Podcasts about cxa

The CX Alliance is a brand new CX trade association launched in September 2024 in the UK. It is being launched by Karen Howard, MD of The Retail Bulletin (TRB) and the partnership director of the CXA is Isobel Rogers. They aim to publish information, research, and host events all focused on various aspects of CX. Mark Hillary talked to Isobel and Karen to find out more about how this initiative got started and what are their plans for 2025. --- https://www.linkedin.com/in/cxisobelrogers/ https://www.linkedin.com/in/karenhoward/ https://www.theretailbulletin.com/ https://www.theretailbulletin.com/general-merchandise/the-retail-bulletin-announces-set-up-of-cx-industry-body-cx-alliance-19-09-2024/ The CX Alliance news is so recent that they are still in the process of setting up their website and other channels ... follow Isobel and Karen for now and check TRB for new information... http://cxalliance.org/

First Released show of the New Year and we are bringing you some classic BFYTW games to play.This week Aaron hosts Like/Share/Block, Then a fun Pitch Me Baby One More Time, Followed by Stevie hosting a new Rules of the Game.Game 1 - Like Share BlockStory 1 - Chinese Chess Master's Bathtub Poop Proves He Didn't Use Anal Beads to Cheat - https://www.businessinsider.com/china-chess-xiangqi-champion-loses-title-after-defecating-hotel-bathtub-2023-12#:~:text=The%20Chinese%20Xiangqi%20Association%20(CXA,the%20pooping%20part%20was%20rightStory 2 - 11-Year-Old Steals Virginia DoorDash Driver's Car at Gunpoint - https://scrippsnews.com/stories/virginia-doordash-driver-carjacked-at-gunpoint-by-an-11-year-old/Story 3 - Mafia Boss Busted by Shirtless Poolside Photo: ‘It Was a Great Picture' - https://nypost.com/2023/12/12/metro/nyc-mobster-who-posed-shirtless-in-pool-while-on-the-lam-has-no-regrets-about-damning-photo-at-sentencing/Game 2 - Pitch Me Baby One More TimeThis month is the 25th anniversary of the founding of Rockstar Games, which is primarily known for the creation and development of the Grand Theft Auto games, and their studios have developed other original series like Red Dead, Manhunt, Bully, The Warriors, Smuggler's Run, and Midnight Club, but with the announcement of Grand Theft Auto 6, it's clear they're going back to their cash cow. It's beyond time for a new IP.So, I want you to pitch me Rockstar Games' next original open-world game. I want to know who you play as, what open-world you'll play in, and describe the general plot of the game. If you have some gameplay ideas, throw those in as well. Obviously you're going to want to avoid repeating ideas, so an open-world game set in the Wild West will not earn you any points. Best pitch wins.Game 3 - Stevie's Rules of the GameStevie has come up with his own Rules of the Game, so Augie and I will play without any idea of what we're playing. Stevie will tell us whether we can win by guessing the rules or not.Promos @SuperMediaBros_ @GrabthebrisketShoutouts to our Patrons; Mexi, Justin, Kristin, Flaose, Todd, Jim, Flaos, Bridget F., David M., Erin S, Donna/Colin Maggs,The GateLeapers, Kacey S., William M.Founding Members of @OddPodsMedia https://www.patreon.com/BFYTWShow Music by @KeroseneLetter and @MexigunOur Merch Store https://www.teepublic.com/user/bfytw-podcasthttps://www.youtube.com/channel/UCyJG-PDn6su32Et_eSiC6RQwww.BFYTWpod.comhttps://www.facebook.com/profile.php?id=100094350980128This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/4771234/advertisement

