HME News

JUL 2018

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Rx and Specialty Providers hme news / ju LY 2018 / 19 AS ce NSIA C O n t I n u e D f r O M P r e v I O u S PA g e w RIGHT C O n t I n u e D f r O M P r e v I O u S PA g e de NV e R – i nclement winter weath- er contributed to a decrease in net revenues during the first quarter of 2018 for BioScrip, which reported net revenues of $168.6 million down from $182.6 million in the fourth q u a r t e r o f 2017. N e t l o s s from continu- i n g o p e r a - tions was $13 million, com- pared to $1.2 m i l l i o n i n the previous quarter. The c o m p a n y 's core product mix for the first quarter stayed steady at 75.4%. Adjusted EB i TDA was $5.6 million for the first quarter of 2018, 16% above the EB i TDA for the first quarter of 2017, driven by a 530 basis point improvement in gross profit margin and a $3.6 million reduc- tion in operating expenses. "BioScrip's first quarter adjust- ed EB i TDA increased 16% year over year, as we continued to execute successfully on our turnaround strategy," said Dan- iel Greenleaf, president and CEO in a press release. "Our teammates navigated significant weather-related branch closures and temporary product short- ages, which resulted in lower revenue and increased cost of revenue during the quarter." The company also said it had made investment in its field force and managed care team, and other strategic initiatives. "We remain as enthusiastic as ever," said Greenleaf. hme ARLINGTON, Va. – The American Diabetes Associa- tion on May 24 released a public policy state- ment outlining both long- and short-term rec- ommendations for improving insulin access and affordability. The recommendations in "ADA Public Policy Statement: i nsulin Access and Affordability" include increasing transparency across the entire insulin supply chain; stream- lining the approval process for biosimilar insu- lins; lowering or removing patient cost-sharing for insulin; and increasing access to healthcare coverage for all people with diabetes. The state- ment follows a white paper, " i nsulin Access and Affordability Working Group: Conclusions and Recommendations," published on May 8 in Diabetes Care. A recent survey by the ADA confirmed that individuals who face high out- of-pocket costs for insulin are not adhering to their diabetes care plan by either rationing or forgoing insulin doses to reduce costs. s o LA r A m ed I c AL s u PPLI es rece I ves P e I nvestment c H u LA VISTA, c alif. – Solara Medical Supplies has received an investment from Linden Capital Partners, a Chicago-based healthcare private equity firm. Solara is a direct-to-consumer pro- vider of continuous glucose monitors, insu- lin pumps and other diabetes supplies. Ron Labrum, Linden operating partner, and Keith Crawford, Linden adviser, have been named chairman and CEO, respectively. "Solara found- er Tod Robinson and his team have built an extraordinary business," said Crawford, in a press release. " i look forward to working with Tod and carrying on the company's strong employee culture and commitment to provid- ing exceptional service to patients, manufactur- ers and payers." F d A c L e A rs o mn IP od d A sh b ILL e RI c A, Mass. – i nsulet Corp. has received clear- ance from the U.S. Food and Drug Adminis- tration for its Omnipod DASH i nsulin Manage- ment System. The Omnipod DASH features an easy-to-read, touch-screen PDM; user-friendly steps to manage basal rates; and a food library. Bluetooth technology allows for connectivity between the device and the Pod, as well as the Omnipod Display and View apps. "Omnipod DASH was inspired by Podders and embodies what users on multiple daily injections have been asking for," said Patrick Sullivan, chair- man and CEO. "Our No. 1 priority is to continue to minimize the daily strain on those impacted by diabetes and we are confident this system, and eliminating the system's upfront cost, do just that." The DASH is free with the purchase of Pods. hme BioScrip revenues decline again ADA: Improve insulin access, affordability Finance Committee, has been key to the industry's efforts in the Sen- ate to date. He has introduced a bid relief bill in the past and, more recently, championed a provision, along with Sen. Heidi Heitkamp, D-N.D., in the 21st Century Cures Act that requires CMS to take into consideration provider costs and other factors when setting reim- bursement in non-bid areas for future rounds of the program. "We need to clear Thune," said Tom Ryan, president and CEO of AAHomecare. i n the House, H.R. 4229, which would provide relief in all non-bid areas and retroactively from Jan. 1, 2017, to Jan. 1, 2019, has support from 152 lawmakers, including c ONF e R e N ce C O n t I n u e D f r O M PA g e 3 Motivation and Behavioral Skills ( i MB) model and you need all three of these pieces to effect real change." Going forward, Schumm sees the app evolving to provide personal- ized coaching and disease manage- ment based on multiple sources of data, such as continuous monitor- ing data, exercise/activity data and blood pressure readings, not just blood glucose levels. He also sees that data being shared. "We've come a long way in terms of blood glucose monitoring, but if everyone–healthcare professionals, nurses, caregivers–is able to see that data and use it effectively, you'll be able to provide better outcomes and recently about why this creden- tial is rewarding for both nurses and the provider. hme News: What is involved in obtaining the CRNI credential? Brenda Wright: To be eligible to even take the exam, you have to be current and actively registered as nurse; and have to have 1,600 hours of experience in infusion therapy in the last two years, which someone at a supervisory level has to validate. The test is quite challenging—for the past three years, the pass rate for first timers is 70%. i have had a lot of my nurses study long and hard, and not pass it. hme : What does obtaining this credential mean to these nurses? Wright: i t's validating. i t means they are looked up to by their peers as being experienced, as well as knowledgeable. i t also gives them some additional crit- ical thinking skills, and helps them understand the risks in cer- tain situations and be able to mit- it's the people you hire," he said. "Someone would come to me, and say, ' i can bring you $2 million in revenue if you hire me.' That's great but the do you fit into our company culture? There have been times i 've delivered an enteral pump for a child to a family and sat in my car after- ward and bawled like a baby. i f you can't feel that, then you don't belong at Acentus." hme igate those risks and assure the patient receives safe and effective care in any setting. hme : Why and how do you sup- port your nurses in this? Wright: By encouraging our nurses to pursue this certifi- cation, it really demonstrates our commitment to quality. We're very focused on assuring that the nurses we are employ- ing have the experience in i V therapy. We also assist them in buying the study materials and reimburse them for the expense of taking the exam when they pass it. hme : Will Option Care's focus on this kind of credential be attrac- tive to potential employees? Wright: There is a pretty sig- nificant nursing shortage right now, and there's about 1 million nurses who will reach retirement age in 2020 at a time when our need for nurses is increasing. So, we really stepped back and said, "What would make Option Care the employer of choice?" i t's one of the reasons we are investing in our nurses. hme more than a dozen on the Ways and Means Committee. Discussions there are transitioning to how to move the bill through the commit- tee process. "We don't need to introduce a new bill (in the wake of the i FR)," Witter said. "When the committee takes it up, they can mark it up and make modifications. i f your mem- ber of Congress asks if the bill is still viable, it is." For CMS, AAHomecare has re- upped its retainer with law firm Foley Hoag, which has helped the association get meetings with high- level officials at the agency, as well as HHS, including Deputy Secretary Eric Hargan. "When (former HHS Secretary Tom Price left), things came to a grinding halt, but we continued to pound away," Ryan said. hme get better results," said Schumm. "That's where the future is going to be." hme Diabetes D igest A ce NT u S C O n t I n u e D f r O M P r e v I O u S PA g e Dan Greenleaf The data to drive your business forward. eep! eep! Data! Data!

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