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  "documentTitle": "Hims & Hers Health, Inc. (HIMS)",
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  "authorName": "Spruce Point Capital Management",
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  "presentationDate": "2023-07-13 00:00:00",
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      "text": "How is this type of communication appropriate? Don't they work for “Bailey Health”, not HIMS?",
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      "text": "The original protocols for doctors who treat patients through Hims' platform recommended that the doctors avoid treating individuals with certain health conditions... That was no longer the case under the new protocols. The doctors work for Bailey Health, the independent medical partner of Hims. But to the secret-group-chat participants, the distinction didn't make much of a difference. The participants were especially concerned about whether Hims was pressuring doctors to write more prescriptions in a more lenient way. One doctor who works at Bailey Health and was included in the secret group messages acknowledged some pressure to write more prescriptions but said it comes as more of a suggestion. In late December, a clinician set up a poll about this subject on Bailey Health's internal Slack messaging system. The survey asked whether the new guidelines for erectile dysfunction patients were clear, and appeared to be open to all Bailey Health clinicians. None of the employees who participated said yes. Five said \"no, they're not\" clear and 10 said \"it has made patient care deteriorate considerably in the past several months.\"",
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      "text": "According to a Business Insider investigation, in July 2018, less than a month after the June closing of its first large institutional financing (a $50 million series B led by IVP), HIMS changed the prescribing guidelines for sildenafil (generic Viagra) to make it available to more patients, which numerous physicians found objectionable. We note that even if the episode represents a legitimate policy change, BI's reporting clearly shows HIMS' exerting direct influence over prescription writing policies.",
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      "text": "In an email sent to Bailey Health staff late last year, Baird reminded them that \"our advisors\" had said that six-month and 12-month prescriptions were allowed. \"I am not, in any way, critiquing or suggesting the longer duration prescriptions, but about 6 months ago we were around 25% 6 month prescriptions and now we are almost 0,\" she wrote. \"That makes me think that perhaps some newer docs either aren't aware of the advisory board's suggestion or people have just fallen into habit -- as can happen when you are seeing a bazillion patients :)\"",
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      "text": "“The original protocols for doctors who treat patients through Hims' platform recommended that the doctors avoid treating individuals with certain health conditions... That was no longer the case under the new protocols.” — Business Insider. “The participants were especially concerned about whether Hims was pressuring doctors to write more prescriptions in a more lenient way.” — Business Insider. “I am not, in any way, critiquing or suggesting the longer duration prescriptions, but about 6 months ago we were around 25% 6 month prescriptions and now we are almost 0,” — HIMS COO Baird.",
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      "text": "Source: Spruce Point Research, Business Insider, Crunchbase",
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      "kind": "title",
      "text": "HIMS' Past Efforts To Drive Prescription Volumes May Be A CPoM Violation",
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      "kind": "title",
      "text": "Regardless of Whether the Physician Reaction Was Warranted, HIMS COO Baird Directly Emailing Prescription Duration Guidance To Physicians Seems to be a Clear Violation",
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      "text": "Excerpts From Business Insider Investigation Into HIMS' Practices Suggest Direct Influence Over Medical Practice",
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