TSXV:RHT.H - Post by User
Post by
lscfaon Nov 22, 2023 3:43pm
236 Views
Post# 35749020
lopsided contracts
lopsided contractsReliq 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.