{
  "docId": "019dd923-622c-750b-8b9a-3bcd52c6e583",
  "docSlug": "f06b0b5d2079",
  "documentTitle": "Soleno Therapeutics (SLNO)",
  "authorId": "58_Scorpion_Capital",
  "authorName": "Scorpion Capital",
  "documentKindSlug": "activist-deck",
  "documentKindLabel": "Activist deck",
  "sourceTypeSlug": "short_seller",
  "sourceTypeLabel": "Short seller",
  "presentationDate": "2025-08-15 00:00:00",
  "orientation": "landscape",
  "aspectRatio": 1.3333334,
  "pageNumber": 254,
  "pageCount": 415,
  "prevPage": 253,
  "nextPage": 255,
  "slideType": "testimonial",
  "function": "illustrate_case",
  "density": "balanced",
  "nDataPoints": 0,
  "notes": "The slide uses direct quotes to frame the problem of insurance access as a deliberate strategy of 'playing chicken' by insurers.",
  "elementsJson": [
    "paragraph",
    "quote_block",
    "footnote"
  ],
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019dd923-622c-750b-8b9a-3bcd52c6e583/254",
  "deckHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583",
  "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583.json",
  "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-3bcd52c6e583#slide-254",
  "components": [
    {
      "bbox": null,
      "kind": "callout",
      "text": "Insurers \"playing chicken\" and not approving Vykat prescriptions",
      "attrs": null,
      "subkind": null,
      "toolName": "Visual emphasis",
      "toolSlug": "visual-emphasis",
      "confidence": null,
      "componentId": "019dd953-64ce-7561-b2ac-5d1bd2b89419",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.25,
        "w": 0.86,
        "x": 0.07,
        "y": 0.65
      },
      "kind": "quote",
      "text": "Insurer delays are unusually long... [Interview transcript excerpts]",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "709087fe-c629-4c28-a6bd-388404aa4b19",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.35,
        "w": 0.86,
        "x": 0.07,
        "y": 0.25
      },
      "kind": "quote",
      "text": "Insurers “playing chicken” and not approving Vykat prescriptions... [Interview transcript excerpts]",
      "attrs": null,
      "subkind": "testimonial",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "b3015297-f07e-4839-ac1b-99d39808349c",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": null,
      "kind": "quote",
      "text": "“my families who said they’ve had a prescription in their pocket for over a month and haven’t gotten any movement...they’re waiting...it’s like playing chicken...she got the prescription...maybe three days after it got approved...she still has not gotten approval....it’s taking a long time...when people are still waiting this long into it...there’s going to be an issue when it comes to getting approval.” — KOL in the PWS field; involved with Soleno’s clinical program",
      "attrs": null,
      "subkind": null,
      "toolName": "Authority citation",
      "toolSlug": "authority-citation",
      "confidence": null,
      "componentId": "019dd953-64ce-7561-b2ac-6090c636677a",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.03,
        "w": 0.3,
        "x": 0.07,
        "y": 0.95
      },
      "kind": "source-note",
      "text": "Source: Scorpion Capital consultation calls with experts",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "b9e5e0d5-8114-45e6-8428-885a2b42e425",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.86,
        "x": 0.07,
        "y": 0.07
      },
      "kind": "title",
      "text": "The KOL indicated that insurers are aggressively denying or simply ignoring Vykat prescriptions and that PWS families interested in trialing the drug have had little success",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "3bb7a771-4c25-4c04-8c0a-d9cfb166f183",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [],
  "tools": [],
  "frameworks": [
    {
      "name": "authority-citation",
      "slug": null,
      "matchId": "f53c1f3c-b254-45ed-b261-6245478e5f0f",
      "evidence": "Use of KOL (Key Opinion Leader) quotes to validate the thesis of insurance denial.",
      "confidence": 0.9
    }
  ],
  "arcBeats": [],
  "loops": [],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}