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Squeeze Play

by Joe Groden

In most areas of the country, there is still opportunity for a savvy provider to capture a lucrative niche in compression hosiery products.

Aviable compression stocking business can be developed in many ways. For example, you could rely solely on the nonprescription fashion product. Generally, the measurements to determine the proper fit are simple to do, and marketing can be developed just to grow this business. The next level of product diversity is compression stockings that require a prescription and, in some cases, more detailed measurements.

The most complete business model would include custom-fit products. Not only are these products provided for customers who do not fit into standard, ready-made products, but they also can include zippers (and other modifications) to make the stockings easier to put on.

In most areas, there are few companies providing this level of products and services. HME suppliers offering complete services can be viewed by both patients and referral sources as providing much more than the competition. Offering the most complete level of products does require a bigger investment in time for training, but the benefits can be financially rewarding.

Marketing Matters
Not only can the wide variety of compression stockings be promoted to the public, but a number of referral sources  can be marketed to as well. The level of products carried will determine where and how the products will be promoted.

If the product level is primarily nonprescription stockings, concentrate the majority of marketing on reaching the customer directly. This can include newspaper and TV advertising, direct mail offers, and even statement stuffers. The manufacturers should be able to provide advertising materials as well as some financial support for these efforts.

Notifying referral sources can be of some value, but that should not be a major concentration. The referral sources that are most likely to be interested are OB/GYNs, general practitioners, and internists.  

Companies that provide nonprescription as well as prescription products should still do some consumer marketing; however, a greater concentration should be on marketing to referral sources. In addition to the internal medicine, OB/GYN, and general practitioner offices, an important referral source will be vascular surgeons. They will be especially interested if your company is also able to provide custom-made products. Indeed, vascular surgeons will still be interested even if you don’t offer custom products.

For customers who will be wearing stockings throughout their life, there is a special opportunity for repeat business because compression stockings lose effectiveness after 3 to 6 months. Maintain a database with the dates the products were purchased, so that replacement reminders can be sent out. This mailing also can include an offer for a free wash solution when stockings are reordered, or even a discount on the reorders.

Lymphedema-related Opportunities
HMEs can increase revenue by providing products used for treatment of lymphedema, including pumps, bandages, and compression garments. Compression products include arm sleeves, gloves, and other body garments.

Again, there will be training required for the staff; however, this is not difficult, especially if a company is providing stockings, as much of the training is similar.

Many referral sources for compression stockings also can be referral sources for lymphedema products. In many cities, there are specialists and lymphedema treatment centers.

While Medicare does not cover these products, Medicaid covers compression stockings in some states. HMOs and managed care organizations reimburse for these products in some cases. The majority of this business, however, is cash, check, and credit card. As such, these products can be a great source of revenue and profit with the proper marketing.

Joe Groden is president of JG Consulting, Penfield, NY. He provides consulting services in business management, customer service, product selection, and marketing. He can be reached via e-mail: jgroden@jgconsults.com.

What Is Lymphedema?
The lymph system works together with the blood system to transport fluid and protein out of body tissues. When this does not work properly, edema and swelling are caused by the damaged lymph system. One in 6,000 people develops primary or inherited lymphedema. More often, lymphedema is due to disease or trauma. The main causes are:

• breast cancer surgery and other gynecological   surgeries;
• radiation therapy;
• prostate surgery; and
• colorectal, bladder, pancreatic, liver, or melanoma cancers.

Why Compression Stockings?
Compression stockings are used for patients with venous insufficiency when the veins lack the ability to circulate the blood. They are also used for patients with edema in the legs and leg ulcers caused by poor circulation. One in 15 Americans has venous disease that can be treated with compression hosiery.

These types of hosiery are not just elastic stockings, but have a graduated compression—stronger at the ankles and slightly less compression going up the leg. This provides an effective system to assist circulation up the leg. Note: These products are not indicated for impaired arterial circulation.

In addition to use for venous insufficiency and leg ulcers, stockings are used for varicose veins, during pregnancy, and for those who have to stand for long periods of time. There is even business in providing athletic compression hosiery.

Compression stockings are recommended for wear during long air flights. They are also used to reduce the risk of deep vein thrombosis. Finally, patients who are in bed most of the time may need them.

These stockings are available in four levels of compression. The higher compression levels are available on prescription only, and the lower levels can be provided without a prescription. The latter are known as “fashion hosiery” and are available for both men and women. These types of stockings can be sold to anyone—particularly for people on their feet for long periods of time (factory workers, retail salespeople, airline attendants, auto mechanics, nurses, and home health aides).

There are ready-made sizes available that are fitted through some simple measurements. For those who cannot fit in these ready-made sizes, there are custom products with more detailed measurements. Manufacturers provide schools and certification for both types of products.

Compression hosiery is available in three sizes: below the knee (calf), above knee (thigh length), and panty hose. A variety of materials are available—many  look like regular stockings and come in  a number of fashion colors. In addition, there are stockings manufactured specifically for patients with diabetes, and also many complementary products. Selling sock aids, gloves, silk liners, stocking washes, and products to prevent slippage can bring in even more business.

Cornerstone HME Debuts Seminar
Consultants Vince Crew, Joe Groden, Andrea Stark, and Bob Thornburg have joined forces to create Cornerstone HME Advisors. On Oct 20, 2006, from 7:30 AM - 4:00 PM, Cornerstone will host the first in a series of 1-day conferences called HME Success Day—Gaining the Edge in Competitive Times—designed to help companies compete in today’s changing climate. The event will be at the Philadelphia Airport Ramada.  

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