Amy Pastor, LEED Fellow, PE, CxA, ENV SP  is  the Vice President of Sustainability at EXP. She leads a nationwide team of commissioning and sustainability professionals who deliver innovative and cost-effective solutions for their clients in various sectors. With over 18 years of experience in the industry, she has a proven track record of managing complex projects, achieving energy savings, and certifying green buildings. Amy takes immense pride in building better, including lasting relationships with clients and quality, sustainable buildings, without surrendering the integrity of the design. She has personally worked on 210 LEED Certified projects. She is based in Sanford, Florida and has her Bachelor and Master Engineering degrees from Penn State University.   She holds multiple credentials that demonstrate my expertise and commitment to sustainability, such as Certified Commissioning Authority (CxA), Professional Engineer (PE), and LEED Accredited Professional (LEED AP). She is also passionate about sharing her knowledge and skills with others, through public speaking, educational courses, and community involvement. Her mission is to advance the sustainability agenda and create positive impacts for the environment and society.   Show Highlights   Amy shares her expertise on PE commissioning Authority, and unique credentials and licenses PE, Professional Engineering License. CXA, Commissioning Authority. EMVSP, sustainable infrastructure credential.  Envision Certification is a highly sought after rating system for larger projects and infrastructure system impact.  Collegiate programs for an architectural engineering degree focused on the engineering side for building specifically to set you up for career success.  The benefits of putting “boots on the ground” to coordinate all the disciplines from the engineering side.  Sustainability at EXP's core mission, vision, and why they will always be a private company. Electrification Education, building and design challenges and how to map out pathways to electrify.  The essential conversation you need to have about the grid and efficiency roles. You can't just flip the switch.  Determining how each market sector, how each industry is responding to that transition to electrification.  Retrofit vs new build requirements. Evaluating utility provider, space, equipment and technology needed.  The biggest challenge the industry is facing.       Show Resource and Information Connect with Charlie Cichetti and GBES   GBES is excited our membership community is growing. Consider joining our membership community as members are given access to some of the guests on the podcasts that you can ask project questions. If you are preparing for an exam, there will be more assurance that you will pass your next exam, you will be given cliff notes if you are a member, and so much more. Go to to learn more about the 4 different levels of access to this one-of-a-kind career-advancing green building community!   If you truly enjoyed the show, don't forget to leave a positive rating and review on .  We have prepared more episodes for the upcoming weeks, so come by again next week! Thank you for tuning in to the !   Copyright © 2023 GBES

In this episode host Burke Jones, FMP is joined by Jereme Nollett, P.E., CxA, EMP the Senior Commissioning Manager at McCownGordon Construction.  Jereme and I explore the world of commissioning and what it provides for building owners - both during and at construction completion and retro-commissioning on existing equipment. Tune in to the School Facilities and Operations interview to hear: - Why it makes sense to retain a commissioning firm during design and construction - How retro-commissioning can help solve those ongoing building occupant issues - The typical costs involved in commissioning a system --- Send in a voice message: https://podcasters.spotify.com/pod/show/schoolfacilities/message

Today's guest is Sameer Kazi, President of ActiveCampaign, who is responsible for guiding the core operations and helping prepare the company for its next growth phase. We discuss how ActiveCampaign is helping businesses grow by scaling their customer experiences and data points from the Customer Experience Automation Impact Report. I learn how communicating via one channel just won't cut it. All brands still need to be taking an omnichannel approach — 99% of those surveyed agree companies grow faster by using multiple channels beyond email marketing alone, and 93% report using their website as an engagement channel to supplement their email marketing efforts.  We also discuss how CXA + social media is the sweet spot for B2C: Nine in 10 (89%) B2C businesses using CXA also leverage social media to share information with existing and potential customers. We talk about how this omnichannel approach helps improve customer experiences by sending the right message at the time it's going to be best received by existing and potential customers.  Highly relevant communications are critical to a great customer experience: Nearly 80% of CXA users agreed that the technology helps them send highly relevant communications, leading to greater retention and customer acquisition. Customer loyalty depends on whether each buyer feels a brand is speaking directly to them and communicating with them based on their own personal wants and needs.  About Sameer Sameer is a deeply experienced software executive and operator with global P&L and public company experience helping growth stage & mature SaaS businesses scale revenue and operations. Sameer is also co-founder and Managing Director of Operating Capital, an investment firm focused on helping operating teams at B2B SaaS companies win through capital, operating best practices and by leveraging our global talent and industry network. Prior to ActiveCampaign, Sameer served as CEO and board member of Cheetah Digital, interim CEO and Executive Chairman at Simply Measured (acquired by Sprout Social), board member at Emarsys (acquired by SAP), and as EVP at Salesforce.com and ExactTarget (acquired by Salesforce in 2013 for $2.5B).

