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19 October 2015 at 12:24 pm #2479
It appears to me that we could use a tent hospital setup for our overseas guests for accommodation as the seek tx .
Anyone have a property that could accommodate this kind of arrangement. I am happy to kick in some funds for tents.
Any other takers ideas ?
I’m off to bed now back in about 15 hrs.
cheers
Gen 3a Started Sof Dac 16/10/15
V/L 20 Mill +
Hep C pos approx. 27 yrsNon responder 2011 BMS (dac) Peg Rib
19 October 2015 at 6:26 pm #2490are you kidding? tents?
soon you’ll probably need to reserve your most luxurious hotels to accommodate the US med tourists paid by their insurer, according to research done in the US :http://www.ispor.org/research_pdfs/49/pdffiles/PIH42.pdf
WOULD YOU LIKE AN ALL-INCLUSIVE LUXURY HOLIDAY WITH FIRST CLASS FLIGHTS TO EGYPT WITH YOUR SOVALDI PRESCRIPTION – innovative cost-saving solution for US tax payers.
INTRODUCTION
Gilead implemented a tiered global pricing strategy for SOVALDI (sofosbuvir where the price reflects a country’s ability to pay; a 12- week treatment course in the US costs $84,000 versus $840 in India, Egypt and Brazil.
SOVALDI has generated some strong payer outcry as its price combined with the large patient population (Hepatitis C) results in a substantial budget impact.METHODS
This research aimed to evaluate how it could be money-saving for US insurers to reimburse patients for luxury holidays to Egypt where SOVALDI is available at a 99% discount.
On the 26th November 2014, prices were sourced for the Fairmont Cairo 5-star hotel alongside first-class flights on Emirates airline for trips at the following weekend (Friday 28th to Sunday 30th November) reflecting the potential need for prompt commencement of treatment following diagnosis.RESULTS
The most expensive suite at the Fairmont Cairo was the 233m2 “Diplomatic Suite King,” overlooking the Nile at $10,000 a night for 2 people.
First-class flights for 2 persons leaving on the 28th November and returning on the 30th would cost $42,754.Therefore, US insurers could afford to send hepatitis C patients along with a friend/partner on a luxury weekend break to the most expensive suite in a 5-star hotel in Cairo to collect their SOVALDI prescription for a total of $63,594.
This means that insurers could give the patient an additional $10,000 in spending money and still make cost-savings exceeding $10,000, as compared to having SOVALDI dispensed in the US.CONCLUSIONS
The availability of high-cost therapeutics in other countries at a fraction of the price that it costs in the US, offers opportunities for US payers to save costs whilst simultaneously offering quality-of-life improving vacations for patients.
Geno 3, Fibro 8.7 pKA, tx experinced in 2005 – Peg/Riba, relapsed.
Started tx 1/12/2015 with Indian Sofo & Chinese Dac.
5 weeks result all normal, ALT 18 – down from ALT 73 at the start of tx.
5 weeks HCV PCR RNA – UND. – down from 2 ML
9 weeks HCV PCR RNA – UND.21 October 2015 at 2:10 am #2571The Diplomatic Suite would be my first preference too
You see I had visions of 1000’s of people on a budget from the US rocking up to Hobart and facing a shortage of accommodation.
I had also taken a stillnox and was about to go to bed and obviously hadn’t thought it through either.
Gen 3a Started Sof Dac 16/10/15
V/L 20 Mill +
Hep C pos approx. 27 yrsNon responder 2011 BMS (dac) Peg Rib
21 October 2015 at 9:12 pm #2603LOL!
Jolie wrote:are you kidding? tents?
soon you’ll probably need to reserve your most luxurious hotels to accommodate the US med tourists paid by their insurer, according to research done in the US :http://www.ispor.org/research_pdfs/49/pdffiles/PIH42.pdf
WOULD YOU LIKE AN ALL-INCLUSIVE LUXURY HOLIDAY WITH FIRST CLASS FLIGHTS TO EGYPT WITH YOUR SOVALDI PRESCRIPTION – innovative cost-saving solution for US tax payers.
INTRODUCTION
Gilead implemented a tiered global pricing strategy for SOVALDI (sofosbuvir where the price reflects a country’s ability to pay; a 12- week treatment course in the US costs $84,000 versus $840 in India, Egypt and Brazil.
SOVALDI has generated some strong payer outcry as its price combined with the large patient population (Hepatitis C) results in a substantial budget impact.METHODS
This research aimed to evaluate how it could be money-saving for US insurers to reimburse patients for luxury holidays to Egypt where SOVALDI is available at a 99% discount.
On the 26th November 2014, prices were sourced for the Fairmont Cairo 5-star hotel alongside first-class flights on Emirates airline for trips at the following weekend (Friday 28th to Sunday 30th November) reflecting the potential need for prompt commencement of treatment following diagnosis.RESULTS
The most expensive suite at the Fairmont Cairo was the 233m2 “Diplomatic Suite King,” overlooking the Nile at $10,000 a night for 2 people.
First-class flights for 2 persons leaving on the 28th November and returning on the 30th would cost $42,754.Therefore, US insurers could afford to send hepatitis C patients along with a friend/partner on a luxury weekend break to the most expensive suite in a 5-star hotel in Cairo to collect their SOVALDI prescription for a total of $63,594.
This means that insurers could give the patient an additional $10,000 in spending money and still make cost-savings exceeding $10,000, as compared to having SOVALDI dispensed in the US.CONCLUSIONS
The availability of high-cost therapeutics in other countries at a fraction of the price that it costs in the US, offers opportunities for US payers to save costs whilst simultaneously offering quality-of-life improving vacations for patients.21 October 2015 at 10:18 pm #2604Tents ….Spiders ….. hmy:
GT1a Dec14 F2/8.7 VL 900000-2.5M
Jan16 Hepcivir-L MonkMed/Redemption
Baseline: VL 913575 Alt 76 Platelets low
Wk2 VL1157 Alt 23
DET Wk 8 VL 32 Alt19 ‘In the slow lane’
June16 Fibro 5.7 F0/1 LIF 1.5
Wk 11 VL<12 Alt 13 Det/Unq
Extending tx 12 wks Mylan Sofo/Dac MonkMed
Wk 14 VL <12 Det/Unq
Wk 16 VL UNDETECTED
Wk 22 + 4 Wks Sunprevir FixHepC
Wk 24 UNDETECTED Alt 13
Wk 12 post tx SVR12 Wk 26 SVR24
Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC21 October 2015 at 11:03 pm #2606LondonGirl wrote:Tents ….Spiders ….. hmy:
Don’t forget the deadly Snakes Devils and Dropbears.
Gen 3a Started Sof Dac 16/10/15
V/L 20 Mill +
Hep C pos approx. 27 yrsNon responder 2011 BMS (dac) Peg Rib
22 October 2015 at 1:14 am #2607hmy:
GT1a Dec14 F2/8.7 VL 900000-2.5M
Jan16 Hepcivir-L MonkMed/Redemption
Baseline: VL 913575 Alt 76 Platelets low
Wk2 VL1157 Alt 23
DET Wk 8 VL 32 Alt19 ‘In the slow lane’
June16 Fibro 5.7 F0/1 LIF 1.5
Wk 11 VL<12 Alt 13 Det/Unq
Extending tx 12 wks Mylan Sofo/Dac MonkMed
Wk 14 VL <12 Det/Unq
Wk 16 VL UNDETECTED
Wk 22 + 4 Wks Sunprevir FixHepC
Wk 24 UNDETECTED Alt 13
Wk 12 post tx SVR12 Wk 26 SVR24
Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC -
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