HME News

APR 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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8 / april 2017 / hme news editorial publisher Rick Rector eDitor Liz Beaulieu managing eDitor Theresa Flaherty tfl contributing eDitor John Andrews eDitorial Director Brook Taliaferro eDitorial & aDVertising of fice 106 Lafayette Street PO Box 998 Yarmouth, ME 04096 207-846-0600 (fax) 207-846-0657 aDVertising account manager Jo-Ellen Reed aDVertising coorDinator Christina Dubois proDuction Director Lise Dubois reprints For custom reprints or digital reuse, please contact our reprint partner, The YGS Group, by calling 717-505-9701, ext. 100, or art creDits Steve Meyers: cartoon subscription information HME News PO Box 47860 Plymouth, MN 55447-0860 800-869-6882 Publishers of specialized busi ness newspapers including HME News and Security Systems News. Producers of the HME News Business Summit and the Home Health Technology Summit. presiDent & ceo J.G. Taliaferro, Jr. Vice presiDent Rick Rector Thinking about snow and the Summit b eCaUSe i start planning the educational program for the hMe news Busi- n e s s S u m m i t i n January or February, i often equate the event with winter. as i write this in February and look out at a fresh foot of snow (and think about the two feet of additional snow we could get), my mind is on what's top of mind for the C-level execs in the hMe industry, and how to turn that into informative and impactful ses- sions for the Summit. i'm a bit behind the ball this year (see above: snow means treacherous driving conditions, preventing you from driv- ing to work and day care, which means, not working from home, but hanging out with a two year old). But don't worry: i have a few ideas that appear to be gelling together. Because the Summit is in Cleveland this year (at the Ritz-Carlton, as a mat- ter of fact), i know i'd like someone from the Cleveland Clinic, one of the pre-eminent hospitals in the country, to address our crowd. it looks like our man might be Don Carroll, who heads up the clinic's Center for Connected Care, which houses all of its home and transitional care services. he's been charged with finding out how the clinic should respond to increas- ing pressure to "control" lives outside of its four walls. Carroll has already built out a specialty pharmacy division for the Cleveland Clinic and managed a 19-store pharmacy chain for the hos- pital. he will talk about how he plans to reshape how the Cleveland Clinic is tackling one of its biggest challenges yet: becoming not just a provider of specialty referral-based services, but also a manager of population health. i also know i want to address M&a and investments in the hMe industry. This is a recur- ring topic at the Summit, but i feel like 2016 was an especially interesting year for M&a and investments, and i'd like to approach the topic more from the buyer's p e r s p e c t i v e , w h e t h e r i t 's an hMe company buying another hMe company or a private equity firm investing in an hMe company. Why are they so bullish on the market? While we don't typically do regula- tory and legislative updates at the Sum- mit (aahomecare has a great event dedicated to just this each spring), i don't think we can ignore the topic of healthcare reform this year, not with the new administration and new secretary of health and human services. how will the affordable Care act and other reform efforts be impacted? i'm looking for an expert in Cleveland (an attorney from the Center for health Law & Policy at the Cleveland-Marshall College of Law? an analyst from the Center for health Care Research and Policy at Case West- ern University?) to give us the latest and greatest. Finally, i'm rolling around ideas about how to address labor cost management, and how to continue last year's conversa- tion about interoperability. But i need more ideas. if you can't come to Maine to help me shovel (or take care of a two year old, so i can work), the least you can do is jot me a line ( or send me a tweet (@hmeliz) and let me know what's top of your mind. The Summit is just as much your event as ours. hme LiZ beaULieU C gMS aRe all around me. ads for the Dexcom g5, in particular, keep popping up on websites. i am guessing this is because i googled it while writing a story about Medicare's recent decision to start paying for certain CgMs, with the Dexcom being the only one that meets the criteria at this time (See story "CgMs are in, so what now?," March 2017). i also met with a new CDe at the dia- betes center. "have you ever considered getting an insulin pump?" asked Sarah the CDe. (Syringes are so 1980s.) i get asked this every year or so. My reasons so far for deciding against the technology have been that i didn't want to be tethered to it constantly; i wanted to wait a generation or so and see how much the technology improved (re: how much smaller the devices would get), and the costs. guess what? The devices are get- ting smaller and the technology has improved—most now seem to come with integrated CgM technology. alas, i have a feeling the pricing for the device (hello, high deductible!) and the ongoing sup- plies would still be cost prohibitive for me. i told all this to Sarah the CDe, but then we somehow (i may have brought it up) got on the topic of how Medi- care is looking to cover CgMs, which could (possi- bly, maybe) ultimately lead to lower pricing across the board for diabetes tech. When i got into the offi ce, i googled OmniPod because that's what has interested me most in the past, and now i am getting pop-ups for that, too. Unless Big Brother really is watching and somehow knows what i am thinking. in the meantime, there are lots of details to be worked out for the Dexcom to get paid by Medicare. One interesting point (and correction, we transposed some numbers here) came to light from greg at applied Policy, who has been working with Dexcom on this: CMS has proposed a one-time payment of $236 to $277 for the CgM receiver. i emailed him back to ensure i had understood correctly, and added that seems like an extremely low payment. "That was our impression, as well," he told me. greg said it seems that CMS may have used histori- cal data (they do love that historical data, don't they?) for traditional glucose mon- itors. Those monitors cost far less than the thousands a CgM costs. For that matter, they also cost far less than $236 to $277, but i'll save my rant about insurance pric- ing for another day. as greg told me, it's a curious pricing mechanism, to say the least. Finally, a story to put a smile on the face of anyone who uses insulin: a lawsuit has been fi led against the manufacturers accusing them of price fi xing. Stay tuned on all of the above. hme Diabetes in the news, and in my life Theresa FLaherTY

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