In this episode, I talk to Gary Hamilton, P.E., CEng, PMP, LEED AP, CxA, EDAC, FASHE, Senior Vice President, and USA Healthcare Director at WSP, about project management in designing healthcare facilities, and how someone with a strong technical background can transition into a management role. Engineering Quotes: Here Are Some of the Questions I […] The post TEPM 003: Project Management Tips for Engineers: How to Become a Well-Rounded Project Manager appeared first on Engineering Management Institute.

Read more > Listen to the podcast (duration: 21:26) > Rosaline Chow Koo breaks down how the CXA Group is working to make group insurance more profitable while simultaneously improving employees' health and financial well-being. In this conversation with McKinsey Partner Alex Kimura, Rosaline Chow Koo gives insights to CXA, and how the digital-powered benefits platform is making quick gains in the Asian financial services market.See www.mckinsey.com/privacy-policy for privacy information

Rosaline Chow Koo breaks down how the CXA Group is working to make group insurance more profitable while simultaneously improving employees' health and financial well-being. In this conversation with McKinsey Partner Alex Kimura, Rosaline Chow Koo gives insights to CXA, and how the digital-powered benefits platform is making quick gains in the Asian financial services market. Read more > Listen to the podcast (duration: 21:26) >

Being Asia’s first employee ecosystem that promotes better health, wealth and wellness, CXA strives to provide the best possible healthcare at an affordable price through early detection and disease prevention. Rosaline Chow, the Founder and CEO discusses with us why she started CXA, how the pandemic affected sales and her hopes for the company. Image Credit: www.hnworth.com

Being Asia’s first employee ecosystem that promotes better health, wealth and wellness, CXA strives to provide the best possible healthcare at an affordable price through early detection and disease prevention. Rosaline Chow, the Founder and CEO discusses with us why she started CXA, how the pandemic affected sales and her hopes for the company. Image Credit: www.hnworth.com

"You can imagine the guilt - here I was building my startup when my actual baby was not coping well in school; with a learning disability, and recent epilepsy incident."We love rooting for the underdog- but what does it really take to rise despite the odds, as THE underdog? Rosaline Koo founded CXA Group from her living room in 2013 after a storied career with multinationals, with ambitions to transform health benefits for employees. Tune in to her story from risking all her family savings to build her startup; to scaling to over a million users, raising over $50M from the likes of Facebook co-founder Eduardo Saverin's B Capital Group, EDBI, Openspace Ventures and more.--Billion Dollar Moves is THE show for the top US-Asia funders, founders and execs.  From building a unicorn to IPO, and scaling a VC firm - all of these efforts require vision from the leaders at the helm. -- 

Join Paige Parker and Rosaline Koo, founder and CEO of CXA Group, Asia's leading Insurtech start-up, as they chat on how Rosaline's youth, growing up in Watts, California, during the riots that killed 34 people, shaped her mindset for life, and how education was her escape. Later Rosaline founded two startups before taking the leap to launch CXA at age 51, using all of her family's savings. The women share on their struggles with mom guilt, why Rosaline views workplace disruptors as good for business, and she offers solid advice for aspiring startup leaders, as together they Pass the Power on to you. Thank you to Deity Mics for providing me with the mics I use for recording! Visit their page at: https://www.facebook.com/deitymicsasia

A red St Patrick's day on the local market as risk-off sentiment took hold ahead of tomorrow morning's FOMC meeting. Never mind expectations that it'll be more of the same from the Fed which will be working to keep a lid on bond yields. The CXA 200 index closed down 0.63%. Consumer discretionary, tech and utilities were the gainers while materials and energy led the losers. Out of session futures are signaling another soft US session tonight ahead of the Fed meeting...Our top three VODs are:Nuix, FOMC, Dexus; what you need to know on marketsOrd Minnett picks out three of its favouritesThree recovery plays to buy with a cross-Tasman flavour See acast.com/privacy for privacy and opt-out information.

