HME News

JAN 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 23 of 24

Medicare Market Marker The eSolutions Denial Tracker SOURCE: ESOLUTIONS The eSolutions Denial Tracker is an index of the percentage of Medicare and commercial claims rejected on a monthly basis. The most recent month's data represents an analysis of approximately 1,349,331 Medicare claims and 4,021,577 commercial claims adjudicated between Nov. 1, 2018, and Nov. 30, 2018. The index is a categorized and weighted analysis of claims fi led by eSolutions customers. HMENEWS.COM 2/18 3/18 5/18 8/18 11/17 11/18 10/18 6/18 4/18 7/18 9/18 12/17 1/18 Most viewed stories in November 1. CMS releases fi nal bid-related rule 2. HME vs. Amazon: Providers help out—for a fee 3. Stakeholders unpack disappointing fi nal rule 4. CMS doubles down on vents 5. Invacare reports 'challenging' results 6. Numotion to have new owner soon *The Medicare Market Marker provides a monthly look at the number of Medicare benefi ciaries for whom the four MACs have allowed a claims payment. SOURCE: PDAC (number of allowed benefi ciaries) E 1 3 9 0 : O X Y G E N C O N C E N T R A T O R E 0 2 6 0 : S E M I - E L E C T R I C H O S P I T A L B E D (number of allowed benefi ciaries) E 0 6 0 1 : C P A P (number of allowed benefi ciaries) K 0 0 0 1 : S T A N D A R D W H E E L C H A I R (number of allowed benefi ciaries) (number of allowed benefi ciaries) K 0 8 2 3 : P O W E R W H E E L C H A I R * * HME NEWS POLL HMEDATABANK.COM The HME DataBank has the latest Medicare reimbursement data for the top 1,000 HME providers nationally in 103 key product cat- egories, as well as for all of the products in the NCB program. You can determine your market share, look for new product opportu- nities and check out your competition using the latest available Medicare data. Go to to learn more. data! data! **We are now tracking K0823 claims with certain modifi ers (NU, UE or RR/KH) to better refl ect the actual number of new allowed benefi ciaries under the 13-month capped rental. 9/17 6/18 5/18 7/18 8/17 10/17 11/17 3/18 4/18 12/17 1/18 2/18 114,262 Region D 99,481 Region B 70,807 Region A 27,703 Region C 16,889 Region A 6,638 Region D Region B 12,747 Region B 57,011 Region D 76,724 Region C 124,431 Region A 50,532 255 Region B Region D 292 805 Region C Region A 177 51,390 Region C 17,523 Region B 16,783 Region D 20,995 Region A Month Percent denied Source: The Braff Group, 412-833-5733. The Braff Group M&A Insider Rehab (13.6, 15.9) DME (11.2, 13.1) Respiratory (10, 9.6) 9/17 6/18 5/18 7/18 8/17 10/17 11/17 3/18 4/18 12/17 1/18 2/18 9/17 6/18 5/18 7/18 8/17 10/17 11/17 3/18 4/18 12/17 1/18 2/18 9/17 6/18 5/18 7/18 8/17 10/17 11/17 3/18 4/18 12/17 1/18 2/18 Newspoll based on 44 respondents. 207,753 Region C HME NEWS / JANUARY 2019 / WWW.HMENEWS.COM Databank What's your top priority for 2019? 9/17 6/18 5/18 7/18 8/17 10/17 11/17 3/18 4/18 12/17 1/18 2/18 23 "Cut unnecessary expenses. This should be something we do regularly anyway, but the only way to maximize profit is to control the things we can control. We can't do anything about reimbursement, so fix what we can." —Jason Jones, president, Jones Medical Supply, Ala. "Fully utilize the avail- able tools in allowing my customers to be served in the best pos- sible way. Every need varies by patient and being able to fi ne tune offerings to meet their expectations in a mean- ingful way will bring greater satisfaction and deliver the intended results. Staying current in trends and equipment available will keep me on track." — J o h n S p e c h t , president, Specht & Associates, Ohio T his month, we examine new platform investments completed by private equity sponsors through the third quarter of 2018. Such data is particularly noteworthy as it serves as a strong leading indicator of the type and volume of overall mergers and acquisitions activity we can expect over the next 12 -36 months. With nearly half of all new investments going toward behavioral health, it is clear that private equity continues to be extremely bullish on the sector, as both the funding and utilization of services continues to rise. With alternative payment models that reward the most clinically and cost effective modes of care, it comes as no surprise that home health and hospice is also drawing substantial investment interest. Also notable is the strong showing in healthcare staffi ng; and the confi dence several sponsors have in home medical equipment, as it enters a phase of comparative reimbursement stability and a potentially improved competitive bidding program.

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