{ "docId": "019dd923-622c-750b-8b9a-2a2468219173", "docSlug": "ce565b841c40", "documentTitle": "Nevro Corp. (NVRO)", "authorId": "58_Scorpion_Capital", "authorName": "Kir Kahlon", "documentKindSlug": "activist-deck", "documentKindLabel": "Activist deck", "sourceTypeSlug": "short_seller", "sourceTypeLabel": "Short seller", "presentationDate": "2021-01-07 00:00:00", "orientation": "landscape", "aspectRatio": 1.3333334, "pageNumber": 239, "pageCount": 239, "prevPage": 238, "nextPage": null, "slideType": "testimonial", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a direct quote from a KOL to support the thesis that Nevro reps are overstepping their professional boundaries.", "elementsJson": [ "headline_text", "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-2a2468219173/239", "deckHref": "/decks/019dd923-622c-750b-8b9a-2a2468219173", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-2a2468219173.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-2a2468219173#slide-239", "components": [ { "bbox": null, "kind": "callout", "text": "The rep is kind of an extension of your practice.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-3f3d-76db-b34b-f5468c6180a6", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.88, "x": 0.06, "y": 0.14 }, "kind": "paragraph", "text": "We conclude this section with comments by another KOL, one of Nevro's highest volume accounts, who also expressed his discomfort with reps engaging in the practice of medicine, stating that \"the rep is kind of an extension of your practice.\" Aside from the obvious reasons why handing off patient care to reps without medical qualifications is indicative of a questionable business model, he outlined the dangers from reps caring more about their commissions than their patients, such as lying to doctors about how patients are actually doing and feeding \"misinformation.\"", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "d6460431-4200-4301-ab4f-b64ba6d7aa07", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.35, "w": 0.88, "x": 0.06, "y": 0.38 }, "kind": "quote", "text": "Question: \"Do you have any concern about reps engaging in the practice of medicine?\" \"I do and I always debate with myself about whether I should even have the rep in the room when a patient discussion is going on. It is a valid concern. The rep is kind of an extension of your practice. I've seen some really egregious things where the feedback is really negative about what the rep did in terms of steering a patient that was unsure and pushing them towards implant. The reps will certainly try to be there every time because that's their opportunity to steer the conversation. My concern is that they're potentially doing things that I don't like, on the phone with he patient. Sometimes practices don't have a bandwidth to engage with their patient every day for a week. The rep gives text message updates saying \"Hey Mr. Jones is going great\" and then you call Mr. Jones and he's like \"Oh no I am doing terrible. I don't like this\". Sometimes the doc is not really paying attention. They start to get misinformation.\" – KOL and high volume Nevro implanter", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "d863518d-0c4d-4fd5-9c9f-3713d3ecc33d", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "I do and I always debate with myself about whether I should even have the rep in the room when a patient discussion is going on. It is a valid concern. The rep is kind of an extension of your practice. I've seen some really egregious things where the feedback is really negative about what the rep did in terms of steering a patient that was unsure and pushing them towards implant. The reps will certainly try to be there every time because that's their opportunity to steer the conversation. My concern is that they're potentially doing things that I don't like, on the phone with he patient. Sometimes practices don't have a bandwidth to engage with their patient every day for a week. The rep gives text message updates saying \"Hey Mr. Jones is going great\" and then you call Mr. Jones and he's like \"Oh no I am doing terrible. I don't like this\". Sometimes the doc is not really paying attention. They start to get misinformation. — KOL and high volume Nevro implanter", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-3f3d-76db-b34b-f83b512dc865", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.2, "x": 0.06, "y": 0.96 }, "kind": "source-note", "text": "Source: Consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "0c81e6a8-a134-4171-9baa-89b750d30709", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.88, "x": 0.06, "y": 0.1 }, "kind": "title", "text": "19. Nevro's business model is predicated on employees engaging in the unauthorized practice of medicine", "attrs": null, "subkind": "action-title", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "b0d5c8b1-54fa-436a-a1a0-c5e7f54e08d5", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.35, "x": 0.06, "y": 0.04 }, "kind": "title", "text": "Scorpion Capital | Nevro (NYSE: NVRO)", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "6ce2485b-64ab-4319-bcc8-d2926b1cab79", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "ceo-quote-contradiction", "slug": null, "matchId": "83e1afb7-083a-4045-8f91-4601143c383b", "evidence": "Uses a KOL quote to contradict the company's business model legitimacy.", "confidence": 0.9 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }