Reliq Health Technologies Inc V.RHT.H

Expanded RPM codes

[lscfa]

Reliq points out that more codes has expanded potential revenue for a physician practice from $50 to $315 per month suggesting it's a no brainer. But insurers require the physician to get regular and frequent approval from the patient who is required to copay 20%. Are patients really going to approve increased service if they get hit with increased fees? And to those who say copays have been temporarily been waived, read the link below. 

CMS also clarified that to qualify for reimbursement, providers would need to ensure that Medicare Part B patients are charged a 20 percent copay (routinely waiving copays can trigger fines under the federal Civil Monetary Penalties Law and the Anti-Kickback Statute)

https://khn.org/news/telehealth-will-be-free-no-copays-they-said-but-angry-patients-are-getting-billed/

[lscfa]

Bears repeating.....

[Lifeboat1]

Again only half the story.  Co-pays have been waived during the pandemic and dual eligible Medicare/Medicaid patients pay no copay

[Lifeboat1]

And patients that are enrolled in a Medicare managed care organization also pay no co-pay for these services.

[lscfa]

True, but the providers are not paid on a fee-for-service basis so the reimbursement codes do not apply. Lisa has been talking out both sides of her mouth by boasting about increased fee-for-service codes for doctors and then highlighting that value based systems are increasing. This is a contradiction.  

[lscfa]

Slide 5, which is it?   CMS HAS MOVED TO VALUE-BASED PAYMENTS • Instead of paying care providers on a fee for service basis, CMS has moved to an outcome-driven model • Introduced new billing codes for Remote Patient Monitoring, Chronic Care Management, Transitional Care Management and Behavioral Health Integration

[3burtc]

Iscfa I have no idea why you're so negative but according to Lisa the company will be doing 45% EBITDA and should be at 120 million run rate in the next 18 months. And that's not all, a multiple of 74 times REVENUE! This will be a $30 stock!

[Lifeboat1]

IFSCA - It is both. For more than a decade, Medicare had paid physicians based on the number of services they provided to fee-for-service beneficiaries, whether or not those services were needed. Under MACRA, however, Medicare would assess the quality, value, and results of care physicians provided to these beneficiaries and reward the top performers while penalizing the worst.

[lscfa]

The question is rhetorical, moron. Lisa is suggesting all 200,000 patients are with clients that do fee-for-service and can benefit from expanded billing codes but at the same time she notes the trend is towards value based care (where the codes are irrelevant). Bloody co. is going to have to breakdown client revenues by fee-for-service vs other like capitation. Other transparent co.s do.  

[lscfa]

See image...

[Robot007]

I used to think that u r short seller for the company. But amount of due delegence and research done by you is really commendable. Now I m thinking you the person who don't take things lightly. I assume u r 10% of the shareholder of the company. Pls try to soften tone some times. Thanks

[Lifeboat1]

 I don't mind people posting information that may be incorrect or speculative but people who have followed the stock and post on a regular basis shouldn't be posting misinformation.  It is not that hard to google something like "Medicare Value based payments" before accusing the Company of lying or talking out of both sides of their mouth.  Which is what I did

[lscfa]

You are the scumbag posting misinformation. Stating that patients on managed care plans don't copay and not mentioning the fact that physicians on managed care plans don't collect fees-for-service is misleading. You'll do anything to pump Reliq mgmt's rosy scenario which is fiction. When Reliq blew it in 2018 Lisa used the word "naive" to describe herself and the mgmt

[Lifeboat1]

IFSCA - you are incorrect again.  Managed care organizations pay physicians a fee for service for RPM, CCM and BHI.  Here is one example from United Healthcare's site.  The physician fee schedule cited is the fee for service payments. Last update: July 19, 2021, 5:00 p.m. CT UnitedHealthcare follows Centers for Medicare & Medicaid (CMS) guidelines and

[lscfa]

deceitful pos posting an excerpt out of context. Keep reading about copays.... https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/covid19-telehealth-services/covid19-telehealth-remote-patient-monitoring.html    

[Lifeboat1]

IFSCA - The point of my post which was the topic we were debating is whether MCOs have physicians on a capitation model or not for the programs that Reliq provides services for.  Physicians are on a fee for service model as I said and is shown in the information that we both posted for RPM.   MCOs are on a capitation model with CMS.   Going back to the point I think you were

[lscfa]

Medicare Advantage pays a fixed amount each month so the patient is on a budget. Is the patient really going to approve an increase in telehealth services ($50 to $315) when it eats into this fixed budget? Not bloody likely.   Rules for Medicare Advantage Plans   Medicare pays a fixed amount for your care each month to the companies offering Medicare Advantage Plans

[Lifeboat1]

@IFSCA - Yes, MCOs will add new programs and support a range of programs that cost them money but save them money in the long run.  Lots of studies out there showing the cost savings of these programs.  Some MCOs have bought Companies like Reliq in the past to offer these programs exclusively because they want more patients.  Medicare patients choose their MCO and pay extra out of