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Monroe Wheelchair works system

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10/29/2019

SYRACUSE, N.Y. – With the rise of managed care organizations in Medicaid, especially in New York, it’s been worth it for Monroe Wheelchair to have a contract relations manager on staff, Doug Westerdahl says.

Auditors avoid appeals process, make ‘major’ requests

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09/13/2019

YARMOUTH, Maine – If you’re an HME provider trying to appeal a denial by a managed care payer, it’s probably not going very smoothly, reports consultant Wayne van Halem.

Payer Relations Council sets agenda

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09/05/2019

WASHINGTON – AAHomecare’s new Payer Relations Council met for the first time in Arlington, Va., last week, to establish objectives for 2020, including educating the payer community on the value o

MCO bill becomes law in Kentucky

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04/05/2019

FRANKFORT, Ky. – Kentucky Gov. Matt Bevin has signed into law a bill that streamlines DME regulations and reimbursement policy for the managed care organizations managing the state’s Medicaid program.

The bill ensures that MCOs:

Medtrade Spring preview: Don’t get ‘railroaded’ by MCOs, says speaker Pam Colbert

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03/29/2019

LAS VEGAS – Now that Medicare and Medicaid are turning to managed care organizations (MCOs) more and more to cut costs, HME providers must be vigilant to make sure they get a fair deal, says Pam Colbert, an attorney with Brown & Fortunato.

NCART seeks managed care data

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03/01/2019

BUFFALO, N.Y. – NCART has developed a survey for suppliers and manufacturers to share information on reduced access to complex rehab technology at the hands of Medicaid managed care organizations.

MCO bill clears Kentucky House

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02/22/2019

FRANKFORT, Ky. – A bill that would hold managed care organizations more accountable passed the Kentucky House of Representatives on Thursday 100-0, VGM reports. The bill, H.B.

ActivStyle drops out of IlliniCare

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11/16/2018

SPRINGFIELD, Ill. – ActivStyle, a Minneapolis-based provider of incontinence supplies, is dropping out of IlliniCare Health’s network after “a year of operating at a loss,” CEO Gayle Devin has told Crain’s Chicago Business.

The year in review: Escalating turmoil, relief efforts dominate headlines

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12/29/2017

YARMOUTH, Maine – Moves by managed care organizations to send more Medicaid business to large distributors was the most read story of 2017 at HME News.

Year in review: The next front materializes, and the impact piles up

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Wednesday, November 29, 2017

Here’s a look at the most read stories for 2017. I know there are still 32 days left in 2017 (who’s counting), but I couldn’t help myself (and I needed a blog topic).

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