Sleep Market Panel. Results for June 2015

Transcription

1 Sleep Market Panel Results for June 2015

2 Notes: o This is a monthly trending report of panel member data along with additional analysis by: Sleep labs affiliated with Hospitals vs. Independent Labs o Hospital - Labs affiliated with hospitals o Independent - Labs that are stand alone entities Sleep labs conducting HSTs vs. Non-HST labs o HST - Labs reported conducting at least ONE home sleep test a month o Non-HST - Labs reported conducting NO home sleep tests 2

3 Panel Member Profile, June 2015 o In June, a total of 179 labs from 39 states submitted their data (6 are new panel members) June 2015 Data Collected from 39 States 10 9 Sleep Lab Business Model Trend % 38% 4 39% 45% 47% 48% 48% 51% 48% 4 45% % 52% 55% 56% 43% 49% 47% 47% 44% 49% 55% 51% State Represented in June Not Represented Note: No representation from Alaska or Hawaii % 4% 5% 5% 4% 5% 5% 3% 2% 2% 3% 1% July Aug Sep Oct Nov Dec Jan Feb Mar April May Jun Independent/Stand Alone Affiliated with Hospital/Medical Group - Hospital Based Affiliated with Hospital/Medical Group - Managed by outside entity Affiliated with Hospital/Medical Group - Physcian Free-Standing 3 Note: Tracking of Physician Free-Standing as a type of business model began Mar 2015.

4 Number Beds per Sleep Lab Panel Member Profile, June 2015 o Lab sizes ranged from 1 18 beds, with an overall average of 5 beds and a median of 4 beds o In June, 15% of labs dispense therapeutic sleep apnea equipment to patients o The percentage of labs dispensing sleep equipment averaged 19% in the last 12 months Jul'14 - Jun' % 3 25% 2 15% 1 5% Distribution of Beds per Sleep Lab 83% of sleep labs have 6 beds Percent of Sleep Labs Dispensing Sleep Apnea Equipment 27% 27% 25% 22% 23% 19% 16% 15% 13% 13% 14% 15% 4

5 Sleep Labs Planning to Add Beds Next Month o 3% of total labs plan to add more beds to their facility in June 12% Sleep Labs Adding Beds Next Month By Business Model o The percentage of total labs planning to add beds in the next month averaged 3% in the last 12 months Jul'14 - Jun'15 1 8% 6% 4% 2% 9% 6% 4% 3% 1% 1% 2% 1% 6% 3% 2% 2% 2% 5% 4% 3% 3% 3% 2% 3% 2% 2% 1% 1% 1% 2% 6% 4% 3% 5% 3% 2% -2% Hospital Labs Inpedendent Labs All Labs 5

6 Split-Night Studies and Auto-scoring o In June, 22% of overnight tests were conducted as split-night studies o The percent of split-night studies conducted over the last 12 months Jul'14 - Jun'15 averaged 25% 4 35% 3 25% 2 15% 1 5% Overnight Tests Conducted as Split-Night Studies 28% 25% 26% 26% 27% 27% 24% 22% 23% 22% 21% 22% o In June, 18% of labs reported using Auto-scoring or Computer Assisted Scoring o The percent of labs using Autoscoring over the last 12 months Jul'14 - Jun'15 averaged 14% 4 35% 3 25% 2 15% 1 5% Percent of Sleep Labs Utilizing Auto-scoring Software 18% 18% 15% 13% 13% 13% 14% 13% 15% 13% 11% 1 6

7 # Studies per Bed # Studies per Bed Volume of In-lab Overnight Sleep Testing Per Bed 40 Distribution of # Overnight Studies per Bed o In June, labs conducted an average of 14.2 in-lab overnight tests per bed, with a range of Average tests per bed = o The number of tests conducted per bed in the last 12 months Jul'14 - Jun'15 averaged Average Monthly In-Lab Tests Per Bed

8 Home Sleep Testing (HST) o In June, 77% of labs conducted portable, at-home sleep studies Among those conducting home testing, an average of 99% at-home studies were billed to insurance per month o The percentage of sleep labs conducting home sleep tests has been increasing, averaging 73% in the last 12 months o In June, Home Sleep Testing was 14.5% of the total testing volume 9 85% 8 75% 7 65% 6 55% 5 45% % 16% 14% 12% 1 8% 6% 4% 2% Sleep Labs Conducting Home Sleep Testing 83% 8 76% 77% 72% 74% 73% 73% 7 69% 69% 65% HST as a Percentage of Total Test Volume 15% 13% 12% 12% 12% 1 1 9% % 8

9 Average Monthly Testing Volume Conducted Per Lab (In-Lab + HST): By Business Model # of Total Sleep Tests o In June, the average number of total sleep tests were: Hospital Labs: 82 Independent Labs: 92 All Labs: 87 o The number of tests conducted per lab in the last 12 months Jul'14 - Jun'15 averaged: Hospital Labs: 80 Independent Labs: 83 All Labs: Total Volume of Sleep Tests Conducted Hospital Labs vs. Independent Labs Hospital Lab Independent Lab All Sleep Labs 9

10 # of Total Sleep Tests Average Monthly Testing Volume Conducted Per Lab (In-Lab + HST): HST vs. Non-HST Labs o In June, the average number of total sleep tests were: HST Labs: 99 Non-HST Labs: 48 All Labs: 87 o The number of tests conducted per lab in the last 12 months Jul'14 - Jun'15 averaged: HST Labs: 96 Non-HST Labs: 45 All Labs: Total Volume of Sleep Tests Conducted Labs Conducting HST vs. Non- HST Labs HST Labs Non-HST Labs All Sleep Labs 10

