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by: Theresa Flaherty - Wednesday, March 21, 2018

Like many of you, I am gearing up for Medtrade Spring next week. My get-ready checklist looks something like this:

Identify educational sessions to attend.

Schedule face time with fellow attendees who are usually just voices on the phone.

Bug HME Christina for all relevant travel confirmations and assorted paperwork.

Verify that my “conference pants” still fit.

Pack lots of reading material for the plane (there’s no quick way from Maine to…anywhere).

One item on my reading list: Arianna Huffington’s Sleep Revolution, which I recently picked up at the bookstore. Arianna is all about prioritizing sleep, which I wholeheartedly agree with it, even though I don’t always succeed. I mean, I’m no Warren Zevon, but sleep doesn’t come easily to many of us.

Amid all this pre-show activity, an article titled “Beverages to avoid to sleep soundly while traveling” caught my eye.

Gasp! The three categories are caffeine (coffee), alcohol and soda.

Uh, what else is there?! I love a cold glass of milk like no one’s business, but caffeine is what will keep me going during the show. And who among us doesn’t remember my fervent (and fevered) pleas at last year’s show for Diet Coke in that Pepsi-centric town? (Thank you, Kevin Gaffney!).

Plus, I have a post-show margarita with my name on it waiting for me.

Hopefully, I’ll see you at the show, but if not, stay safe, sleep well and cheers!

by: Theresa Flaherty - Thursday, March 8, 2018

I am home today on the couch with my latest mystery novel enjoying yet another snow day (at least, until it’s time to venture out and shovel out). While I often tease Editor Liz Beaulieu, the resident HMeteorologist, for always managing to dredge up the most extreme weather forecasts, this time she was bang on.

We are now three months into the new year, and after several months of a seeming status quo, I hope our recent list of the five most-read stories for February isn’t a forecast of things to come in 2018.

That short list of headlines contained the words “aghast,” “upends” and “unfeasible.”

I pointed this out to Liz, who commented that it was a sad state of affairs. To me, it’s also evidence that the more things change, the more they stay the same.

In particular, that word aghast, which describes Tom Ryan’s reaction to an out-of-the-blue proposal to expand competitive bidding to rural areas.

Pardon my French, but WTF?

Which I am pretty sure is what Tom and Jay and many others really said when they first learned of this bizarre proposal.

It’s as if the past 10 years of fighting back against the bidding program never happened. Has the industry been shouting into a void?

I’d like to think not—that this idea will be beaten back quickly. HME providers have proven time and again to be a resilient bunch, though there are a lot fewer of them these days.

Like the arrival of spring, I guess we shall have to wait and see.

by: Theresa Flaherty - Thursday, February 22, 2018

Having worked at HME News now for longer than I care to admit (but, it’s been 12 years), I often find myself viewing the world through the lens of home medical equipment.

For example, a headline on oxygen will lead me to a story on winemaking. Or the answer to a Jeopardy question about lox has me shouting at the TV, “What is liquid oxygen, Alex?” rather than, “What is bagel topping, Alex?”

Even when I’m not misreading something, I still wonder things that the average person wouldn’t. Take this letter to workplace advice blog, titled: “my employee uses a wheelchair…but I found out he doesn’t really need one.”

It reads, in part:

I’m a manager in charge of a division at my company. “Drew,” one of the people I manage, uses a wheelchair. When first hired, Drew was told to ask if any accommodation was needed. He has never asked for any. Our area is on the first floor of our building. Our building has elevators and all the doorways are wide enough for his wheelchair. When Drew first began working here, he used public transit. There is a bus stop a few feet outside our front door.

Now Drew has a car with hand controls and no one else parks in the space closest to the door. The space has been reserved for him.

The letter writer goes on to describe how she inadvertently came across an online film, featuring Drew, about people who believe they are disabled but are actually not.

While blog commenters had varying degrees of huh? How dare he? And WTF? I wondered, What kind of chair is it? Power? Manual? Does he like Invacare vs. Drive? Where did he get it? Was he properly fitted for it?

Also, How did he pay for it? (Well, out-of-pocket, obvi, but geez, how many people can’t afford wheelchairs and modified vehicles that actually need it?)

The biggest question: Which one of our readers sold this guy a wheelchair?

Needless to say, I don’t think this will turn into a new market for providers looking to diversify their markets.

by: Theresa Flaherty - Friday, December 29, 2017

One of the many tasks the editors at HME News field is drumming up a newspoll each month. Sometimes the questions are better than others, and sometimes what seemed like a great question, on second read, after the poll already goes out, seem obvious.

This month’s topic, Amazon, definitely generated lots of comments on the impact of the Amazon effect.

