by International Biophysics Value Proposition for DME’s and Patients International Biophysics brings to market innovative, disruptive medical devices and technologies that improve treatment therapies and patient outcomes. Centered on a precision ISO 13485 certified, FDA registered, quality controlled manufacturing facility in Austin, Texas, International Biophysics has a 25 year pedigree of successful medical product and technology launches around the globe. We discover, make and deliver science inspired medical innovation, creating custom pathways to success in multiple markets, spanning direct-from-manufacturer sales to product line and company spin-off acquisitions. 2 AffloVest: DME Value Proposition With all the reductions in reimbursement DME’s will have to struggle with in 2016, how are you going to grow your business now? Let International Biophysics help you grow by introducing you to the AffloVest and the E0483 High Frequency Chest Wall Oscillation market (HFCWO). The HFCWO market is the highest capped rental market in respiratory. Traditionally, DME’s have been blocked out of this market by other manufacturers. But now, AffloVest by International Biophysics offers an opportunity to you as well as your patients with serious lung diseases — both your patients and your business will benefit from this exciting new technology. Resources provided by International Biophysics: •Sales and Marketing support •Billing/Insurance Support •Clinical and Technological Education •Sample protocols for Accreditation, Best Practices, etc. •Full Education Support Change in reimbursement rates for 2016* E1390 E0601 E0464 AffloVest= *E0464 becomes E0466 in 2016 www.afflovest.com 3 It’s time to offer your Patients and Clinicians the AffloVest •The AffloVest is the latest in HFCWO technology •Freedom of movement without external air hoses or bulky generators •9 setting variations for individualized treatment •7 sizes available •Quiet and lightweight •Medicare, Medicaid and Private Insurance reimbursed* •Third party clinical case studies highlighting quantitative improvements** Nationwide need for effective oscillation treatment options • Estimated 10 million patient population • Improved quality of life for CF, ALS, MS, Quadriplegia and other patients • Improved treatment compliance • Soaring and costly readmission rates • Can reduce inpatient hospital time • Reductions in exacerbations may lead to less readmissions. Insurance Landscape • HCPCS Code E0483 • Currently reimbursed by Medicare, Medicaid and other private insurers* • Thousands of AffloVests already in use in the U.S. * Patients must qualify to meet eligibility requirements. ** C ooper,Michael, RT. An evidence-based study of adolescents with cystic fi brosis demonstrated that AffloVest By International Biophysics contributed to improved lung function scores. Chicago, IL. Tackett, Michelle, RRT, Henderson, Vivian, RRT. Lung function improvement with AffloVest HFCWO use: a clinician’s perspective on PFT score data from 25 patients with cystic fibrosis. Knoxville, TN. 4 AffloVest: DME Value Proposition Growth Market: Bronchiectasis • According to the American Lung Association, “In 2011, 12.7 million U.S. adults (aged 18 and over) were estimated to have COPD. However, close to 24 million U.S. adults have evidence of impaired lung function, indicating an under diagnosis of COPD.” • According to the Centers for Disease Control and Prevention (CDC) www.cdc.gov/copd/index.html “Chronic lower respiratory disease, primarily COPD, was the third leading cause of death in the United States in 2011. Fifteen million Americans report that they have been diagnosed with COPD. More than 50% of adults with low pulmonary function were not aware that they had COPD, therefore the actual number may be higher.” • Of the 15 million people with COPD, studies estimate that up to 57.6% may have Bronchiectasis, a potential U.S. patient market of 8,640,000. If identified and diagnosed (via a CT scan) with Bronchiectasis, it opens the door for these patients to become eligible for reimbursed, insurance covered Airway Clearance Treatments (ACT) such as the AffloVest. How many of your chronic lung infection patients have Bronchiectasis? www.afflovest.com 5 No loud, heavy generators or being tethered to hoses and electrical outlets No Carts COMPETITIVE COMPARISION CHART Features by International Biophysics SmartVest® Electromed, Inc. The Vest® Hill-Rom inCourage® RespirTech® Multiple Power Supply