Mark, Clay, and Nick discuss the installation phase responsibilities of the commissioning agent. This phase, like the others is a critical phase for commissioning agent involvement to help ensure a successful project. We will dive into how much time the CXa should spend on site, what issues can be found by the CXa, what a pre-functional/construction checklist is, and the process of functional testing.

Today’s guest is Rosaline Koo – founder and CEO of CXA group, Asia’s leading Insurtech start-up running a Software-As-A Service health and wellness platform. We began our conversation with Rosaline’s personal story, how an accidental journey that provided her with the knowledge and network to launch and grow CXA, we examined how CXA disrupts the traditional insurance industry, its revenue streams, current and future value drivers and lastly, looking forward to its unicorn aspiration, profitability and exit plan.   Key Takeaways Traditional insurance industry is laden with inefficiencies created by the layer of middlemen including brokers (usually 15% commission), agents (first-year premium as commission), third party administrators (TPAs) which charge clinics 15 to 35% of the medical bill CXA cuts away the middlemen and establishes direct-to-consumer channels connecting health and wellness providers to end consumers via their workplaces Through its platform, CXA offers employees the choice and option to extract value from the “free money” (i.e. voluntary contribution provided by employers as part of employee benefits) which goes back to the company if it remains unspent by the end of each policy year CXA’s key value propositions: 15 to 25% saving on employers’ healthcare cost; digitalised health and wellness ecosystem connecting all value chain players CXA is on path to achieve profitability by 2020 assuming no additional allocation to growth capital and attain its unicorn status within 3 years   Tweetables “I feel like I've had a very accidental journey. There was no intention. So, it's just... maybe it's like Forrest Gump. Things just kind of happened.” @RozChowKoo “If your legacy is a channel that makes most of your money, anything that threatens them will threaten your whole firm because they will walk.” @RozChowKoo “Essentially, we are a marketplace that's a closed network with free money that if you don't spend it by the end of the policy year, it goes back to the company” @RozChowKoo   Episode links CXA Group: https://www.cxagroup.com/ Roseline Koo: https://twitter.com/RozChowKoo English transcript: https://medium.com/@widelialiu/beyond-unicorn-asias-next-insurtech-unicorn-with-roseline-koo-from-cxa-4df66cc2e84

Rosaline Chow Koo, Founder and Group CEO of CXA Group, shares how she has focused on customer needs and involved her entire ecosystem to disrupt the healthcare industry in Asia and achieve growth. Rosaline talks to growth expert, Dr. Alison Eyring, about applying outside-in thinking and having courage to be a disruptor.

Halfway through September, it is time for another InsurTech news roundup! Singapore’s CXA was in the news announcing it was looking for fresh funding and its desire to become Southeast Asia’s first InsurTech unicorn. It also maintained that it expects to be profitable by 2020. Axinan, another Singapore based company, was back in the news […] The post AIP News RoundUp – EP 02 – Rahul Mathur and Theresa Blissing – September – We Are Living In a New Reality Now appeared first on Asia InsurTech Podcast.

Rosaline built a billion dollar business in five years with the vision is to make the workforce healthy. Discover in this interview how she leverage trust triggers such as previous experience, her personal struggles in order to attract to work with Fortune 500 in 3 countries for 6 years. CXA is now working with over 400,000 clients and are now white-labeled by banks and insurers for hundreds of thousands of commercial clients, and the millions of employees of those.

