More on Portable Home Testing and Auto-CPAP
In response to a reader who emailed regarding my predictions of cpap
vs. auto-cpap useage:
I don't think that APAP will entirely replace CPAP, but its
marketshare will increase somewhat. This will be good for
Respironics/RESmed, and bad for the durable medical equipment
companies (DME's are reimbursed the same for cpap/auto-cpap machines
and therefore there is a higher profit margin on the regular cpap
machines for the DME companies). APAP will be prescribed in certain
rural areas of the country by some primary care docs. After diagnosing
a patient with portable home testing, they will tend to prescribe an
auto-cpap machine rather than refer their patients to a sleep lab for
a cpap titration. This will have little economic effect on the primary
care doc, they will do this to maintain control of the process and
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