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Why Do ASCs Fail? - August 2015 - Subscribe to Outpatient Surgery Magazine

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each quarter went on. One problem, though, was that the collections cycle for DiscoCare was much longer than that of a typical medical device distributor that sold to ASCs and hospitals. It often took several months or more than a year for PI cases to settle, and DiscoCare didn't get paid (nor did the surgeons and other healthcare providers) until cases settled. The good news was that a very high percentage of cases settled — and at a high price. The bad news was that DiscoCare had plenty of product on hand to meet its needs. Nevertheless, ArthroCare needed to meet Wall Street expectations, so we devised a plan where DiscoCare would place addition- al orders at the end of each quar- ter in exchange for exclusive distributorships in additional states. They were reluctant, but they relented. The orders shipped and the revenue was recognized. As the year wore on, I was more and more exhausted. The number of DiscoCare cases completed and the amount DiscoCare collected for SpineWand sales was increasing each quarter. DiscoCare was also having modest success getting private insurance and workers' com- pensation cases approved and completed. Expand the DiscoCare model 6 7 A U G U S T 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T z PATHOLOGICAL PEOPLE-PLEASER David Applegate, seen here in a photo taken about 20 years ago, says he always had an intense desire to be liked, to fit in and to please people, traits that left him vulnera- ble to participate in the illegal channel-stuffing scheme. Lue Baty

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