Thomas Jarlov from Denmark started his technical career as an industry electrician with focus on BMS installations. This included renovation of all Herlev Hospitals ventilation plants, the large combustion Lynetten and other construction sites. Thomas liked the inter-connectivity of all the building installations, and started on a further education as an Energy Technologist on Copenhagen School of Design and Technology. Thomas completed his education as an Energy Technologist and was awarded with "TEKNIQ's Energiteknologpris" for the highest grade point for all students. During his education as Energy Technologist, Thomas learned about The Commissioning Process that caught his interest immediately; and he has ever since worked with it. His starting career was as a Commissioning consultant in Grontmij (Consulting Engineering firm, now named SWECO), Thomas was part of the department Facilities Management and Operation, where he helped to build the Commissioning team, organize the working tools and workflows. Thomas was working on multiple Commissioning projects, where he were part of the Commissioning Teams and the leading the process as a Commissioning Authority. In 2015 Thomas started in Copenhagen Airports as their only and first Commissioning Manager with the main goal to develop and implement the Commissioning Process. Since then Thomas has become the Strategic Commissioning Manager, and a small in-house Commissioning Team has been established. Thomas is the lead, CxA, on the Commissioning projects. In Thomas spare time he develops computer software. Here to mention CxWiki.dk the Danish Wikipedia for Commissioning and Cx Manager a free online software to manage Commissioning projects in. Cx Manager (Commissioning Management Software): https://cxmanager.live (English) https://cxmanager.dk (Danish) Thomas Jarlov: https://ttj.dk Until the next podcast episode! Talk soon, Thomas Stuenkel PS: You can enroll into the FREE Online Commissioning Training here: https://www.CommissioningCoach.com/free  

ControlTalk NOW — Smart Buildings VideoCast for week ending June 19, 2016 continues its coverage of the 2016 Niagara Summit with interviews from Vendors Showcase featuring Blue Ridge Technology’s Bill Dunkleberger, Tridium’s Emily Weisenesale, DGLogik’s Arthur Alter, OME Engineering’s Rick Warner, Contemporary Controlss George Thomas, KMC’s Richard Newberry, Lynxspring’s Chris Ryan, and MRSoluciones’ Alfredo Melnik and Carlos Roman. Don’t miss ACI’s Barry “Flash” Gordon inaugural training event and DOE’s investment of $10 Million towards Efficient Lighting Research and Development. Free Training from ACI This Wednesday. Our friend Barry ” Flash” Gordon will be sharing his knowledge about ACI current sensors and switches. This is the first in a series of monthly training sessions from the control pros at ACI, so be sure to check it out. Mark your calendar for Wednesday (6/15) morning at 9 a.m. CST. Just click on this link on the 15th. Energy Department Invests More than $10 Million in Efficient Lighting Research and Development. Building on the new commitments to the Global Lighting Challenge announced last week during the Clean Energy Ministerial, the Energy Department is announcing funding for nine research and development projects that will support solid-state lighting (SSL) core technology research, product development, and manufacturing research and development. Tridium’s Emily Weisensale Shines the Spotlight on Tridium’s Niagara Marketplace. Emily Weisensale, Product Manager for the Niagara Marketplace, updates the ControlTrends Community on the growth of Tridium’s newest innovation — the Niagara Marketplace — a groundbreaking website that connects businesses looking to harness the power of the Internet of Things (IoT), with the experts who make it happen. BlueRidge Technologies Lights Up The Niagara Summit Product Showcase with a New Product. We caught up with our friend Bill Dunkleberger from Blue Ridge Technologies at the 2016 Vendor Showcase. Bill and his team provide a very powerful and easy to use lighting solution. Blue Ridge has developed an approach called Unified Lighting Control. Unified Lighting Control completes the BAS, incorporating lighting and HVAC controls on the same network. This network consolidation eliminates surplus hardware required for stand-alone and gateway lighting control. Arthur Alter Previews DGLogik’s Project Assist 2.0: Making the Invisible Visible — Affordably. So what are you going to do with all that data that you can pump out of Niagara N4? How are you going to get it in a format that is easy to see, easy to understand, easy to normalize, easy to install, and easy to customize, at a cost that is easy on the budget? The “Men in Black” aka the DGLogik team have the products and answers to these questions, and they were out in full force at the 2016 Niagara Product Showcase. Take a look at their updated Project Assist 2.0. Rick Warner “Insights from the Innovator” at the 2016 Niagara Summit. Always a ControlTrends favorite and provider of industry innovation and insight, Rick Warner, PE, LEED BC&D, CEM, DCEP, CXA, EBCP, President & Owner of OME Engineering, aka, The Innovator, shares a few of his takeaways from the 2016 Niagara Summit. Contemporary Controls Distributor News, June 2016 — The BASautomation Force is Growing! George Thomas and the team at Contemporary Controls have developed one of the most powerful, open Building Automation Systems available in the BAS world — and with its continued investments in next-gen production, technical support, and marketing collateral, Contemporary Controls will keep growing its North American and global markets. KMC Converges on the 2016 Niagara Summit. What do Dell and Intel have in common? Among other things they both are partners with KMC and the New Commander Smart Buildings Control System that is designed to win the “Race to the Small Space.” The Race to the Small Space is a term Kenny and I coined to describe the building automation control solutions, that companies, like KMC, are designing to provide affordable energy management and controls solutions for the over 5 million buildings in the United States that do not have energy management control systems. Niagara Around the World: Alfredo Melnik and Carlos Roman from Mexico City. Smart Building and Building Automation Controls is taking off in Mexico. With the Building Automation and Smart Buildings Controls Market projected to reach upward of 55 Billion dollars by 2020, Mexico is poised to play a prominent role in this growth. In fact, Mexico’s most populous city, has been selected for the Ciudad Creativa Digital (CCD) smart-city development project, and is just one of the many Smart Building/ Smart City/ Smart Home initiatives in Founder and president George Thomas demonstrates Contemporary Control’s updates product portfolio that he and his team make for the systems integrators across the globe. Contemporary Controls designs and manufactures the system building blocks for networking, integrating, and controlling automation processes where performance and reliability are critical. Contemporary Controls’ products are built upon open technologies such as ARCNET®, BACnet®, Controller Area Network (CAN), Ethernet, Modbus®, Niagara Framework®, Sedona Framework, and are typically found in building and industrial automation industries. Richard McElhinney Presents Airmasters’ Plant Pro at 2016 Niagara Summit. We caught up with Richard McElhinney from Airmasters. Richard gives an in-depth demo of Plant Pro’s alluring and efficient chiller plant optimization controller. Richard McElhinney is a leading systems integrator from “down under” and our “unofficial official” ControlTrends correspondent. A veteran of many campaigns, Richard is a valuable source of information on the trends impacting building automation and the future of Smart Buildings. Lynxspring’s Chris Ryan Flexes Integration Knowledge at the 2016 Niagara Summit. While the potential for using data to improve energy and operational efficiencies is significant, the difficulty of organizing and understanding the data can be challenging. One of the challenges of working with data is it can be very hard to organize and use across different applications. It is stored in different formats, has inconsistent naming conventions and lacks information to describe what it means. The post ControlTalk NOW — Smart Buildings VideoCast for Week Ending June 19, 2016 appeared first on ControlTrends.

