Across the country, health care plans are looking for innovative, cost-effective solutions to meet members’ needs.  However, a developing trend across the payor landscape, particularly in the Medicaid MCO space, is the application of sole source contracts and narrow network arrangements for the provisions of HME and related services.  The HME industry and consumer groups have serious concerns about the shortcomings of such arrangements and the ultimate negative impact it will have...

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AAHomecare has deployed a survey for medical professionals and related support staff (including hospital discharge planners, care managers and social workers) asking for information on their experiences in getting medically-necessary HME products for their patients in a timely manner. The brief survey gives medical professionals the opportunity to share their perspectives on issues they may have faced on account of reduced availability of HME in a changing competitive environment. AAHomecare asks...

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The American Association for Homecare (AAHomecare) has launched a new initiative to survey medical professionals and other individuals in the caregiving continuum to measure the impact of recent Medicare reimbursement cuts on seniors, as well as people with disabilities and chronic conditions.  This survey comes in response to requests from home medical equipment (HME) companies for a comprehensive program to better document new challenges medical professionals face in getting equipment for...

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All suppliers encouraged to participate in this Cost Study which will include multiple categories under threat by competitive bidding. Today a national survey opened for suppliers to provide their fixed and variable costs for furnishing the services associated with supplying durable medical equipment. This Cost Study survey comes just one week after the highly disappointing news that Congress did not successfully pass the Patient Access to Durable Medical Equipment Act. Now it is paramount...

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MORE INDUSTRY PARTICIPATION SOUGHT TO MAKE STRONGER CASE FOR AUDIT REFORM WED, JULY 6, 2016 WASHINGTON, DC Results are in from the most recent HME Audit Key survey. The latest round of results including ADRs from October 1, 2015 thru March 31, 2016, show the following: Preliminary data on MAC prepayment audits shows interestingly high approval rates – based upon the current group of participating suppliers, 69% of completed MAC prepayment audits nationwide, were paid upon...

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