“Amazon’s suicide pricing will (if unchecked) destroy our industry exactly like they destroyed the retail industry.”

For this, and other thoughtful comments, we humbly thank you.

Others aren’t quite so … helpful. For example: “Omg, who thinks up these dumb questions.”

Again, that would be the HME News editors, all two of us.

Several commenters stated the obvious. For example: “Sorry to wake you. But, Amazon already sells DME, so does Walmart and Walgreens.”

Yes, thank you, we are aware of that.

However, it cannot be overlooked that news reports that Amazon has applied for various licensure in more than a dozen states could be the harbinger of bad things to come. Bad things like depressed cash pricing, which could then lead to further depressed pricing in the third party payer market. And an increase in annoying price shopping customers who expect the local DME to match Amazon pricing, an impossibility when the Amazon model is to sell at a loss. Potential health risks for certain consumers.

Plus, it’s just always a good idea to check in with our provider readers on what’s happening out there.

So yeah, sometimes the poll is “Omg dumb.” Sometimes the cartoon (which we are also tasked with) is hard to decipher. In posting the January issue to our website this afternoon (yep, do that, too), I read a headline that made me cringe, but seemed logical at the time we went to press (sorry about that, CareCentrix).

Thanks for reading HME News, dear readers and have a Happy New Year!

by: Theresa Flaherty - Tuesday, November 14, 2017

Last week, I mentioned to editor Liz that I needed to leave early for a dentist appointment.

“It seems like you’ve been going to the dentist a lot,” she said.

“Yep. I go four times a year now,” I replied.

“Is that a diabetes thing?” she asked.

As with so many things in my life, the answer is yes. I also last week had an appointment with one of the nurses at the diabetes center. I am lucky to be surrounded by health professionals that know their stuff.

Today is World Diabetes Day, in honor of Frederick Banting who, at age 32, received the Nobel Prize in Medicine in 1923 for the discovery—in 1921—of insulin. A miracle drug which he gave to the world for the greater good, but which the drug companies have spiked the price of since 2002, more than tripling it.

And this week, we learned that The Trump wants to put another fox in charge of yet another henhouse: His nominee to head up Health and Human Services is Alex Azar, a former pharmaceutical executive and industry lobbyist, who heads up a consulting firm to the biopharmaceutical and health insurance industries. Awesome.

To add insult to injury, Mr. Azar was president of Lilly USA, an affiliate of Eli Lilly, from January 2012 to January 2017, during which insulin pricing spiked. This is not draining the swamp. It’s filling it in so much that it overflows and drowns us all in its greedy wake.

Also missing the ball on diabetes: CMS and the mail-order program for diabetes testing supplies, which is getting shakier by the day with the closure of Arriva Medical, its (previously) biggest contract supplier.

Stay tuned.

by: Theresa Flaherty - Tuesday, October 24, 2017

We flew into Atlanta on Sunday afternoon and after an early dinner, followed by drinks in the lobby bar at the Omni, I found myself killing a bit of time (a.k.a playing with my phone).

“Psst, Theresa, can I buy you drink?” It was Rose Schafhauser, the executive director of MAMES, also killing a few minutes.

“Absolutely,” said I.

Rose and I chatted about any number of things, including how hard it can be to remember to recognize everyone for their contributions (Rose) or squeeze them in to a story (me). It turns out, Rose says one of the toughest parts of her job is the MAMES Monday newsletter.

Before long, many of Rose’s Midwestern co-horts joined us and Rose mentioned the challenges inherent in pulling together information each week for the newsletter.

“HME News has got all the stuff,” said Karen Atkins of Mobility First in Independence, Mo. “Get it from them.”

I can’t argue with that and I know a good quote when I hear it. But, I am glad someone is paying attention and I daresay most of the folks here at Medtrade 17 are, too.

The two sessions I attended yesterday afternoon both drew a decent crowd, even the 4 p.m. session. To be sure, that one was on buying and selling an HME, something that is on the minds of many a provider these days.

I'm not sure whether late afternoon sessions or early morning sessions are the hardest to get to, but it's off to the AAHomecare Washington Update I go!

by: Theresa Flaherty - Tuesday, October 17, 2017

ICYMI, there’s a new acronym in town. It is CMR, as in, CMR spearheaded a letter pressuring the OMB to release the IFR. ASAP.

Also as in, CMR is circulating draft language seeking to provide some rural relief from the NCB program and address the double dip in 02 reimbursement.

Yes, CMR is short for Cathy McMorris Rodgers and it’s how the stakeholder folks referred to her in several calls I had with them recently.

To confirm I wasn't imagining this, I hollered over the wall to Editor Liz: “Hey Liz, did you know the HME industry has a new acronym?” To which she responded: “Is it CMR?”