Background: According to recent guidelines, patients with coronary artery disease (CAD) should undergo revascularization if significant myocardial ischemia is present. Both, cardiovascular magnetic resonance (CMR) and fractional flow reserve (FFR) allow for a reliable ischemia assessment and in combination with anatomical information provided by invasive coronary angiography (CXA), such a work-up sets the basis for a decision to revascularize or not. The cost-effectiveness ratio of these two strategies is compared. Methods: Strategy 1) CMR to assess ischemia followed by CXA in ischemia-positive patients (CMR + CXA), Strategy 2) CXA followed by FFR in angiographically positive stenoses (CXA + FFR). The costs, evaluated from the third party payer perspective in Switzerland, Germany, the United Kingdom (UK), and the United States (US), included public prices of the different outpatient procedures and costs induced by procedural complications and by diagnostic errors. The effectiveness criterion was the correct identification of hemodynamically significant coronary lesion(s) (= significant CAD) complemented by full anatomical information. Test performances were derived from the published literature. Cost-effectiveness ratios for both strategies were compared for hypothetical cohorts with different pretest likelihood of significant CAD. Results: CMR + CXA and CXA + FFR were equally cost-effective at a pretest likelihood of CAD of 62% in Switzerland, 65% in Germany, 83% in the UK, and 82% in the US with costs of CHF 5'794, € 1'517, GBP 2'680 , and $2'179 per patient correctly diagnosed. Below these thresholds, CMR + CXA showed lower costs per patient correctly diagnosed than CXA + FFR. Conclusions: The CMR + CXA strategy is more cost-effective than CXA + FFR below a CAD prevalence of 62%, 65%, 83%, and 82% for the Swiss, the German, the UK, and the US health care systems, respectively. These findings may help to optimize resource utilization in the diagnosis of CAD.

