April 29, 2002
-- CARDIOBEAT POISED TO REVOLUTIONIZE HEMODYNAMIC MONITORING
Cardiobeat is an early stage company with a revolutionary
impedance cardiography system for non-invasive measurement of
hemodynamic (blood flow) parameters. Impedance cardiography holds
great promise for disease management of patients with congestive
heart failure, hypertension (high blood pressure), and other
THE CLINICAL OPPORTUNITY
There is a need for better tools to diagnose and manage heart
disease. In the US alone, there are 5 million patients with CHF and
over 50 million patients with hypertension.
Modern medications are complex and
highly effective for treating CHF and hypertension. These
medications alter key hemodynamic parameters:
Cardiac output (blood
pumped in a beat of the heart)
(effort required by the heart to move blood through the vessels)
Fluid content (volume
of fluids in the body)
Until recently, clinicians have been
"flying blind" on their patients' status for these key hemodynamic
parameters. For example, when prescribing ACE inhibitors or
beta-blockers, physicians rely on ECG and blood pressure, neither of
which provides insight into the hemodynamics impacted by these
Prior to development of impedance
cardiography, there has been no practical way to measure changes in
these hemodynamic parameters. The sickest of patients often undergo
right heart catheterization (RHC) -- an insertion of a catheter into
the heart. However, RHC is invasive, risky, and expensive.
here for an observational study.
here for an editorial.
Over 50 clinical studies have
demonstrated the effectiveness of impedance cardiography to monitor
and manage heart disease. Medicare and most other insurers now
reimburse providers for performing impedance cardiography tests.
THE BUSINESS OPPORTUNITY
The US market opportunity is huge and is primed for rapid growth.
Gruntal & Co., an investment research company, estimated the
potential US market for hemodynamic heart monitoring at $5 billion
CardioDynamics (CDIC) is the only
publicly traded company manufacturing an impedance cardiography
device. CardioDynamics has a market capitalization of $150 million
and is publicly traded at approximately 9 time's sales. Yet, the
company has achieved less than 1.0% penetration of the US market,
suggesting tremendous untapped potential.
What's new, different, and better
about Cardiobeat's system and business model?
Hemodynamics" -- an easy-to-use, simplified reporting format
Focus on family
physicians and internists -- making the technology affordable,
understandable, and available
Safe monitoring at low
history for long term disease management
CARDIOBEAT SEEKS INVESTORS AND
Cardiobeat is seeking $3 million investor funding to:
Complete FDA approval
enhancements for broader market deployment
Achieve initial market
penetration in specific US market segments
Expand and further the
intellectual property portfolio
Cardiobeat is developing partnerships
with a wide range of organizations, including pharmaceutical,
medical monitoring, medical device, and disease management
For more information about investment
or partnership opportunities with Cardiobeat, call or write
George McBride, President, at
DISEASE MANAGEMENT CONTRACTING & PARTNERSHIPS
A Must-Attend Networking Event!
DISEASE MANAGEMENT CONTRACTING &
May 23-24, 2002 -- Omni Parker House -- Boston, Massachusetts
A two-day event focusing on
optimizing disease management clinical and economic outcomes through
strategic partnerships and alliances. The Original Symposium that
unites health plans, employers, providers, unions and state Medicaid
Featuring, hands-on case studies of
best practice industry achievements.
REGISTER NOW for 25% DISCOUNT! Contact
Maria Cianflone Phone:
312.780.0700 ext.175 or
"If Doctors Prescribe Information, Will Patients Pay or Surf Web?"
Wall Street Journal; April 25, 2002
Healthwise is making a strong case for reimbursement of information
therapy for patients.
ESTIMATES EIGHT MILLION AMERICAN FAMILIES EXPERIENCED A SERIOUS
MEDICAL OR DRUG ERROR
"Room for Improvement: Patients
Report On the Quality of Their Health Care"
The Commonwealth Fund, April 2002
Click to read the
Press release or
Some of the headlines:
Medical errors may be
more widespread than previously reported
Preventive and chronic
care are lacking
Many physicians are
not meeting patient expectations
WHAT WENT WRONG
WITH THE FIRST GENERATION OF E-HEALTH COMPANIES?
"The Rise and
Fall of E-Health: Lessons From the First Generation of Internet
Medscape TechMed eJournal[TM], April 2002
(Medscape registration required to view article)
This article summarizes the stories
of eight publicly traded e-health companies: Drugstore.com,
PlanetRx.com, DrKoop.com, HealthGrades.com, Mediconsult,
MDConsultCybear, Neoforma, and WebMD. The authors isolate four
fundamental factors that can serve as a checklist for gauging
potential success of future e-health ventures:
1) A compelling value
2) An unambiguous revenue model
3) Competitive barriers to entry
4) Organizational structure for cost control
THREE NEW NCCC
REPORTS TARGET REGULATORY REFORM ON CHRONIC ILLNESS CARE
1) "A Guide to Regulatory Reform for
People with Chronic Conditions"
2) "An Issue Brief on Regulatory Reform for People with Chronic
Conditions: Patient Assessment and Care Planning for the Chronically
3) "An Issue Brief on Regulatory Reform for People with Chronic
Conditions: Physician Reimbursement Issues"
Prepared by Health Policy
Alternatives, Inc. in collaboration with The National Chronic Care
Consortium (NCCC), March 2002
FOR A MEDICARE COORDINATED CARE BENEFIT
Third At Risk: Creating A Blueprint For A Coordinated Care Benefit
And Services In The Traditional Medicare Program"
Center for Medicare Advocacy; March 22, 2002
The Center for Medicare Advocacy, Inc., supported by the
Commonwealth Fund, recently convened a group of experts for a
conference in Washington DC. Attendees developed a list of 28
recommendations for a Medicare coordinated care benefit.
