HME News

MAR 2017

HME News is the monthly business newspaper for home medical equipment providers. This controlled circulation publication reaches 17,100 home medical equipment services providers, including traditional HME dealers & suppliers, hospital- and pharmacy-o

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VOLUME 23 — NUMBER 3 MARCH 2017 $7.00 HME NEWS POLL ■ Are you ready: The healthcare model is changing, says Joe Lewarski. See page 12. ■ Product Spotlight: This month we feature bariatric products like the Heavy-Duty Aluminum Walker from Merits. See page 23. ■ Do you agree with CMS's decision to temporarily delay Round 2019? See results on page 30. N E W S ■ Stakeholders home in on Medicaid strategy. PAGE 4 ■ Newspoll: Providers stay grounded in retail. PAGE 4 ■ CMS issues guidance on relief. PAGE 8 M E D T R A D E ■ The Medtrade Education Advisory Board designed a program that allows attendees to interact with speakers and each other, says Chairman Jeff Baird. PAGE 24 D E PA RT M E N T S ProVIderS ■ Providers weigh in on ACA. PAGE 16 ■ Aerofl ow launches petition. PAGE 16 mobILItY ■ NCART streamlines fl y-in. PAGE 18 ■ CMS limits K0108 for manuals. PAGE 18 rX & SPeCIaLtY ProVIderS ■ Infusion stakeholders seek fi x for payment gap. PAGE 21 ■ AASM launches SleepTM for HME providers. PAGE 21 VeNdorS ■ ResMed settles with 3B Medical. PAGE 28 ■ Drive bows out of Medtrade Spring. PAGE 28 W W W . H M E N E W S . C O M Ready to change program UNIVITA WANTS MONEY BACK Community fi rst Numotion's annual conference featured a com- munity service activity where employees provided more than 1,000 man-hours of maintenance work at Give Kids the World Village, a nonprofi t resort in Kissimmee, Fla., for children with life-threatening illnesses and their families. The resort's focus is providing accommodations and donated theme park tickets. "To see how dedicated our employ- ees are—every year, it's a highlight of the meet- ing," Swinford said. See full story page 18. CGMs are in, so what now? ResMed prepares to grow demand for travel CPAPs COMPETITIVE BIDDING BY THERESA FLAHERTY, Managing Editor C MS'S DECISION to tempo- rarily delay Round 2019 of competitive bidding could mean a revamp of the program now that Rep. Tom Price, R-Ga., is tak- ing the helm at the Department of Health and Human Services, say industry stakeholders. CMS said on Feb. 7 it was delay- ing Round 2019 to give the new administration time to review the competitive bidding program. The BY THERESA FLAHERTY, Managing Editor MIRAMAR, Fla. – HME providers who were left largely empty handed when Univita Health collapsed and subsequent- ly filed for bankruptcy took another hit recently when they were asked to pay back money. The bankruptcy trustee has begun sending letters that assert claim to money paid to providers during the three- month period prior to the bankruptcy. "A lot of suppliers are get- ting these letters, which are basically demands for thou- sands and in some cases, hundreds of thousands of dol- lars," said Valerie Eastwood, an attorney with Brown and Fortunato. "It's shocking and causing a lot of anger in the supplier community." Univita fi led for Chapter 7 bankruptcy in August after Florida Medicaid terminated its managed care contracts and thousands of providers— mostly in Florida—lost money on claims that were never paid. Its assets were sold in November to Miami-based BY THERESA FLAHERTY, Managing Editor WASHINGTON – CMS's recent decision to classify cer- tain continuous glucose monitoring systems as DME is a positive step, but there are a few dominoes that need to fall before they are paid for, say stakeholders. In a Jan. 12 ruling, CMS said that "therapeutic" CGMs would meet the defi nition of DME if, among other criteria, they are approved by the FDA for use in place of a blood glucose moni- tor for making diabetes treatment decisions. "We're waiting for directions from the DME MACs and CMS on the effective date and how we get the claims paid," said Kim Brummett, vice president of regulatory affairs for AAHomecare. BY LIZ BEAULIEU, Editor SAN DIEGO – ResMed aims to blow up the market for travel CPAP devices with its soon-to-be launched AirMini, company offi - announcement came one week after the agency announced it would consoli- date all future rounds of com- petitive bidding i n t o R o u n d 2019. "Given what we know of Price and his desire to make signifi cant changes to the bidding program, I think this could be a good thing," said Cara Bachenheimer, senior vice president of government rela- tions for Invacare. The Senate on Feb. 10 approved the nomination of Price, a long- time HME champion and the archi- tect of an alternative to the com- petitive bidding program called market-pricing program. Industry stakeholders have hailed the nomination of Price, but they acknowledge there's no quick fi x for the bidding program. cials said during a conference call Jan. 23 to discuss second quarter earnings. When an analyst on the call asked how big the market is for travel CPAPs, CEO Mick Farrell acknowledged that it's a "very small niche," but said that HME providers and their customers are increasingly embracing cash sales, and that ResMed is ready to lever- age that changing mindset. "We think we will actually expand on what is currently a very small niche and create a size- able segment of travel CPAP users that are willing to pay cash," he Company offi cials also address minimal growth in mask revenues by highlighting new products in the category Kim Brummett R O U N D 2 0 1 9 S E E PA G E 8 C M S A P P R O V E S C G M S S E E PA G E 2 2 R E S M E D F I N A N C I A L R E S U LT S S E E PA G E 2 9 U N I V I TA' S D E M A N D S S E E PA G E 1 7 CMS says 'therapeutic' devices meet defi nition of durable medical equipment John Gallagher T H E B U S I N E S S N E W S P A P E R F O R H O M E M E D I C A L E Q U I P M E N T P R O V I D E R S

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