HME News

FEB 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 Time to get temporary infusion payment 'done' . . . . . . . 16 Q&A: Eric Hymes on disposables market . . . . . . . . . . . . . 16 Infusion Solutions steps up to plate . . . . . . . . . . . . . . . . . 16 One Drop knocks down barriers . . . . . . . . . . . . . . . . . . . . 16 ■ New tool makes it easy to build scale with diabetic shoe business, says Marcus Suess. See story next page. 16 hme news / february 2018 / www.hmenews.com By Theresa Flaher T y, Managing e ditor WASHINGTON – The National Home Infusion Association rallied its members with a vir- tual lobbying day on Jan. 9, as it seeks to pass a bill that would create a temporary payment for home infusion services. "We need to double down on our efforts and make sure lawmakers hear us loud and clear," said Ken van Pool, vice presi- dent of legislative affairs. "We want to get everybody calling into the Hill. We need to get this done." The Medicare Home Infusion Thera- py Access Act of 2017, S. 1738, would address a payment gap created by a provi- sion in the 21st Century Cures Act. The act requires Medicare to pay for services associated with providing Part B home infusion drugs, but not until 2021. Intro- duced Aug. 3 by Sens. Mark Warner, D-Va., and Johnny Isakson, R-Ga., it cur- rently has 28 co-sponsors. By T. Flaher T y, Managing e ditor BELLINGHAM, Wash. – Infusion Solutions has found its niche as a local provider will- ing to go the extra mile for patients and referral sources, By Theresa Flaher T y, Managing e ditor E RIC Hy M e S , a new managing director at M&A firm Vertess, got his start in the supplies market, with diabetes, uro- logicals and wound c a re s u p p l i e s h i s " f i r s t a n d s e c o n d languages." Here's what Hymes, whose previous experience includes stints at CCS Medical and Coloplast, had to say about why the By Theresa Flaher T y, Managing e ditor I T WAS one of the last stories we published in 2017, but a potential merger of giants topped the list of most read spe- cialty stories for the year. The No. 1 story, "CVS-Aetna deal casts chilling shadow over pharmacy landscape," about CVS's plan to pay approxi- mately $69 billion for the health insurer, deals with the potential negative impact on privately-owned pharmacies. It's easy to see how this latest news of consolidation within the healthcare industry would strike a note with the majority of our readers, who are seeing similar trends across the HM e sector. By Theresa Flaher T y, Managing e ditor NEW YORK – One Drop's primary goal has always been to give people with diabetes a place to collect all of the data that matters to them, says Rachel Sanchez-Madhur, vice president of marketing, strategy and customer success. Originally launched in 2015 as a mobile app, One Drop has since added its own blood glucose monitoring system and coaching with a certified diabetes educator. "All the information you need is in the app and being able to carry it with you changes the game," said Sanchez-Madhur. s ense of community The One Drop mobile app features a com- munity stream that allows users to see other people with diabetes and what they are doing or eating, and react, much like with Face- book, says Sanchez-Madhur. "So often, doctors will say thing like you are noncompliant and that's very negative," she said. "No one's really giving you a pat on the back for managing diabetes. The com- munity is a way of helping people see there's a community around them and other people Time to get temporary infusion payment 'done' The Legislative Call to Action Webinar and Lobbying Day updated NHIA members on the legislation, provided talking points and offered tools to contact lawmakers. Stakeholders were eyeing the Jan. 19 deadline for Congress to pass legislation to continue funding the government and act on key government programs and ser- vices. "We are probably going to be part of a larger package of bills they are going to be working on and that they are already talking about," said van Pool. "They've got so many things that are already past their deadline I think the urgency is more ratch- eted up than the December deadline." It's especially urgent for home infusion providers: CMS has said it would need a year to implement the temporary pay- ment, and with the calendar turned to 2018, it's time to move, say stakeholders. "I think if we get something done here in January we will be OK," said van Pool. hme Hymes peels back supplies market says Chuck Loos, account manager. "The general population here has a big buy-local vibe," said Loos. "If people have a choice, they want to go with a local Diabetes, sleep and one really big deal year in review As an almost direct counter- point to the CVS deal, the No. 2 most read story, "Mail-order market for diabetes on preci- pice of disaster," offers a cau- tionary tale of what happens when one company corners an outsized share of a market and then fails, as Arriva Medical did when it lost its Medicare bill- ing privileges. Where do those patients go? Oh, right, CVS. With the mail-order diabetes market teetering on the edge, the fight against Medicare's competitive bidding program goes on. In August, a group of lawmakers asked CMS to hold off implementing a pilot to bundle CPAP payments in the next round, citing concerns Local vibe pays off for provider One Drop knocks down barriers to management Y E A R i n r e v i e w s e e n e x t pa g e I N f u S I O N s o l u t i o n s s e e n e x t pa g e O N E d r o p s e e n e x t pa g e H Y M E S s e e n e x t pa g e Infusion Solutions steps in where others won't Infus I on s olut I ons has grown from six employees in 2010 to 27 today . The Bellingham, Wash . -based provider credits its local committment for its success . Eric Hymes Briefs o ption c are taps new ceo BANNOCKB u RN, Ill. – Option Care has ap- pointed John Rademacher as CEO and COO, effective immediately, the company announced Jan. 4. Rademacher had been serving as the interim CEO. Rademacher has more than 25 years of health care related experience, and has held execu- tive positions including at Cardinal Health where he served as president and general manager for both the Ambulatory Care Di- vision and the Nuclear and Pharmacy Ser- vices Divisions, and at Cigna Corporation where he served as president of CareAllies and COO for the CIGNA Behavioral Health business. "I am honored and excited to be given the responsibility to lead Option Care," said Rademacher in a press release. "We have such a proud heritage given all the great work over our 35-year history. With our national scale and highly qualified team, we are uniquely positioned as the market leader to continue to deliver high- quality, low-cost care to our patients and drive significant growth." b oas s urgical buys w yoming Valley Prosthetics and o rthotics BETHLEHEM, Pa. – Boas Surgical, a provider of prosthetics and orthotics, has acquired Wyoming Valley Prosthetics and Orthotics in Swoyersville, according to The Morning Call. Boas Surgical will continue to operate the Swoyersville location under the Boas Surgi- cal name, adding six employees from Wyo- ming Valley Prosthetics and Orthotics to its roster, for a total of 38 employees, according to the newspaper. Boas Surgical, headquar- tered here, has a total of eight locations in Pennsylvania. It also has a location outside Phillipsburg in New Jersey. ao P a , o &P n ews 'perfect fit' WASHINGTON – The American Orthotic & Prosthetic Association has agreed to buy O&P News Magazine from SLACK Inc., it announced in December. "(It's) the per- fect fit of O&P News with AOPA's objec- tive to expand communications with the O&P community to ensure that the latest in research and technology developments and information is served up in as many forums as possible," said Michael Oros, AOPA president. "O&P News has the po- tential to play an important role in that en- deavor." AOPA already publishes the O&P Almanac. The association plans to explore opportunities to diversify content toward the practitioner and referral community with O&P News. t hrive s killed Pediatric c are makes buy Wakefield, Mass. – Thrive Skilled Pediatric Care has acquired Richmond-Va.-based The Pediatric Connection, which has three locations in Virginia, according to a local news article. The Pediatric Connection of- fers respiratory equipment and nutritional services.

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