HME News

OCT 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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Rx and Specialty Providers ■ Valuations for home infusion companies are very strong, says Jonathan Sadock. See story this page. IVS ready to promote VOCSN. . . . . . . . . . . . . . . . . . . . . . . . 1 Viemed reports earnings. . . . . . . . . . . . . . . . . . . . . . . . . . . 20 InfuSystem mobile app offers peace of mind . . . . . . . . . . 20 ASAA details sleep apnea's impact . . . . . . . . . . . . . . . . . . 21 20 hme news / october 2018 / By Theresa Flaher T y, Managing e ditor WASHINGTON – With the end of the August recess, women's health advocates anticipate the quick introduction of a pair of bills that would require Medicare to pay for custom breast forms. "We have our draft legisla- tion and we are actively seeking lead sponsors," said Nikki Jen- sen, vice president of Essentially Women, a division of VGM. Similar bills have been intro- duced in the past, most recently in 2011. Medicare already has a code and an allowable for cus- tom breast forms, but local cov- erage determinations (LCDs) down code them as "not medi- cally necessary." That means the custom forms get paid for at the non-custom price. Cus- tom forms range from $2,500 to $3,000 compared to $350 to $400 for off-the-shelf products. Custom forms may be the only option for women who for, for various reasons, may not be a good candidate for reconstruc- tive surgery or for whom off-the- shelf products may not work, says Jensen. "They may not want more sur- gery," she said. "For an OTS item, it may not be possible to find a good match." Jensen and other stake- holders spent the summer laying the groundwork for the legislation, including a July trip to Capitol Hill and the launch of a grassroots campaign, #Make- MeWholeAgain, with a Twitter hashtag, Facebook page and landing page on www.people- "We want to push this out By Tracy Orzel, c ontributing Writer MADISON HEIGHTS, Mich. – InfuSystem Holdings' new patient safety app, InfuSystem Mobile, is allowing clinics to connect with their patients like never before. "If the patient has their phone, they're going to have everything they need to know about their infusion right in the palm of their hand," said David Bonar, director of corporate marketing. The app features automated infusion safety alerts, frequently asked questions, appoint- ment and pump return reminders, patient education videos, paperless form submis- sion and secure two-way communications with InfuSystem's clinical support team of registered nurses. "As far as we know this is the first app like this that offers these safety features," said Bonar. One standout feature of the app is its Infu- sion Safety Reminder. After a patient is sent home from the clinic they will receive an alert to check and confirm the value on their pump with Infusystem's system. If their response is outside the expected parameters, the app will prompt the patient to call the 24/7 nursing hotline. If no call is made, InfuSystem will reach out directly to the patient. "It's an extra layer of safety and it gives our clinics peace of mind that the infusion is going as planned," said Bonar. The app is fully customizable, allowing clinics to record personalized videos and welcome messages, and allows each facility to offer their patients a branded experience. "It really offers an extra touchpoint that both we at InfuSystem and the clinics can use to reach out to the patient to tell them some- thing at a particular time during the course of their therapy," said Bonar. hme By Theresa Flaher T y, Managing e ditor LAFAYETTE, La. – Viemed Healthcare posted a record-setting second quar- ter and says it expects growth to continue as it seeks further penetra- tion in an "underserved market." The company reported revenues of $15.5 million for the second quarter, a 42% increase compared to the same period last year and a 10% increase compared to the first quarter. "Our history shows we have a recipe to expand our footprint at a high growth rate," said Casey Hoyt, CEO, during a recent earnings call. "Our marketplace is currently underserved, with only 5% market penetration across the country. We have spent the first half of this year expanding our team to achieve higher active patient growth." EW readies for legislation to drop InfuSystem Mobile offers peace of mind Viemed Healthcare arms itself for further expansion Women's health advocates spent the summer laying the groundwork for legislation that would require Medicare to cover custom breast forms. From left: Kyle Hill, health legislative assistant for Rep. Suzan DelBene, D-Wash; Nicole Ver Kuilen, 2018 NAAOP Fellow; Nikki Jensen, Essentially Women; Jasmine Jones, Cherry Blossom Intimates; and Tom Powers, VGM Government Relations. E W g e t s r e a d y s e e n e x t pa g e v I E M E D s e e n e x t pa g e By Theresa Flaher T y, Managing e ditor I T HAS been a hot market, but here's not a ton of deals being done in the home infusion market these days, mainly due to a shortage of inventory, say M&A analysts. "There are fewer new startups and the other guys have been consolidating," said Reg Black- burn, managing director of spe- cialty pharmacy and infusion services for The Braff Group. "It's definitely a supply and demand issue." That's good news for sellers, says Bruce Burns, president and CEO of Affinity Ventures. "If you are sitting on a good piece of property we can maxi- mize the value for them easily and get multiple offers," he said. Valuations in home infusion remain strong and a temporary payment fix scheduled to take effect on Jan. 1, 2019, will boost them further, says Jonathan Sadock, managing partner/CEO of Paragon Ventures. "The reimbursement is improving," he said. "The valu- ations in home infusion are some of the strongest I've seen." With fewer acquisitions being done, companies are focused on growing their existing business, particularly in the specialty infu- sion market, says Blackburn. Infusion M&A: Slow and steady I N F u S I O N s e e n e x t pa g e tech watch A good property can get maximum value, say analysts Nikki Jensen Briefs o IG finds a few overpayments, Liberty disagrees PORT ST. L u CIE, Fla. – Liberty Medical mostly complied with Medicare requirements for inhalation drugs, according to a new report from the Office of Inspector General. The OIG sampled 100 claims and found 94 in compliance. Of the remaining six claims, the agency says Liberty did not provide medical records for four, and lacked proof of delivery for two, resulting in an over- payment of $2,408. As a result, the OIG estimated that Liberty received $47,526 in overpayments and recommended that the provider refund the money to Medicare contractors. Liberty disagreed with the OIG's recommendations, saying that it pro- vided sufficient documentation to establish medical necessity, and that it provided ad- ditional proof of delivery documentation for six of eight disallowed sample claims. b io s crip sees improvements DEN v ER – BioScrip reported net revenues of $175.8 million for the second quarter of 2018 compared to $168.6 million for the same period last year. Net loss from continuing operations was $15.1 million, a $14 million improvement. Adjusted EBITDA was $11.4 million, a 14% increase, driven in part by a $3 million reduction in operat- ing expenses, reflecting ASC 606 pro forma adjustments. "We remain increasingly con- fident that BioScrip can achieve at least $75 million in adjusted EBITDA in 2019," said CEO Dan Greenleaf in a press release. o ption c are debuts in Louisiana NEW ORLEANS – Option Care has opened its first care management center in Louisiana, the home infusion provider announced Aug. 7. The center opened June 11 in El- mwood. Through the center, Option Care's team of clinicians, nurses, pharmacists, techs and dieticians can now deliver home and alternative site infusion services to pa- tients who rely on infusion therapies for a variety of conditions, including infectious diseases, and nutritional and gastrointesti- nal disorders. The company says its team of 1,800 are able to provide home infusion services coverage for nearly all patients across the United States. cms to pay more for c PAP alternative MINNETONKA, Minn. – An alternative to CPAP therapy has been approved by CMS for a new technology add-on payment to hos- pitals. The NTAP program will provide ad- ditional reimbursement on top of the stan- dard Medicare Severity Diagnosis Related Group payment to hospitals under the Medicare Hospital Inpatient Prospective System for Respicardia's remede System, an implantable device that treats the ef- fects of central sleep apnea by restoring a more normal breathing pattern during sleep.

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