HME News

DEC 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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News HME NEWS / DECEMBER 2018 / WWW.HMENEWS.COM 9 Wednesday, December 12, 1:30 pm ET Due to the cancellation of this year's HME News Business Summit, we are bringing some of the sessions to you in our new Summit Talks Webcast Series! Presenter: Liz Beaulieu Editor, HME News Register online and view the other webcasts in the series at: Can't make a live event? Everyone who registers gets a link to view the recording after the webcast! All webcasts are $99 each. Moderator: The future of health care is in the home. Guiding care to the home drives signifi cant savings, improves clinical outcomes, and increases patient satisfaction. Unfortunately, the crucial role that is played by homecare providers is often poorly understood. In this webcast, presenter Steve Wogen will discuss: s4HEEVOLVINGMARKETFORPOSTACUTECARE How health plans, particularly those with high concentrations of Medicare members, are realizing common failure points in our current system s4HEVISIONFORANEWHEALTHCARECONTINUUMTHAT places the patient at the center of care where they are most often: at home s4HEROLETHATFORWARDTHINKINGHOMECAREPROVIDERS can play in architecting the future of care at home. Post-acute care: Forecasting the future Steve Wogen Chief growth offi cer, CareCentrix WASHINGTON – A number of champi- ons for the HME industry, includ- ing Rep. Cathy McMorris Rodgers, R-Wash., have won their re-election bids in Congress. McMorris-Rodgers, who bested her Democratic contender Lisa Brown, has led a number of efforts to provide relief from Medicare's competitive bidding program, HME industry champions win re-election including introducing H.R. 4229, which has 157 co-sponsors. She has also spearheaded a number of con- gressional sign-on letters to CMS requesting relief. A number of champions for complex rehab have also won re- election. Reps. Lee Zeldin, R-N.Y., and John Larson, D-Conn., who introduced H.R. 3730, a bill to stop CMS from applying bid-related cuts to accessories for complex manual wheelchairs, came out on top. As did Rep. Jim Sensenbrenner, R-Wis., who introduced H.R. 750, a bill to create a separate benefit for com- plex rehab. However, Sen. Heidi Heitkamp, D-N.D., who has also supported the industry's fight against the bid program, lost to her Republican contender Kevin Cramer. In 2015, Heitkamp joined Sen. John Thune, R-S.D., in introducing a bill to soft- en the blow of the nationwide roll- out of competitive bidding pricing on Jan. 1, 2016. Thune was not up for re-election. HME Reps. Cathy McMorris Rodgers, Lee Zeldin, John Larson, Jim Sensenbrenner all keep their seats FINAL RULE C O N T I N U E D F R O M PA G E 1 the financial edge, and it's going to be very difficult without get- ting some immediate relief for those providers," he said. Stakeholders planned to regroup with lawmakers after the elections to see what oppor- tunities and obstacles might arise as the result of changes in Congress. One big question: the fate of H.R. 4229. Spearhead- ed by Cathy M c M o r - ris Rodgers, R-Wash. "We need t o t a k e a look at it and modify it because of the rule," said Ryan. "We need to see if we can't move that through com- mittee and get a score. All this needs to be done." The lack of additional relief in the final rule raises concerns that access issues will increase after the current contracts expire Dec. 31 and an any-willing-pro- vider provision goes into effect. Providers will no longer be obli- gated to take patients at such low rates. "We need to monitor those potential access issues in a much more comprehensive way, since it is unclear how CMS is going to monitor that," said Cara Bachen- heimer, chair of the government affairs practice at Brown & For- tunato. "We are discussing with CMS the need to be much more diligent in figuring out what is going on in those former bid areas." At the same time, stakehold- ers are rolling up their sleeves to make sure the next round of bidding includes their input. They will have their work cut out for them. CMS is already seeking comments on adding off-the-shelf back and knee braces and ventilators to the program. "We are hoping to work with CMS on a lot of the sub-regula- tory decisions, like the details of the product categories," Bachen- heimer said. HME Tom Ryan

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