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|
Parameter
|
ECHO
|
Fast-SENC Rest
|
Source
|
|---|
|
Prevalence of Asymptomatic Heart Failure
|
20%
|
20%
|
Assumption
|
|
Patients in High Risk Population to be Imaged
|
3000
|
3000
|
KOL interviews
|
|
Stage B
|
4.27%
|
3.11%
|
[42]
|
|
Stage C
|
4.55%
|
3.32%
|
[42]
|
|
Stage C+
|
4.50%
|
3.28%
|
Assumption
|
|
CMS and private payer (90% to10% ratio) reimbursement & cost for HF hospitalization
|
$14,631
|
$14,631
|
[46]
|
|
HF hospitalization cost from NIS 2015 sample
|
$7463
|
$7463
|
[47]
|
|
30 day HF rehospitalization
|
26.90%
|
26.90%
|
[43]
|
|
HF hospitalization
|
56.00%
|
N/A
|
[17]
|
|
Imaging Per Year of Identified Asymptomatic HF Patients
|
2
|
2
|
Assumption
|
|
ICD
|
48%
|
48%
|
[26]
|
|
CRT
|
20%
|
20%
|
[26]
|
|
Valve procedures
|
4.5%
|
4.5%
|
[37]
|
|
Ablation procedures from tachycardia-induced cardiomyopathies
|
0.79%
|
0.79%
|
[48]
|
|
Revascularizations for infarcted patients (previous MI)
|
4.7%
|
4.7%
|
[38]
|
|
Total cost of ownership:
|
|
Acquisition cost (one time)
|
N/A
|
$40,000
|
MSI
|
|
Maintenance cost (annual)
| |
$10,000
|
MSI
|
|
Assumed medical equipment lifetime (years)
|
10
|
10
|
Assumption
|
|
Cost per Test
|
N/A
|
$4.67
|
Calculation
|
|
Imaging Modality Parameters:
|
|
Time Occupying Machine (min)
|
30
|
12
|
Hospital procedural guidelines
|
|
Imaging Facility Cost Per Hour (Including Overhead, Wages, Bills, etc.)
|
$200
|
$320
|
Market research outcomes
|
|
Test Inventory (Per Test)
|
$0
|
$150
|
MSI
|
|
Cost of Contrast
|
$34
|
$0
|
CMS Fee Schedule 2017
|
|
Physician Reading Fee
|
$50
|
$0
|
Assumption
|
|
Reimbursement Parameters:
|
|
Test Reimbursement
|
$231
|
$324
|
2017 Medicare fee schedule
|
|
Contrast Reimbursement
|
$34
|
$0
|
CMS 2017
|
-
Note: MSI = Myocardial Solutions Inc
