]

Excellent posts Lifeboat.  Thanks!

[Qwerty54321]

Doubling revenue might be a reasonable short term goal but I still think some of these numbers, like 70% compliance, need to be handled With much more care. If compliance is an issue then they should be approaching this problem methodically. They basically should be experimenting with different approaches to see what works. Necessarily that should be with limited group of patients. It could be