Tag: AAHomecare
AAHomecare throws weight behind Medicare Advantage reforms
June 19, 2026HME News Staff
WASHINGTON – AAHomecare has sent letters of support to the sponsors of legislation in the House and Senate that would reform Medicare Advantage prior authorization, claims integrity and transparency.
In its letters to Rep. John Joyce, R-Pa., and Sen. Roger Marshall, R-Kan., the organization shared how the bills would address challenges that home medical equipment (HME) providers face daily and would improve access to medical necessary equipment for Medicare beneficiaries.
“These...
AAH releases infographics highlighting impact of financial pressures
June 15, 2026HME News Staff
WASHINGTON – AAHomecare’s Medical Supplies Council has released a new series of market impact infographics highlighting the mounting financial pressure HME suppliers face across multiple product categories, including continuous glucose monitors (CGMs) and infusion pumps, enteral nutrition and supplies, incontinence supplies, wound care supplies, ostomy and urological supplies. “The survey results illustrate what is happening across our industry,” said Cadie McGonagill, senior...
Payer Relations: Approach negotiations strategically
June 10, 2026Cadie McGonagill
Q. What do I need to know about navigating payer contracts?
A. A payer contract is far more than just a fee schedule. The terms included within these agreements directly impact your cash flow, operational processes and long-term business viability. Before signing any contract, your team (along with qualified legal counsel) should conduct a comprehensive review of the agreement.
Key contract elements to review
Coverage scope: Confirm the product category, service area and plan types align...
SBA to host CMS, AAHomecare for listening session on competitive bidding program
June 8, 2026HME News Staff
WASHINGTON – The Office of Advocacy within the U.S. Small Business Administration will host a virtual listening session on June 23 on the next round of Medicare’s competitive bidding program (CBP).
The office stated:
CMS believes the rule’s competitive bidding program supports its responsibility to prevent Medicare fraud, waste, and abuse by keeping unqualified providers out of the Medicare program. Advocacy seeks comments on alternative solutions from small business stakeholders.
The...
AAHomecare announces new leadership lineup
June 1, 2026HME News Staff
WASHINGTON – AAHomecare’s membership has approved the association’s new leadership lineup, including Ryan Bullock, chief strategy officer at Aeroflow Health in Asheville, N.C., as chairman of the board. Other officers approved include:
Vice chairman: David Siegel, CEO, Nationwide Medical, Calabasas, Calif.
Secretary: John Cassar, CEO, SuperCare Health, Downey, Calif.
Josh Marx, CEO of Medical Service Company and former chairman, will remain on the Executive Committee...
In brief: Latest UHC-Synapse deal, Dexcom stolen sensors, WeOxy debut
May 29, 2026HME News Staff
SKOKIE, Ill. – UnitedHealthcare has announced that Synapse Health will manage durable medical equipment (DME) orders for certain UnitedHealthcare Medicare Advantage plans in additional states beginning Sept. 1, 2026.
For individual HMO & PPO plans, Synapse Health will manage DME for members in Connecticut, District of Columbia, Delaware, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania and Rhode Island.
For chronic special needs plans (C-SNP), Synapse...
AAHomecare people news: A milestone, a new role and a new hire
May 28, 2026HME News Staff
WASHINGTON – Gordon Barnes, senior director of communications for AAHomecare, will retire June 5 after being with the association for more than 20 years. Over two decades, Barnes has written more than 1,500 member communications, hosted hundreds of webinars with industry experts, and coordinated more than 3,000 Capitol Hill meetings and thousands of emails and calls to Congress, according to AAHomecare. “Gordon’s deep policy knowledge, sharp writing, and strong commitment to our...
Stakeholders look to Congress to pressure CMS on competitive bidding
May 22, 2026Liz Beaulieu, Editor
WASHINGTON – Stakeholders urged members of the House Committee on Small Business during a recent Hill day to hold the Centers for Medicare & Medicaid Services (CMS) accountable for a new remote-item delivery (RID) framework for competitive bidding that they say will decimate small businesses.
Ahead of the fly-in, stakeholders have also been engaging the U.S. Small Business Administration (SBA) to raise similar concerns.
“We had a good meeting with committee members and they said,...
‘Don’t be that guy’: Bill Fredericks on advocacy that works
May 22, 2026Theresa Flaherty
WASHINGTON – Bill Fredericks jumped into advocating for the home medical equipment (HME) industry more than 20 years ago when Massachusetts Medicaid was implementing cuts and he needed to learn what was going on – and what he could do about it.
“That's when I first found the Home Medical Equipment and Services association (HOMES) and Karyn Estrella (its former executive director), so I joined that immediately,” he said. “As the owner of a small company, I needed...
CMS extends prior authorization exemption deadline
May 20, 2026HME News Staff
WASHINGTON – The Centers for Medicare & Medicaid Services (CMS) has extended the deadline to opt out of prior authorization and continue submitting requests to May 26, AAHomecare reports.
This extension only applies to suppliers that received a letter from the DME MACs in early March regarding their prior authorization exemption status.
The updated MAC notice specifies:
If you reached exemption and want to continue submitting prior authorization requests, you must submit the opt-out...