From ee2d6b03084557891be8a99cc21f49777d8a2d47 Mon Sep 17 00:00:00 2001 From: Kisa Date: Tue, 9 Jun 2026 07:12:00 -0400 Subject: [PATCH] Add pharmacy vs DME adherence stats and regulatory handicap framing to Brand Vault spec MIME-Version: 1.0 Content-Type: text/plain; charset=UTF-8 Content-Transfer-Encoding: 8bit DME wins on patient outcomes despite heavier Part B documentation burden vs pharmacy Part D. Signal removes the handicap — the pitch framing belongs in the Brand Vault. Co-Authored-By: Claude Sonnet 4.6 --- .../specs/2026-06-08-paste-mcp-ambient-layer-design.md | 3 +++ 1 file changed, 3 insertions(+) diff --git a/docs/superpowers/specs/2026-06-08-paste-mcp-ambient-layer-design.md b/docs/superpowers/specs/2026-06-08-paste-mcp-ambient-layer-design.md index a40b2c8..b24d754 100644 --- a/docs/superpowers/specs/2026-06-08-paste-mcp-ambient-layer-design.md +++ b/docs/superpowers/specs/2026-06-08-paste-mcp-ambient-layer-design.md @@ -71,6 +71,9 @@ Paste holds the hot layer. It does not replace any deep storage system. - Pricing tiers: Worklist $149-199, Connected $349-499, Intelligence $699-999+usage - Pitch anchor: "$400-500M/yr spent documenting the problem Signal solves; Worklist costs $1,788/yr" - CMS PA exemption: ≥90% affirmation rate = PA exemption, June 1 2026 first cycle +- Pharmacy vs DME adherence (PMC11301113, 2,356 matched adults): 6mo DME 65% vs pharmacy 52%; 9mo DME 61% vs pharmacy 49%; 12mo DME 58.8% vs pharmacy 48% — pitch framing: "nearly half of pharmacy patients have lapsed by month 9" +- Medicare DME vs pharmacy (separate study): 78% vs 64% at 12 months; total annual costs 35% lower for DME ($6,967 vs $10,635) +- CRITICAL PITCH CONTEXT: Pharmacies carry significantly reduced documentation requirements vs DME (Part D prescription vs Part B CMN/PECOS/qualifying visit/PA). The DME adherence advantage is achieved DESPITE the regulatory handicap. Signal removes that handicap — protecting and extending an advantage the channel already earned. Never cite the adherence stats without this framing in a supplier or VC pitch. - Brand sign-off block: "Signal. / Powered by STTIL Solutions" **How it stays current:**