Coming soon to an MSA near you: competitive bidding
Unless you've been living under a rock (and I know some of you out there have), you probably know that the health care reform bill expanded Round 2 of competitive bidding to an additional 21 MSAs. There is no official list, but AAHomecare (if you haven't joined, you really should) has put together an unofficial list of potential areas. But, the bigger picture is, even if you are not in Round 1 or 2 of the dreaded program, competitive bidding is going to affect you.
I repeat, this is not an unofficial list.
St. Louis, MO-IL
Providence-New Bedford-Fall River, RI-MA
Buffalo-Niagara Falls, NY
Oxnard-Thousand Oaks-Ventura, CA
Boise City, ID
Also, here are the next three beyond the 21-MSA cutoff:
Des Moines-West Des Moines, IA