11 # of Sleep Tests by Test Method Average Monthly Volume of In-Lab Tests vs. HSTs Conducted Per Lab o In June, the average number of sleep tests per lab by test method: In-Lab: 74 HST: Total Volume of Sleep Tests Conducted o The number of tests conducted per lab in the last 12 months Jul'14 - Jun'15averaged: HST In-Lab In-Lab: HST:

12 # of Overnight Sleep Tests Plus HST Volume of In-lab Sleep Tests Conducted Per Lab o In June, the number of sleep In-lab tests per lab: 100 Volume of In-Lab Testing Per Lab Mean: 74 Median: 58 Range: o The average number of tests conducted per lab in the last 12 months Jul'14 - Jun'15 was 72 (with a median of 73) Mean Median

13 Avg. # of Home Sleep Tests Conducted Volume of Home Sleep Testing o Among those conducting home testing in June, the number of sleep tests conducted per lab: Mean: 17 Median: 10 Range: o The average monthly number of home tests conducted per lab in the last 12 months, Jul'14 - Jun'15 was 12 Jul Volume of Home Sleep Testing Per Lab Mean Median Base: Labs conducting HST Range of Home Sleep Studies Conducted Per Lab Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun

14 Cancellations as % of Total Tests Conducted Volume of Patient Cancellations o In June, cancellations per lab averaged 10, with a range of 0-68 per lab Distribution of Cancellations as % of Total Tests Conducted 12 o Cancellations per bed averaged 1.9 with a range of 0-13 per bed o Cancellations as a percentage of studies conducted averaged 14%, with a range of Average cancellations as a percentage of studies = 14% 2 Cancellation is defined as an appointment that is dropped and not rescheduled. 14

15 PAP Device Scripting o In June, 46% of sleep studies resulted in a script for a PAP device PAP Device Scripting Split CPAP APAP Bilevel 10.9% 24.5% 64.6% 15

16 Billing o In June, 5 of sleep studies were billed to private health insurance and 33% were billed to Medicare (traditional and/or managed) Billing Split Private insurance Medicare Medicaid Out of pocket 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 2% 12% 11% 12% 15% 16% 15% 15% 15% 15% 14% 13% 15% o 39% of labs reported tracking insurance pre-authorizations % 3 31% 28% 28% 28% 29% 28% 33% 34% 35% 33% Among those labs, an 5 average of 62%of studies required pre-authorization, 4 with a range of % 58% 56% 56% 55% 56% 55% 57% 51% 51% 51% 5 2 1

17 Month-to-Month Trending o Monthly comparisons (month-to-month percent change) can only be made using data from the exact same sleep labs. o In the slides that follow, we refer to sleep labs who provided their data for 2 months in a row as repeat panel members Number of Repeat Panel Members Jun- Jul Jul- Aug Aug- Sep Sep- Oct Oct- Nov Nov- Dec Dec- Jan Jan- Feb Feb- Mar Mar- Apr Apr- May May - June

18 % Month-to-Month Change Month-to-Month Changes in Volume of In-lab Overnight Sleep Testing o For repeat panel members, the volume of in-lab sleep tests decreased 1% from May'15-Jun' Volume of In-Lab Sleep Testing Month-to-Month % Change o There was an no change in monthly testing volume over the last 12 months Jul'14 - Jun' % 6% -1 6% -4% -7% 9% -1% -6% 3% -1% Jun- Jul- Aug Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- 18

19 % Month-to-Month Change Month-to-Month Changes in Volume of Home Sleep Testing o For repeat panel members, there was a 1% increase in Home Sleep Testing from May'15-Jun' Volume of Home Sleep Testing Month-to-Month % Change o On average, there was a 1% increase in monthly testing volume over the last 12 months Jul'14 - Jun' % 6% 4% 7% 9% -3% 3% 12% -1% 1% -2-16% Jun- Jul- Aug Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- 19

20 % Month-to-Month Change Month-to-Month Changes in Volume of Patient Cancellations o o For repeat panel members, there was a 1 decrease in the number of cancellations from May'15-Jun'15 There was no change in cancellations on average in the last 12 months, Jul'14 - Jun' % 6% Volume of Patient Cancellations Month-to-Month % Change -5% 8% -2% 7% 11% -15% -2% Jun- Jul- Aug Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- 20

21 % Month-to-Month Change Month to Month Change in % of Sleep Studies Resulting in Scripts o o For repeat panel members, there was a 3% increase in the percent of sleep studies resulting in scripts from May'15- Jun'15 On average, there was a 2% increase in number of studies resulting in scripts in the last 12 months, Jul'14 - Jun' Month to Month Change in % of Sleep Studies Resulting in Scripts 1% 2% -4% 6% -8% 9% 1% 9% -1% 2% 3% -5 Jun- Jul- Aug Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- 21

22 Month-to-Month Change Month-to-Month Change in PAP Device Scripting Split o For repeat panel members, the PAP scripting changed as follows from May'15-Jun'15: CPAP increased 2% APAP decreased 1% Bi-level decreased 1% 12% 11% 1 9% 8% 7% 6% 5% 4% 3% 2% 1% -1% -2% -3% -4% -5% -6% -7% -8% -9% -1-11% -12% Month-to-Month Change in PAP Scripting Split CPAP APAP Bilevel Jun- Jul- Aug Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- 22