Options Yes Rechargeable Battery, AC & DC No AC Only No AC Only No AC Only Weight 5-12 Lbs depending on size (Including 8 oz. battery) 17 Lbs (Generator only) 17 Lbs (Generator only) 17 Lbs (Generator only) DC Charging Capabilities Yes No No No Air Generator Required No Yes Yes Yes Hoses Required No hoses required Yes Yes Yes Electrical Outlet Required No Yes Yes Yes Can Easily Use with Postural Drainage Techniques Yes No No No Targeting of Specific Lobe or Chest Wall Region Yes No No No External oscillation generator and hoses connected to air bladder vest External oscillation generator and hoses connected to air bladder vest External oscillation generator and hoses connected to air bladder vest No Generator Required Mode of Operation 8 Oscillation motors positioned into AffloVest creating 8 individual oscillation pressure waves Air Filter No (Air filter not required) Yes Yes Yes Warranty* Yes Yes Yes Yes Easy-Read Hand-Held Digital Programmable Controller Yes Attached to AffloVest No No No Medicare, Medicaid and Private Insurance Reimbursed** Yes Yes Yes Yes Available to all Home Medical Equipment Companies Yes No No No * The AffloVest has a limited lifetime warranty, excluding the battery & accessories which have a five (5) year warranty. The travel case has a 1 year warranty. For information on warranty coverage from other manufacturers, please contact that manufacturer for details. ** Patients must qualify to meet eligibility requirements. AffloVest vs. Hill-Rom’s the Vest™ Noise Levels in Decibels Decibels at 1 Meter (3.3 feet) 75 AffloVest Hill-Rom™ 70 65 60 45 62 45 47 48 30 15 0 AffloVest Soft Medium Intense (P2-Vibrate) 45 dB 47 dB 48 dB -––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––--––– Hill-Rom™ 5 Hz 13 Hz 20 Hz (Setting of 10) 62 dB 65 dB 70 dB 6 AffloVest: DME Value Proposition So….how many referrals for a specific piece of equipment would a DME have to process in order to equal Please contact International Biophysics for a VALUE PROPOSITION WORKSHEET that can show you how the Afflovest can help offset current losses due to competitive bidding. the reimbursement for one AffloVest? See for yourself (based on Texas Medicare reimbursement rates). HCPCS PRODUCT QTY = 1 VEST E0143 Walker, folding, wheeled 186.9 A7030 Full Face Mask 108.4 K0001 Standard Wheelchair 27.5 K0003 Lightweight Wheelchair 16.9 E0601 CPAP 16.1 E0250 Hospital Bed, fixed 14.8 E0260 Hospital Bed, semi electric 11.6 K0813 Power Wheelchair, Group 1 3.8 K0820 Power Wheelchair, Group 2 3.6 E1390 Oxygen concentrator, stationary 3.1 E0471 Respiratory Assist Device, Bi-level Pressure w/ back up 2.9 E0193 Low Air Loss Mattress 1.5 E0483 AffloVest 1 www.afflovest.com “It was liberating and made me feel very free, unconstricted by my disease.” “…this airway clearance device is medically necessary, and cannot be substituted.” “The AffloVest will offer this patient the best chance to remain healthy, to develop good habits of treatment adherence, and eventually to self-manage his secretion clearance needs without reliance upon others.” The AffloVest is designed for physician prescribed treatment of: ALS, Bronchiectasis, Cystic Fibrosis, Multiple Sclerosis, Muscular Dystrophy, Primary Ciliary Dyskinesia (PCD), Post Lung Transplant, Spinal Cord Injury. 7 AffloVest Program Information •Limited Lifetime Warranty Lifetime Warranty on Afflovest and motors and 5 year warranty on accessories, including battery. One year warranty on Travel Case •30 Day Money Back Guarantee •Inventory Exchange Program •Loaner Program •Leasing Options •Patient Size Growth Exchange Program Breathe Better. Be Free. • AffloVest is the first truly portable HFCWO • Programmable treatments • Shown to contribute to improved lung function scores* • Easy-to-do daily required treatments • Digital compliance meter *C ooper,Michael, RT. An evidence-based study of adolescents with cystic fi brosis demonstrated that AffloVest By International Biophysics contributed to improved lung function scores. Chicago, IL. Tackett, Michelle, RRT, Henderson, Vivian, RRT. Lung function improvement with AffloVest HFCWO use: a clinician’s perspective on PFT score data from 25 patients with cystic fibrosis. Knoxville, TN. International Biophysics Corporation 2101 E. St. Elmo Rd. Ste. 275 | Austin, TX 78744 | (T) 888-711-1145 | (F) 888-793-2319 | AffloVest.com | [email protected] © Copyright 2016 International Biophysics Corporation. 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