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by: Theresa Flaherty - Tuesday, August 18, 2009

Adults who suffer from severe OSA are 50% more likely to die than those with normal respiration, says a new study conducted by Johns Hopkins. The study measured the sleep and breathing patterns of more than 6,400 people for eight years. Men younger than 70 with OSA were twice as likely to die as those without.

To recap: If you are overweight, and stop breathing, you have a higher risk of death.

This study was funded by taxpayers.

Theresa Flaherty

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by: Theresa Flaherty - Monday, August 17, 2009

I write a lot about my independent pharmacy readers, and I think they provide a vital service to their communities, but I have a confession to make.

I use CVS.

No particular reason for that, except that is the only pharmacy near my house and I have used it forever. Perhaps on some level, I also feel that if I were traveling and suddenly needed a prescription, it might be easier.

But then again, maybe it wouldn't. Yesterday, I picked up one of my regular prescriptions. I had dropped off this year's new ones to be put on file. Somewhere along the way, my insurance info got mangled and the charge didnt' go through the payer. I didn't notice right away because for this particular script, I always pay out of pocket, but still, it should have been billed through insurance.

Fearing there was a problem with my insurance, I called this morning and got a rather unhelpful, uninformed pharmacy tech. Apparently, my Part D coverage had some sort of issue. Not being anywhere near Medicare-age I said that wasn't surprising. (Don't they have my birth date on file??). For some reason they couldn't even pull my insurance info up in their computer, though I have had the same plan for four years.

Anyhow, I have to drag myself back in there with my insurance info for them to fix it.

This isn't the first time recently I have run into an issue with CVS. I shouldn't complain, because so many people, for a variety of reasons have no access whatsoever. I just wonder, would this have happened had I used an independent?? One where everybody knows my name?

And to top it all off, CVS also lost my preference for a non-child proof cap. Even if it hadn't already been near 90 degrees last night, I would have worked up a sweat trying to open the damn bottle.

Theresa Flaherty

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by: Theresa Flaherty - Tuesday, August 11, 2009

A new study from the Centers for Disease Control says that people who adopt four healthy behaviors -- never smoking, regular exercise, eating well and maintaining a healthy weight -- can dramatically reduce their likelihood for chronic disease and an early death, a new study confirms.

Really? I never would have guessed that.

On average, healthy living may cut your odds for heart disease, cancer and diabetes by about 80 percent, the researchers said.

What really bothers me about studies like this is the amount of time and effort and money they waste, money that could be better spent, on say, curing a disease or two.

Theresa Flaherty

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by: Theresa Flaherty - Monday, August 3, 2009

It's not often diabetes and all its related accoutremonts elicits screams of happiness and fainting (low blood-sugars aside). But teen heartthrob Nick Jonas has been raising his profile on the awareness front for Type 1 diabetes. He spoke last month in DC and this month will address the National Press Club.

Personally, I am not a fan of the kid's music (If you saw the Jonas Brothers' Grammy performance with Stevie Wonder you're probably still cringing over their rendition of "Superstition"). But, it's nice to see a young person setting himself out there as a celebrity role model for living with the disease.

He partnered with Bayer recently to launch a Web site for kids with diabetes and is prominently pictured with his Contour glucometer (wonder if he gets his test strips free). Maybe the industry needs a celebrity spokesperson to liven up the competitive bidding conversation.

Theresa Flaherty

by: Theresa Flaherty - Thursday, July 30, 2009

Remind yourself of this the next time you stop at McDonalds with a hankering for a Big Mac, fries and a large soft drink:

The proportion of obese Americans increased by 37% in the eight years leading up to 2006, prompting a $40 billion a year rise in healthcare costs, according the Centers for Disease Control and Prevention.

The CDC study, published this week,  estimates that obesity costs the country $140 billion a year in extra medical costs. Obese people spend on average $1,500 a year more for medical care than a person of healthy weight.

Most of the increased healthcare costs result from the cost of prescription medication for obesity-related conditions such as high blood pressure and diabetes.

