* Short note on the latest evolutions of proton therapy in general as advantageous treatment compared to competing technologies (such as development of vaccination).
* General up-date on the reimbursement system
+ expected evolutions in the coming years.
* Detailed information on the sponsors + financials:
- Sponsors
- Hospital(s)
* Information on other contractual parties to be involved (including building contractor)
* Financial plan:
Providing of sufficient financing, especially with respect to working capital.
* Justification of all assumptions on which the financial projections are being built
- Check all elements of the turnover
- treatment time per patient
- number of working hours/day
- level of intervention attributed to the various insurers (Medicare, Medicaid, Private.)
- type of treatment (complex v. simple)
- adaptation of tariff in the State where the project under consideration is done.
- track record with respect to technical problems
- obligation to treat a certain percentage of indigent people
- allocation of time for maintenance
- Expenses to be based on track record.
* Overall cancer program of the group of the hospital group sponsor ? explain the general context of services for cancer treatment in which the proton therapy services are going to be proposed + provide an explanation on patient referral patterns.
* Overview of the splitting between technical fees and professional fees.
* Availability of sufficient qualified personnel.
Recruitment and training policy: details about the simulation training facility
* Legal aspects including :
- contractual structure
- security package.
