HME News

AUG 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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Rx and Specialty Providers Briefs Diplomat Specialty Infusion expands into parenteral nutrition URBANDALE, Iowa – Diplomat Specialty Infu- sion Group, a home infusion pharmacy, has added a sterile compounding environment to its Iowa location, paving the way for it to provide parenteral nutrition therapies. Dip- lomat's location in Urbandale now features an ISO 7 cleanroom, the standard needed to compound IV nutrition formulations. A cleanroom is a controlled environment with a low level of pollutants. ThriveRx, the nu- trition division, focuses on home parenteral and enteral nutrition. OIG releases final report on test strip market share WASHINGTON – Suppliers in Medicare's national mail-order program provided 19 types of diabetes test strips to beneficiaries from October through December 2016, ac- cording to a new study from the Office of Inspector General. The top two strip types accounted for 53% of the Medicare mail- order market, and the top 10 strip types accounted for 97.5% of the market, the study says. To conduct the study, the OIG sampled 1,210 claims from a total popu- lation of 438,872 claims for diabetes test strips. The Medicare Improvements for Pa- tients and Providers Act (MIPPA) requires the OIG to determine the market shares of the types of diabetes test strips before each round of competitive bidding. MIPPA prohibits CMS from awarding a contract to a supplier of diabetes test strips if the sup- plier's bid does not cover at least 50%, by volume, of all types of diabetes test strips on the market, known as the "MIPPA 50 percent rule." Short takes: BOC, PHS The Board of Certification/Accreditation (BOC) is now accepting nominations for its board of directors. Directors serve four-year terms and must participate in four board meetings annually. For more information, or to obtain a nomination form, go to bocusa. org/boc-board-directors…Pediatric Home Service has been recognized as one of the 2017 Top 150 Minnesota Workplaces for the seventh year in a row. The Star Tribune ranked PHS second out of 109 mid-sized companies, according to a press release. People in the news Darrell Montgomery and Christopher San- sone have been elected to InfuSystem's Board of Directors. Montgomery has nearly 30 years experience in operational man- agement, technology sales and consulting experience. Sansone has extensive invest- ment experience as both a managing partner and founder of an investment partnership... The Board of Certification/Accreditation has named Harry "J.R." Brandt as the inaugu- ral recipient of the Jim Newberry Award for Extraordinary Services. BOC says Brandt is a highly respected practitioner and orthotics and prosthetics advocate who played a sig- nificant role in BOC's growth and success. www. H menew S . CO m / au G u S t 2017 / H me new S 17 ASP Global targets home care . . . . . . . . . . . . . . . . . . . . . . . 1 Amputee stakeholders rally on health care . . . . . . . . . . . 17 Shield Healthcare renews ostomy push . . . . . . . . . . . . . . 17 Moneyline: Liberty Medical, TwelveStone . . . . . . . . . . . . . 18 ■ A new bill would require Medicare to pay for a wig for medical hair loss, says Essentially Women's Nikki Jensen. See story this page. By Theresa Flaher T y, Managing e ditor WASHINGTON – A recently introduced bill seek- ing Medicare coverage for wigs is an excit- ing step forward for women's health, say advocates. "It's a relatively inexpensive DME item but it certainly carries a lot of importance for a woman undergoing chemo—the hair loss is an extremely difficult piece," said Mary Aframe of Women's Image Center in Worcester and Leominster, Mass., who has worked for nearly 12 years to try and get a bill introduced. "This is quite exciting." By Theresa Flaher T y, Managing e ditor WASHINGTON – O&P stakeholders in June called on lawmakers to ensure that any healthcare reform plan does not return America to a pre-ACA world where ampu- tees can't afford a leg. "Before ACA, amputation was consid- ered a pre-existing condition and there were unreasonable limits in insurance cov- erage," said Dr. Jeff Cain, a Denver-based physician and head of the advocacy pro- gram for the Amputee Coalition. "Without insurance, an amputee wouldn't be able to afford a leg to stand on." Cain spoke during a phone-based news conference co-hosted by the American Orthotic & Prosthetic Association and the Amputee Coalition on June 27. The call was held after a congressional briefing on By K. Bo T hu M , Contributing Writer VALENCIA, Calif. – Shield Health- care recently announced a renewed push to mar- ket its ostomy services to Medicare patients nation- wide. As part of that effort, Shield has developed an extensive online presence t o e n g a g e a n d e d u c a t e ostomy patients. That pres- ence includes Ostomy Life By Kelly Bo T hu M , Contributing Writer L A ur A C O x has served as Shield Healthcare's osto- my living expert for 3½ years. She was hired by the company after CEO Jim Snell saw her speak about her ileos- tomy on an episode of Tosh.0. She talks about her interest in telling her story to educate and break down the stigma around ostomy. HME N E ws: How does shar- ing your personal experience Women's health advocates drum up support for wig bill The bill, H. r . 2925, introduced June 15 by r ep. Jim McGovern, D-Mass., would allow wigs to be covered as durable medical equip- ment under Medicare, as long medical profes- sional such as a derma- tologist, oncologist or attending physician could certify it as a medical necessity as part of rehabilitative treatment. "The language of the bill is very benefi- cial in that it covers anything that is medi- cal hair loss, as long as it is prescribed by a medical professional," said Nikki Jensen, vice president of Essentially Women, a divi- sion of VGM. expert, Laura Cox, who has been living with an ostomy since she was 19 years old. As part of Shield's Ostomy Life marketing campaign, Cox, 24, makes videos, writes blog posts and interacts with other people who are living with an ostomy, said Eric Yen, marketing director for Shield. With her upbeat, positive personality, she shares her help others? Laura Cox: People get an ostomy for all sorts of rea- sons. Mine was inflamma- tory bowel disease. When I was doing my own research, there wasn't much infor- mation I could find, so I thought I would try to talk about it and be open and positive. There's definitely a need to connect and feel understood. People kind of ache to be able to relate to Amputee community: Give us 'leg to stand on' ALEXANDRIA, Va. – r eps. Morgan Griffith, r -Va., and Henry Cuellar, D-Texas, have introduced a bill in the House of r epre- sentatives that would clarify congressional intent on several compounding provisions included in the Drug Quality and Security Act of 2013. Since the passage of DQSA, there has been a lack of understanding as to where federal regulatory oversight of traditional compounding pharmacies begins and ends, according to the National Home Infusion Association. Specifically, there are questions regarding the dispensing of compounded products across state lines, inspection standards, and several other DQSA provisions, the associa- tion says. In explaining the need for the bill, the NHIA stated in a press release: "It is impor- tant for home and specialty infusion pro- viders to have clarification on application of a provision in the DQSA that calls for a Memorandum of u nderstanding (MO u ) between the u .S. Food and Drug Adminis- tration (FDA) and states, specifically regard- ing the distribution of compounded prod- ucts across state lines." NHIA has long maintained that dispens- ing a compounded product to an individu- al patient pursuant to a prescription is not commonly considered distribution of the product under state or federal law. The FDA, in its draft MO u released in 2015, included dispensing as an act of distri- bution and imposed strict limits that could negatively affect access to medications for a patient whose provider is based in another state. HME Bill seeks to clarify compounding provisions Shield Healthcare reinvigorates ostomy services division Ostomy lifestyle expert feels 'lucky' A m p U T E E S s e e pa g e 1 8 W I G b i l l s e e pa g e 1 8 L A U R A c o x s e e pa g e 1 7 S H I E L D h e a lt h c a r e s e e pa g e 1 7 Mary Aframe 'It's a relatively inexpensive DME item but it certainly carries a lot of importance for a woman undergoing chemo,' says Aframe

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