Background: Cardiovascular magnetic resonance (CMR) has favorable characteristics for diagnostic evaluation and risk stratification of patients with known or suspected CAD. CMR utilization in CAD detection is growing fast. However, data on its cost-effectiveness are scarce. The goal of this study is to compare the costs of two strategies for detection of significant coronary artery stenoses in patients with suspected coronary artery disease (CAD): 1) Performing CMR first to assess myocardial ischemia and/or infarct scar before referring positive patients (defined as presence of ischemia and/or infarct scar to coronary angiography (CXA) versus 2) a hypothetical CXA performed in all patients as a single test to detect CAD. Methods: A subgroup of the European CMR pilot registry was used including 2,717 consecutive patients who underwent stress-CMR. From these patients, 21% were positive for CAD (ischemia and/or infarct scar), 73% negative, and 6% uncertain and underwent additional testing. The diagnostic costs were evaluated using invoicing costs of each test performed. Costs analysis was performed from a health care payer perspective in German, United Kingdom, Swiss, and United States health care settings. Results: In the public sectors of the German, United Kingdom, and Swiss health care systems, cost savings from the CMR-driven strategy were 50%, 25% and 23%, respectively, versus outpatient CXA. If CXA was carried out as an inpatient procedure, cost savings were 46%, 50% and 48%, respectively. In the United States context, cost savings were 51% when compared with inpatient CXA, but higher for CMR by 8% versus outpatient CXA. Conclusion: This analysis suggests that from an economic perspective, the use of CMR should be encouraged as a management option for patients with suspected CAD.

Background: Perfusion-cardiovascular magnetic resonance (CMR) is generally accepted as an alternative to SPECT to assess myocardial ischemia non-invasively. However its performance vs gated-SPECT and in sub-populations is not fully established. The goal was to compare in a multicenter setting the diagnostic performance of perfusion-CMR and gated-SPECT for the detection of CAD in various populations using conventional x-ray coronary angiography (CXA) as the standard of reference. Methods: In 33 centers (in US and Europe) 533 patients, eligible for CXA or SPECT, were enrolled in this multivendor trial. SPECT and CXA were performed within 4 weeks before or after CMR in all patients. Prevalence of CAD in the sample was 49% and 515 patients received MR contrast medium. Drop-out rates for CMR and SPECT were 5.6% and 3.7%, respectively (ns). The study was powered for the primary endpoint of non-inferiority of CMR vs SPECT for both, sensitivity and specificity for the detection of CAD (using a single-threshold reading), the results for the primary endpoint were reported elsewhere. In this article secondary endpoints are presented, i.e. the diagnostic performance of CMR versus SPECT in subpopulations such as multi-vessel disease (MVD), in men, in women, and in patients without prior myocardial infarction (MI). For diagnostic performance assessment the area under the receiver-operator-characteristics-curve (AUC) was calculated. Readers were blinded versus clinical data, CXA, and imaging results. Results: The diagnostic performance (= area under ROC = AUC) of CMR was superior to SPECT (p = 0.0004, n = 425) and to gated-SPECT (p = 0.018, n = 253). CMR performed better than SPECT in MVD (p = 0.003 vs all SPECT, p = 0.04 vs gated-SPECT), in men (p = 0.004, n = 313) and in women (p = 0.03, n = 112) as well as in the non-infarct patients (p = 0.005, n = 186 in 1-3 vessel disease and p = 0.015, n = 140 in MVD). Conclusion: In this large multicenter, multivendor study the diagnostic performance of perfusion-CMR to detect CAD was superior to perfusion SPECT in the entire population and in sub-groups. Perfusion-CMR can be recommended as an alternative for SPECT imaging.