DIRECTOR CANDIDLY DESCRIBES NEW STRATEGY
"He Wants AdvancePCS to Manage More Than Drugs. The CMO of the
nation's largest pharmacy benefits manager says that the company's
mission has broadened. One new area of focus: worker productivity."
Managed Care, March 2002
This revealing interview is with Alan T. Wright, MD, MPH, Senior
Vice President of AdvancePCS. He highlights several of AdvancePCS'
Redefining itself as a
health improvement company....less a question of keeping people
out of hospitals than keeping them at their desks.
Starting Centers for
Health Improvement, covering work and health; health and aging;
women's health; school and health, and others.
American Productivity Audit.
attention to physician networks.
BMJ ASKS AND
ANSWERS: "WHAT'S NOT A DISEASE"
"In search of 'non-disease'"
British Medical Journal; April 13, 2002
Richard Smith, editor of the British Medical Journal, describes a
vote on bmj.com to identify the "top 10 non-diseases". He notes that
while some critics thought it was an absurd exercise, the primary
aim was to illustrate the slipperiness of the notion of disease. The
BMJ's list of non-diseases eventually totaled over 200!
Having a condition labeled as a
disease may bring benefits, including sympathy, exemption from
commitments, sick pay, free prescriptions, insurance payments, and
access to facilities.
The diagnosis of a disease may also
create many problems -- you may be denied insurance, a mortgage,
Top 20 non-diseases (voted on bmj.com
||12) Allergy to the
||13) Jet lag
|4) Bags under eyes
||17) Anxiety about
penis size/penis envy
|8) Big ears
|9) Grey or white
||19) Road rage
WHAT DO DOCTORS
THINK ABOUT PATIENTS USING THE INTERNET?
"Survey of Doctors'
Experience of Patients Using the Internet"
Journal of Medical Internet Research, April 2002
Conclusions: These doctors reported patient benefits from Internet
use much more often than harms, but there were more problems than
benefits for the doctors themselves. Reported estimates of patient
Internet usage rates were low. Overall, this survey suggests that
patients are deriving considerable benefits from using the Internet
and that some of the claimed risks seem to have been exaggerated.
MCOs IMPROVE CARE
FOR HIGH-RISK SENIORS
"Constrained Innovation in Managing Care for High-Risk Seniors in
Medicare+Choice Risk Plans"
Mathematica Policy Research, available April 2002
This case study of four well-regarded managed care organizations
found that they made numerous innovations to improve care delivery
for elderly Medicare beneficiaries with chronic illnesses and
1) Screening to identify high-risk
2) Care management and disease management
3) Network credentialing
4) Occasional provision of off-policy benefits
5) Better coordination in the delivery of inpatient, subacute, and
home health services.
ADVANCES IN THE
ART AND SCIENCE OF HERDING CATS
Models for Improving the Quality of Care"
Bailit Health Purchasing, LLC for the National Health Care
Purchasing Institute, March 2002
This monograph examines 11 models of physician incentives, both
financial and non financial.
1) Quality Bonuses
2) Compensation at Risk
3) Performance Fee Schedules
4) Quality Grants
5) Reimbursement for Care Planning
6) Variable Cost Sharing for Patients
7) Performance Profiling
8) Publicizing Performance
9) Technical Assistance for Quality Improvement
10) Practice Sanctions
11) Reducing Administrative Requirements
WILLING TO PAY FOR ONLINE COMMUNICATION WITH THEIR PHYSICIANS
"Patient/Physician Online Communication: Many patients want it,
would pay for it, and it would influence their choice of doctors and
Harris Interactive; April 10, 2002
"Disease Management Could Cut Medicare Cost -- Experts"
Reuters.com; April 17, 2002
"A Diabetes Report Card for the United States: Quality of Care in
Annals of Internal Medicine; April 16, 2002
"The Factors Fueling Rising Healthcare Costs"
PriceWaterhouseCoopers for the American Association of Health Plans,
"Renewed Emphasis On Consumer Cost Sharing In Health Insurance
Health Affairs web exclusive; March 20, 2002
"Web-based plan not as popular as Highmark hoped"
Pittsburgh Business Times; April 5, 2002
Disclosure -- Cardiobeat is a client
of Better Health Technologies, LLC.
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