HME News

DEC 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 BioScrip reports net earnings decrease . . . . . . . . . . . . . . 17 CMS withdraws proposed orthotics rule . . . . . . . . . . . . . 17 BOC shows off expanded office . . . . . . . . . . . . . . . . . . . . 17 Q&A: Lynn Connelly, indie pharmacist of the year . . . . . . 18 ■ Automation improves relationships with referral sources, says Melissa Kozak of Citus Health, which recently partnered with NHIA. See story this page. Briefs Pediatric Home Care sells to nat'l player SPOKANE VALLEY, Wash. – Pediatric Home Care, which started as a home infusion pharmacy then added private-duty nursing services, has sold to Atlanta-based Aveanna Health- care, according to the Spokesman-Review. PHC, founded by Michael Glockling, a doc- tor of pharmacy, and Ruth Seignemartin, a registered nurse, has provided home care for children in Eastern Washington since 1990. Aveanna Healthcare has 180 locations in 23 states and 26,000 caregivers. Aveanna Healthcare comprises Epic Health Services and PSA Healthcare. Bill seeks to strengthen protections for patients WASHINGTON – Sens. Mark Warner, D-Va., and Tim Scott, R-S.C., have introduced a bill to strengthen the patient protections that are part of Medicare's national mail-order pro- gram for diabetes testing supplies. The bill, the "Diabetes Supplies Act of 2017," would reinforce existing protections that ensure beneficiaries are able to continue access- ing familiar supplies through the program. It would also establish new surveillance programs and requirements for mail-order suppliers to better guard consumer access. "We want to ensure seniors can access the life-saving supplies and technologies that work best for them," Warner said. The bill is in response to reports that a "50 Percent Rule" requiring suppliers to make available at least 50% of all types of diabetes sup- plies has been inadequate in protecting beneficiary choice. Digest finds diversity among indie pharmacies ORLANDO, Fla. – Independent community pharmacies continue to strengthen and ex- pand their scope of services, despite lower reimbursements for dispensing prescrip- tion drugs, according to the 2017 NCPA Digest, unveiled at the association's annu- al convention, Oct. 14-18. The digest, in its eighth year, found indie community phar- macies offer a variety of services: 86% of- fer medication therapy management; 74% provide immunizations; and 52% furnish durable medical goods. Noridian clarifies LCD for surgical dressings WASHINGTON – Noridian has made several clarifications related to the local cover- age determination for surgical dressings, including that the three types of wounds covered are independent of each other, AAHomecare reports. Noridian also clari- fied that collagen dressings can be used for a maximum of seven days and can be changed daily depending on the wound; hydrogel dressing is covered when the wound is not a pressure ulcer; and "the LCD's characterization of a wound as 'full thickness' or 'partial thickness' applies for purposes of coverage, rather than the NPUAP wound staging definitions that ap- ply only to pressure injuries." www. H me N ews. C om / D e C em B er 2017 / H me N ews 17 By Theresa Flaher T y, Managing e ditor DENVER – Company officials at BioScrip blamed a second straight quarter of net revenue declines on several "disrupters," both expected and unexpected. The declines primarily stem from Bio- Scrip's exit from a UnitedHealthcare con- tract and the double whammy of Hurri- canes Harvey and Irma, said CEO Daniel Greenleaf, CEO, during a Nov. 2 earnings call. "Disruption from the hurricanes and the UnitedHealthcare contract transition decreased revenue by an estimated $10 million during the quarter," he said. "The hurricanes impacted 12 branch locations, which represents 25% of our branch count. We also experienced disruptions related to the transition of more than 5,500 United- Healthcare patients off our census to other providers." By Theresa Flaher T y, Managing e ditor ALEXANDRIA, Va. – Home infusion providers will soon have a host of clinical resources at their fin- gertips, thanks to the National Home Infusion Association's plans to move those resources to a web-based application. "Over the years, NHIA has developed different clinical tools and quick guides, where some- one went to our website and printed them out," said Jennifer Charron, vice president for clin- ical affairs. "We wanted to put W A S H I N G T O N – C M S h a s announced it is withdrawing a proposed rule that would have required any practitioner or supplier who provides cus- tom orthotics to be licensed in states where it is required. The rule, released in Janu- ary, was strongly opposed by physicians, physical therapists and occupational therapists. It has actually been a law since 2000, but it has never been fully implemented. CMS said it was withdraw- ing the rule due to "the cost and time burdens that the pro- posed rule would create for many providers and suppliers, 'Disruptors' put dent in BioScrip's Q3 earnings BioScrip completed its exit from the UnitedHealthcare contract Sept. 30. The company reported net revenues of $198.7 million for the third quarter this year, down from $218.1 mil- lion for the second quarter this year. Net revenues were $224.5 million for the third quarter last year. BioScrip reported a net loss of $12.4 million for the third quarter this year, compared to $11.1 million for the same period last year. It reported an adjusted EBITDA of $13 million, up from $10 million in the second quar- ter. The company also updated full-year revenue guid- ance to a range of $805 million to $810 million for 2017. Greenleaf said BioScrip grew its core product mix to 75% in the third quarter, with a goal of 85%. "Our business is poised to take advantage of the sig- nificant opportunities that exist in today's market," said Greenleaf, who also marked his one-year anniversary since taking the reins in September 2016. hme CMS rescinds proposed O&P rule NHIA moves resources to point of care BOC showcases office The Board of Certification/Accreditation's staff and board of directors showed off an expanded new office location to busi- ness partners and honored guests during an open house on Oct. 6. During the open house, BOC made dedications honoring BOC founder Dr. Donald O. Fedder, James "Jim" Newberry and Debbie Stem Smith. After founding BOC, Fedder served as its first CEO from 1984 through 2006. In the new location, BOC dedicated a suite with a focus on team collaboration the Dr. Donald Fedder Suite. Smith, a beloved staff member, passed away last year. Her family members, pictured, attended the dedication and open house. 'This is going to be a living, breathing tool' them in a web application and move away from paper." In addition to clinical infor- mation, the app—which will be available for both Android and iOS—includes reimbursement and billing tools, and data out- comes for quality of care, said Charron. Making such resources easily available to clinicians at the point of care will have a big impact on patient care. "If I'm a nurse in the home and administering a central venous access device, I can just click on the guide to give me flushing and catheter care instructions and troubleshooting tips," Char- ron said. NHIA partnered with Citus Health, a digital health solution provider, to build the app. While improved patient care is a key benefit, improved relationships with referral sources are equally key, says CEO Melissa Kozak. "The physicians are being asked to sign paper documenta- tion and fax it, and communicate in all sorts of additional ways," she said. "We've done research that has indicated it's frustrating to work with home infusion pro- viders in this manner, and that it hasn't been automated." NHIA expects the platform to launch in early 2018. "Health care is changing so fast, and we've mapped this out so we can add fresh content con- sistently," said Charron. "This is going to be a living, breath- ing resource tool to bring more information directly to our members." hme R E S c I N D S E E p A g E 1 8 TEch wa T ch Dan Greenleaf A prototype of the app.

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