Subscribe to Editorial

Editorial

Letters: Managed care: Not all bad?

 - 
05/25/2011

We went through a similar situation here in Hawaii when the entire state Medicaid fee-for-service membership was either enrolled or assigned in one of two managed care programs set-up here in the state ("New Jersey: State moves toward managed care," April 2011).

Letters: Education among physicians is a must

 - 
05/25/2011

The article was right on target: "Game's changing for home oxygen," May 2011. For 37 years I have been a practicing therapist and saw the home oxygen business flourish when patients need to go from the hospital to the home.

How did we 'win' the mock auction?

 - 
05/25/2011

I attended Professor Peter Cramton's "Mock Medicare Auction" on April 1 at the University of Maryland along with 122 other stakeholders from the industry, government, academia and the press. The purpose was to better understand how a free market auction designed by economic experts would work as a potential alternative to the current fundamentally flawed bidding program designed and implemented by Medicare. I was assigned to the Harry Truman & Co. team and was partnered with a Washington D.C. healthcare reporter. Even though both of us had limited knowledge in auction theory and design, we won the exercise as the most profitable company.

You're either in business to win, or you're not

 - 
05/25/2011

What's your plan?

I like this phrase. I use it all the time. I ask myself, my partners, my clients. It's a sharp, no-nonsense jab that gets right to it, and also forces you to look ahead--and if you're not doing that, you might as well turn out the lights.

ACOs: What you need to know

 - 
04/25/2011

The biggest buzz in D.C. over the last year has been ACOs--the new acronym in our healthcare lexicon. On March 31st, the government's plans were unveiled when CMS issued a proposed rule that implements this provision of the Affordable Care Act of 2010. The "Medicare Shared Savings Program" will establish incentives for healthcare providers to work together to treat an individual patient across care settings--including doctor's offices, hospitals and long-term care facilities--as an accountable care organization (ACO).

Letters to the editor: Why didn't the industry band together?

 - 
04/25/2011

I am a small voice, a small, independent DME supplier in Katy, Texas, just west of Houston. Please help me to understand how those suppliers who have been through competitive bidding and were awarded contracts by severely underbidding (in hopes this would go away) help our industry. Those who have underbid have only hurt those of us small DMEs who will be going through the process in Round 2. My company can't compete.

Letters to the editor: Beneficiaries get left out in this welfare state

 - 
04/25/2011

To start, we are not a contracted provider in any of the competitive bidding areas. However, we have entered into several sub-contracting arrangements in areas that were critical to us, albeit, at lower but still somewhat profitable rates. We are turning away patients in other areas, as well as a significant amount of our service and repairs.

Long time HME provider throws in the towel

 - 
04/25/2011

My name is Robert Brant and I am the co-owner of City Medical Services in North Miami Beach, Fla., in the Miami CBA. My business began in 1997 and we were Joint Commission accredited nine years before it was required.

Letters to the editor: Prior authorizations: 'A simple fix'

 - 
03/24/2011

In "Who's on the hook for wheelchair repairs," HME News, March 2011, it is mentioned that Medicare should go to a prior authorization vs. prepayment review. This is a question I have asked for years.

Are you playing the game?

 - 
03/24/2011

I'm beginning to think home medical equipment providers are damned if they do, damned if they don't.
We had a story on the front page of our March issue about industry leaders who are worried providers are helping to "prop up" the competitive bidding program by, among other things, providing services for free to Medicare beneficiaries who can't locate a contract supplier.

Pages