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  "notes": "Includes direct quotes from a transplant hepatologist at Mass General Hospital to support the thesis of perverse incentives.",
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      "text": "Perverse incentive for smaller centers desperate for volume to accept organs on TransMedics pump",
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      "text": "NOP is primarily for smaller programs “wanting to get into the game”",
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      "text": "They absolutely would take it because it represents - even if it's a wash financially, it gets your numbers up, particularly if you're not already a high-volume center.",
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      "text": "TransMedics, we believe, exploits the fact that smaller, third-tier centers are desperate for organs to get their volumes up, and are therefore willing, we think, to pay exorbitant fees and to accept organs on its pump and its aircraft.",
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      "text": "The Mass General physician detailed the do-or-die incentive that lead smaller centers to look the other way when TransMedics calls, stating the NOP is mainly for “small programs wanting to get into the game...I think exactly what they’re exploiting to increase the use of TransMedics.”",
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      "text": "He stated that centers “absolutely would take” an organ on the condition that it’s on their pump – “even if it’s a wash financially, it gets your numbers up...you will, in the eyes of your institution and of payors, take on enhanced status...for being viewed as a higher volume center...you can put yourself in a position to compete for contracts...one way of getting the good stuff, so to speak...larger numbers aided and abetted by perfusion...a really interesting calculus being practiced by...centers that want to get bigger.”",
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      "text": "“I understand the NOP service from the vantage point of early small programs wanting to get into the game, particularly when it comes to high-risk donors like DCDs. And that's, I think exactly what they're exploiting to increase the use of TransMedics.” – Transplant hepatologist at a leadership role at Harvard/Massachusetts General Hospital; key role in oversight of the liver transplant program",
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      "text": "Q: “How much of an incentive is there for a center, if they get a call from TransMedics and they say this other center didn't want it. You've got to take it, but it's already on a TransMedics device, or we're going to put it on. That's the deal.” A: “Yeah, they would take it. They absolutely would take it because it represents - even if it's a wash financially, it gets your numbers up, particularly if you're not already a high-volume center. You get your numbers up. You will, in the eyes of your institution and of payors, take on enhanced status, at least for being viewed as a higher volume center and potentially can enhance your margins accordingly. In a way, this is kind of like a loss leader where you've got to do a bunch of these perfusion-supported cases so that you can put yourself in a position to compete for contracts so that you can get even more of the conventional risk cases that don't require perfusion. In a way, it's kind of like one way of getting the good stuff, so to speak, to take on larger numbers aided and abetted and improved by perfusion It's a really interesting calculus that's being practiced by these kinds of centers that want to get bigger.” – Transplant hepatologist at a leadership role at Harvard/Massachusetts General Hospital; key role in oversight of the liver transplant program",
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      "text": "“They absolutely would take it because it represents - even if it's a wash financially, it gets your numbers up, particularly if you're not already a high-volume center. You get your numbers up. You will, in the eyes of your institution and of payors, take on enhanced status, at least for being viewed as a higher volume center and potentially can enhance your margins accordingly. In a way, this is kind of like a loss leader where you've got to do a bunch of these perfusion-supported cases so that you can put yourself in a position to compete for contracts so that you can get even more of the conventional risk cases that don't require perfusion. In a way, it's kind of like one way of getting the good stuff, so to speak, to take on larger numbers aided and abetted and improved by perfusion It's a really interesting calculus that's being practiced by these kinds of centers that want to get bigger.” — Transplant hepatologist in a leadership role at Harvard/Massachusetts General Hospital; key role in oversight of the liver transplant program",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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