This is a terrible problem that will take its toll on U.S. society for years to come. If you’re a provider who supplies bariatric equipment and services, you owe it to yourself, your patients and your referral sources to learn as much about obesity as possible. By becoming a valuable and supportive resource, you'll be doing your country a great service.

For some interesting insights on the obesity epidemic, check out this NPR interview with Dr. David Kessler, the former head of the FDA.

— Mike Moran

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by: Theresa Flaherty - Wednesday, July 29, 2009

Efforts to exempt community pharmacies from the fast-approaching accreditation and surety bond requirements gained momentum this week when three groups offered their support. The National Federation of Independent Business, the National Rural Health Association and the American Association of Diabetes Educators have all sent letters to the appropriate Senate and House committees, encouraging their members to support bills that would exempt pharmacies from the Sept. 30 accreditation requirement and the Oct. 1 surety bond requirement. Industry stakeholders worry that the requirements will force some pharmacies to stop selling HME, affecting access, especially for beneficiaries in more rural areas. A draft healthcare reform bill in the House proposes exempting pharmacies that sell diabetes supplies, canes and crutches from the accreditation requirement.

Liz Beaulieu

by: Theresa Flaherty - Monday, July 27, 2009

So a provider contacted HME News today, hunting around for CPAP utilization data. He believes the CPAP compliance requirements that went into effect in November 2008 have eliminated 30% of his patient roster. Here's what we have for the number of allowed beneficiaries for CPAP from April 2008 to March 2009, the most recent month for which we have data, for the four jurisdictions combined:

April 2008:   217,967

May 2008:   181,078

June 2008:   194,518

July 2008:   197,073

August 2008:   190,075

September 2008:   190,143

October 2008:   197,293

November 2008:   187,162

December 2008:   199,779

January 2009:   186,380

February 2009:   178,229

March 2009:   190,237

That's a 13% decrease in the one-year period from April 2008 to March 2009. How's your CPAP biz?

Liz Beaulieu (Theresa's on vacation this week!)

by: Theresa Flaherty - Tuesday, July 21, 2009

Roche has launched a new program for docs and nurses to improve communication with diabetes patients.
"Creative Coaching" helps healthcare professionals with “the art of patient engagement,” said Luc Vierstraete, SVP and general manager of Roche's US diabetes unit, in a statement.
(Not sure what that statement means.)
Anyhoo, if doctors and nurses need training on diabetes communication, it seems logical that providers could maybe step up with a new business option here.
Theresa Flaherty

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by: Theresa Flaherty - Friday, July 17, 2009

Well, it appears that all the lobbying and bills and rallies (and possibly, HME News articles written by yours truly) have paid off for community pharmacists. In health care reform drafts released this week by the House, pharmacists would be exempt from surety bonds and accreditation requirements.

That's music to Bill Popomaronis' ears.

"We have believed all along that pharmacists already meet strict requirements designed to protect the beneficiary and limit fraud," said Popomaronis, vice president of long term and home health care pharmacy services for the National Community Pharmacists Association (NCPA).

It's not a done deal, of course. But the association has worked hard to make itself heard, including launching a grassroots network and getting a couple of bills introduced. They are obviously doing something right.

Theresa Flaherty

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by: Theresa Flaherty - Tuesday, July 14, 2009

We just shipped our August (!) issue off to the printer today. The issue features two separate stories on patient education for diabetes patients. One story is about a distributor, H.D. Smith that has developed a program that providers can customize to use with their own patients. This allows the provider to market themselves to referral services as offering more than just strips and meters.

The other is about a mail-order provider who is in the process of launching such a program. That provider, Mark Libratore, CEO of Liberator Medical, is very passionate about the diabetes market and its opportunities—both from a business perspective and also, the chance to help patients. He forwarded me some numbers from the American Association of Diabetes Educators.

Here's the one that should perk our readers up the most:

60% of people with diabetes should receive formal diabetes education. However, only about 1% of Medicare beneficiaries received self-management training in 2004 and 2005.

Theresa Flaherty

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