Blog

ATLANTA – Providers in Georgia, at press time, were waiting for the state Medicaid program to announce which case management organizations (CMOs) will receive contracts that include a new rate floor for DME.  In late 2023, Medicaid officials agreed to set the rate floor for DME at 100% of Medicaid fee-for-service rates and included the provision in its RFPs.  “(From providers in Georgia), I’ve heard of contracts that ranged from 60% to 80% of the current rate, so...

DALLAS – CCS has launched PropheSee, an AI-powered predictive model for health care organizations focused on improving adherence in people with diabetes who use a continuous glucose monitoring (CGM) device.  With the deployment of this new predictive model, CCS has observed increases in adherence rates among targeted, high-risk patient cohorts by as much as 50% compared to control groups. The increase in adherence resulted from tech-enabled, personalized interventions based on risk...

Q. Why is implementing modern digital solutions essential for industry efficiency?  A. Our industry faces a critical efficiency challenge: the continuous mountain of time-consuming, error-prone administrative tasks. Traditionally, medical record review, patient eligibility verification against intricate and ever-changing payer rule sets, and claims submission required manual performance. Such operational inefficiencies lead to delays in care, financial loss and increased frustration by suppliers...

Q. What can HME companies do to differentiate themselves to payers in terms of supporting value-based care?  A. Remember: Value-based care is generally defined as a shift from traditional fee-for-service payment models to a provider payment system that supports quality improvement and cost-effective care to ensure successful health outcomes and experiences for patients. Various iterations of this model are already in effect in some market segments, while others are still actively updating...

Q. How are hospital-at-home supply chain logistics different than in brick-and-mortar health care?    A. In a traditional hospital setting, large trucks make deliveries to facility loading docks on routine schedules. These products are then stored all over the hospital in patient rooms and storage closets. If a patient needs a product and it is not already in the hospital room, a nurse can easily walk down the hall to a supply closet to get what they need.   With hospital-at-home...

Q. Am I able to ship refills or supplies to my current patients if they temporarily relocate out of my service area for the summer or winter?   A. You can only ship items to patients where you have a state issued license for DME. Your clients who temporarily relocate may need to get refills, but unless you have an out-of-state license in that state, you cannot ship their refills to them.   You can avoid this problem by asking the client if they have someone who is forwarding...

PLYMOUTH MEETING, Pa. – Gary Sheehan has rejoined AdaptHealth in the role of senior adviser to CEO Suzanne Foster. Sheehan, who rolled his family business, Cape Medical Supply, into Spiro Health in 2020 before selling to AdaptHealth in 2021, left AdaptHealth in 2023 to launch Scorton Creek Capital. “I could not be more excited to work with Suzanne Foster and the entire Adapt leadership team to help advance the critical work we do in delivering healthcare services, with the home being...

AKRON, OHIO – ACU-Serve has added Kyle Neese, with more than eight years of experience in the respiratory care industry, as senior account executive. Before joining ACU-Serve, Neese dedicated his career to driving PAP resupply growth for clients nationwide during his tenure at ResMed. "The HME industry continues to be affected by significant market changes, and I’m thrilled to deliver the services and solutions to the best customers in the industry through ACU-Serve,” said...

RICHMOND, B.C. – Robert Boscacci, CEO of HME Home Health, has been appointed to the Business Council of British Columbia Board of Governors for a three-year term. The BCBC is a non-partisan business organization that provides policy advocacy on various issues to increase the province’s competitiveness. “HME has been a member of the BCBC for the past two years and I’m honored to be named to the Board of governors,” said Boscacci. “The policy and advocacy work done...

BOSTON – Signifier Medical Technologies has received a “milestone” order of 10,000 units of its eXciteOSA device, placed by Spectrum Sleep Solutions. This significant order comes on the back of South Carolina’s Human and Health Services Medicaid coverage for eXciteOSA, signaling a major step toward expanded accessibility and treatment for sleep apnea sufferers. The device uses neuromuscular electrical stimulation to move the upper airway muscles, working the intrinsic and...