What about enteral nutrition?
One product category the National Home Infusion Association didn't address in its letter is enteral nutrition, which was included in Round 1.
Enteral nutrition isn't simply a matter of dropping off cans of Ensure. Commonly called tube feeding, patients receive nutrition through either a syringe or pump that feeds into a tube.
Many of these patients are very ill--Medicare only pays for the therapy when patients can't receive nutrition any other way--and managing their therapy can get complicated, says provider Kevin Nestrick, CEO Altius Healthcare in Prescott, Ariz. Several of the provider's locations are in Round 2 bid areas.
"They treat it like a grocery store," he said. "They think you just order and send it, and that's not the way it is supposed to be done."