Editor Liz (no name shortening needed) also talks to the stakeholder types.

Fortunately, the mood was largely positive in discussing what the newly crowned HME champion is looking to do, especially in the wake of (OMG!) Tom Price’s resignation. They are looking to move forward and not mourn what might have been.

TBH, I am a little jealous I can’t just use CMR when I reference McMorris Rodgers in writing. It’s much more streamlined than McMorris Rodgers.

I’ll be interested in the mood from HMEs at Medtrade next week, to see if that optimism is trickling down to the rank and file. IME, it’s the glass is half full for half the providers, half empty for the other half.

We’ll be reporting live from the show and for those of you attending, I’ll see you in the ATL!


by: Theresa Flaherty - Thursday, October 5, 2017

Like many people this week, I’ve had Tom Petty in heavy rotation. He died after a heart attack Monday, one week to the day after the last night of his 40th anniversary world tour. So when I stepped outside for a quick saunter around the building and found a newly posted video of Petty’s last song performance, that’s what I chose: “American Girl.”

Earlier this week I set a hard and fast goal of walking 30 minutes every day and so far, I’ve stuck with it. It helps that I’ve brought earbuds in to work so I can listen to music while I walk.

I was inspired to set new goals after joining for the first time an online diabetes community through Facebook. It’s nice to read other people’s posts about hitting goals, offering encouragement or just plain venting. On the cover of the November issue of HME News is a story by Editor Liz on manufacturers that are launching online communities for the end users of their products.

“We wanted a place for them to share resources and make connections,” said Brittany Commodore, digital media manager for Inspired by Drive, which recently launched Live Inspired. “We wanted to offer that value, whether they use our products or not.”

Speaking of diabetes (aren’t I always?), the November issue also features diabetes. This year, it’s all about providing patients with the tools and tech to self-manage the disease.

I even posted a quote from the article to the forum, where I knew my fellow PWD would relate:

“When you have diabetes, you’re not just a patient, you’re a nutritionist, mathematician and behavioral psychologist,” said Colin Roberts, of West Corp., a telecommunications company.

As for Mr. Petty, his untimely death is a reminder no one is immune from health problems. His last performance was an exuberant one—both he and the band, and the audience. That’s the way to go: on top and having a ball, doing what you love.

“Oh yeah, alright, take it easy baby!”

by: Theresa Flaherty - Wednesday, September 27, 2017

For HME providers who have wondered what HHS Secretary and industry champion Tom Price has been up to while they wait for a competitive bidding fix, we now have an answer.


Like most of America, we here in the HME News newsroom have watched in fascination and horror as the reports on Price’s penchant for private charters proliferate.

This is a man tasked with making billion$$$ in $$$pending cut$$$ who thinks it’s somehow acceptable to spend $400,000 (so far) on private charter planes. At first he tried to spin it as being able to meet with regular ‘ol Americans, but I don’t know too many Americans who regularly charter Learjets.

If the latest headlines are to be believed, his job might even be on the line over this (in which case, take Steve Mnuchin as well—please). I don’t have an opinion on whether he should be fired.

In the meantime, I am sure there are many in the HME industry holding their collective breath right about now, fearful that we’ve come this far only to see a huge backslide should Price leave his position.

Stay tuned.

by: Theresa Flaherty - Monday, September 18, 2017

Last week, I was working diligently to wrap up my work on the October issue of HME News when I suddenly thought: low blood sugar.

Indeed it was. Did I have any snacks or glucose tabs on me? No. Was there any leftover apple or orange juice left in the office fridge from whatever breakfast occasion we most recently had? No.

So, I did what anyone in desperate times would do. I stole candy from a baby. Well, actually it was a granola bar and it was from Editor Liz’s ride-home-from-work stash for her toddler, otherwise known as The Kid. And I say stole, because Liz was working at the SoPo satellite office and besides, was she going to say “no!”?

I am reminded of this because I am in the process of writing up the November assignment for our Business Development feature on diabetes. By writing up the assignment, I mean I develop questions to send to the reporter covering the story (You all know John Andrews, right?).

Diabetes has become much trickier to report on, thanks to CMS’s success in decimating the market via competitive bidding. We like to ask manufacturers in any given space, what are the trends they are seeing? What’s new and exciting? What’s causing issues? And I realize there’s a whole world out there outside of Medicare (me included).

Maybe I should ask myself instead. What would I want as a patient to see at, in this case, the pharmacy? Well, I have a meter but I occasionally check out the shiny new stuff when I see it on the shelf. And glucose tabs, definitely glucose tabs.

But I surmise there’s a whole host of other information and products out there that could be beneficial. I guess we’ll see what John comes up with.