Will McGuire
Analyst · Atlas Consulting. Please proceed with your question.
Hi. This is Will, I’ll take that. Yes. I mean, yes, to answer your question, yes, we expect continued momentum in the U.S. And although we are not giving guidance, I do expect that the U.S. would be up sequentially in Q2, or North America should I say, up sequentially in Q2 versus Q1. And there is a host of reasons but maybe five or six points I would make that give me optimism for what’s happening in the U.S. and for North America. One, of course that we will have some visibility into the second quarter and as was in the -- maybe in the press release or in the prepared remarks, we expect another strong quarter in Q2. But we are going to continue our aggressive patient outreach programs and over time we are going to see this patient data base that’s been referenced, we are going to see that continue to grow and to be a richer data base with more prospective patients in it. We have seen a good response from our existing accounts that are covered in MACs with many of them committing to the Centers of Excellence program and some of them already scheduling multiple implants this quarter. And so we expect continued, consistent implant volume from these accounts. Also, as we stated, we are going to add 5 to 10 new Centers of Excellence in the U.S. this year. We did not add any accounts in 2016. So, just adding these accounts will give us some incremental volume, incremental units and momentum. Another thing that we really haven’t talked too much about that it could become encoded later in the year also is we are increasing the support to accounts that are in non-covered MACs. So, these are accounts that don’t have official Medicare coverage now because the MAC has not made a positive coverage decision. And we are going to provide more support to these accounts to help them pursue reimbursement for Argus patients. So, think of it is us signing in essence business agreement or consulting contract with them. And what we want to do is just give them increased confidence to treat patients and pursue reimbursement and then hopefully also we will increase the odds of them being successful. So, hopefully some of these accounts that have maybe not been implanting because they were afraid of not getting reimbursement, maybe we can get some of these accounts back on board and implanting going forward. And then finally, and we are not necessarily counting on this because it’s less in our control than some of the other items. But we will have some additional upside, should any MACs that we are making, the reconsideration request, should any of those MACs issue a positive coverage decision this year, then our Medicare insurance coverage would expand and of course that will give us more opportunity for growth. I think that’s about it.