HME News

SEP 2018

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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Page 15 of 24

Rx and Specialty Providers Briefs Insulet reduces net loss BILLERICA, Mass. – Insulet Corp., maker of the Omnipod Insulin Management System, reported revenues of $124.3 million for the second quarter, a 13% increase compared to the same period last year. It reported rev- enues of $78.1 million for the Omnipod in the U.S., a 19% increase. Insulet reported a net loss of $1.7 million for the second quarter compared to a net loss of $7.8 million for the same period last year. Among the com- pany's highlights in the second quarter: It assumed direct European operations for the Omnipod on July 1; it commenced a limited market release in the U.S. for the Omnipod DASH, its next generation platform; and it secured in-network coverage for Omnipod with UnitedHealthcare. Stakeholders push back against ostomy recommendation WASHINGTON – The Access & Care Coali- tion, led by the United Spinal Association, has retained a lobbying group to boost efforts to prevent expanding competitive bidding to ostomy and urological supplies, according to a bulletin from AAHomecare. A June MedPAC report included recom- mendations to include the two product categories in Medicare's bid program. The coalition is part of a coordinated effort by AAHomecare, consumers and other stake- holders who believe that a proactive ap- proach against the recommendation is im- portant. In March, AAHomecare released a white paper and issue brief on the subject. Citus Health chosen by OptionOne Pharmacy NEW YORK – Citus Health, a digital health solutions provider for the post-acute care industry, has been chosen by OptionOne Pharmacy, a home infusion provider, to en- hance the company's digital capabilities with patient engagement and outcomes tracking solutions. OptionOne will roll out the Citus Health Call Bell HIPAA-compliance, secure messaging solutions to streamline patient to staff and staff to staff communications, and eliminate inefficient phone and paper pro- cesses, according to a press release. With Citus Health, OptionOne will also have ac- cess to: supply tracking and management to minimize or eliminate under- or over-supply in patient homes; patient and physician electronic signatures and documentation required for billing; and outcomes tracking that allows for patient surveys and important data collection. Abbott upgrades FreeStyle Libre ABBOTT PARK, Ill. – The U.S. Food and Drug Administration has approved Ab- bott's FreeStyle Libre 14-day Flash Glu- cose Monitoring System. The system has a one-hour warm-up period, compared to 12 hours with the FreeStyle Libre 10-day system, which received FDA approval in September 2017. www. H menew S . CO m / S e P tember 2018 / H me new S 15 Proposal overlooks full array of infusion services . . . . . . 15 Q&A: Ascensia's Russ Newsome . . . . . . . . . . . . . . . . . . . . 15 ActivStyle solidifies position as indie player. . . . . . . . . . . 15 Study: CPAP therapy reduces risk of heart failure . . . . . . 16 ■ PHS's new location in Wisconsin was requested by the healthcare community, says Mark Hamman. See story this page. By Theresa Flaher T y, Managing e ditor WASHINGTON – CMS's proposal to establish a new home infusion therapy benefit has taken a wrong turn right out of the gate, say industry stakeholders. Specifically, the agency wants to require a nurse to be present on the days when an infusion drug is administered in the home to receive payment. However, it is not uncom- mon for infusion drugs to be administered without a nurse, say stakeholders. "(In the private sector), if that beneficia- ry is on your service you get paid, even on days when the nurse isn't there," said Ken van Pool, vice president of legislative affairs for the National Home Infusion Associa- tion. "For private pay, you would bill for the nursing separately, the drugs separately and then a per diem rate." The nursing requirement is part of a larger proposed rule published in the Fed- eral Register July 12. The rule also seeks comments on standards for home infusion therapy suppliers, and an oversight pro- cess for organizations that accredit those suppliers. The problem with the nurse require- ment, says van Pool, stems from CMS's definition of "professional services," in which it only recognizes nursing, and not pharmacy or case management services. "To get this right, we need to provide a robust definition of professional services in the rule and it should include things like compounding the drug, case management services, and drug utilization review," he said. "That way, they can adequately pay home infusion providers." NHIA says it is preparing to discuss the issue with CMS and with lawmakers, and is organizing grassroots efforts, as well, says van Pool. "We want to be constructive and ensure that we have a good outcome out of this," he said. hme By Theresa Flaher T y, Managing e ditor MINNEAPOLIS – ActivStyle, which has made a name for itself in the incontinence supplies mar- ket, now wants to boost its pro- file in the catheter market. I n J u n e , t h e c o m p a n y launched Catheter Express, a new brand to help focus its existing catheter business. "We felt really formalizing and doing more of the person- al service we do so well on the incontinence side was a benefit in our catheter business," said CEO Gayle Devin. "The cath- eter patient isn't a one-size-fits all." ActivStyle also offers urol- ogy, ostomy and nutritional supplies. It accepts Medicare nationwide and Medicaid in 43 states, and contracts with more than 900 managed care organi- zations, says Devin. The company, which got into the catheter space in 2010 when it acquired Advocate Medical, provides continuing education, offers a wide range of products, and works with Proposal overlooks full array of services HOme infusi O n By Theresa Flaher T y, Managing e ditor MINNEAPOLIS – After serving a "sliver" of western Wisconsin for years, Pediatric Home Service will open its doors to the entire state from its new location in Milwaukee. "We are pretty connected with the healthcare community there and we've heard over the years, 'Please come in and offer more services,'" said Mark Hamman, president. "We felt it was the right time to make the move and we will continue to work with payer sources and the state Medicaid program to expand and let them know we are a high service, clinical provider that gets these kids out of the hospital and keeps them at home where they belong." PHS offers home infusion, enteral nutrition, respiratory and specialty pharmacy services and private-duty nursing across the state of Minnesota and parts of Iowa and the Dakotas, but for now, it will focus just on respiratory and enteral nutrition in Wisconsin, 'Unicorn' PHS spreads its wings ActivStyle solidifies its position as indie player payers to secure coverage. "All our representatives go through extensive product training, whether it's talking about incontinence or an issue with a patient's diagnosis and making them feel comfortable," said Devin. "If their needs change, we work with them to ensure that they get the right product and they meet criteria from the payer standpoint." ActivStyle isn't the only com- pany taking a harder look at the medical supplies market, but much of the focus over the past few years has been on large deals, often in the form of manufacturers acquiring a platform. Most recently, in May 2017, Owens & Minor paid about $380 million for Byram Healthcare. Other deals include Coloplast's acquisition of Comfort Medical for $160 million; and Domtar's acquisi- tion of Home Delivery Inconti- nence Supplies for $45 million, both in 2016. "Clearly, it's a growing mar- ket," said Devin. "That's where we feel there's a need for an independent player who can provide that personalized service." hme By Theresa Flaher T y, Managing e ditor A SCENSIA D IABETES Care recently selected the Culinary Coach, a digital solution from U.K.-based Whisk that provides personalized food recommenda- tions to users, as the win- ner of its recent Ascensia Diabetes Challenge. Ascen- sia sought digital solutions to support Type 2 diabe- tes management to draw attention to the rapidly changing diabetes market. "We felt we needed to unleash more understand- ing in the market of what other innovations are coming in the form of better overall dia- betes care," said Russ Newsome, head of Health apps should be seamless, predictive d I A B E T E S s e e pa g e 1 6 u N I C O R N s e e pa g e 1 6 Company launches Catheter Express R. Newsome Pediatric h ome Service can serve the entire state of Wisconsin from its new office in Milwaukee.

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