Tag: AAHomecare
Stakeholders tee up survey results, congressional letter for August recess
July 26, 2024Theresa Flaherty, Managing Editor
WASHINGTON – Despite the “chaotic” environment in Washington, D.C., right now, Congress has work it must do before the end of the year and industry stakeholders remain laser focused on getting an extension of the 75/25 blended Medicare reimbursement rate included in some way.
President Biden on July 21 announced he was stepping down and endorsing Vice President Kamala Harris to run for the Democratic nomination.
“I think the White House will proceed as normal,...
In brief: Survey says, Dynamic Infusion buys, United Spinal challenges
July 26, 2024HME News Staff
WASHINGTON – The expired 75/25 Medicare blended reimbursement rates in non-bid, non-rural areas are affecting business operations and the ability to serve patients and communities, according to a national survey from AAHomecare.
The association is still analyzing survey results, but it shared some of the open-ended responses in a recent bulletin:
Reimbursements are so low now that it is hard to keep up with expenses and payroll. We may have to close. Medicare Advantage...
Survey: ‘This is putting us in the red’
July 25, 2024HME News Staff
WASHINGTON – The expired 75/25 Medicare blended reimbursement rates in non-bid, non-rural areas is affecting business operations and the ability to serve patients and communities, according to a national survey from AAHomecare.
The association is still analyzing survey results, but it shared some of the open-ended responses in a recent bulletin:
Reimbursements are so low now that it is hard to keep up with expenses and payroll. We may have to close. Medicare Advantage...
In brief: AAH analyzes NIV data, Roche enters CGM market
July 12, 2024HME News Staff
WASHINGTON – AAHomecare is leading an effort to quantify the differences in outcomes and overall treatment costs for patients with significant respiratory challenges who receive non-invasive ventilation (NIV) therapy versus those who don’t. The research will help to determine the benefits of this therapy using CMS’s own data, potentially providing authoritative data to underpin advocacy to strengthen patient access to NIV, the association says. “This important effort stems...
AAHomecare engages Dobson Davanzo for NIV study
July 11, 2024HME News Staff
WASHINGTON – AAHomecare is leading an effort to quantify the differences in outcomes and overall treatment costs for patients with significant respiratory challenges who receive non-invasive ventilation (NIV) therapy versus those who don’t. The research will help to determine the benefits of this therapy using CMS’s own data, potentially providing authoritative data to underpin advocacy to strengthen patient access to NIV, the association says. “This important effort stems...
In brief: FTC tackles PBMs, AAH surveys impact, Encore measures management
July 10, 2024HME News Staff
WASHINGTON – The Federal Trade Commission has published an interim report that underscores the negative impact pharmacy benefit managers have on accessibility and affordability of prescription drugs.
The FTC’s report, which is part of an ongoing inquiry launched in 2022, details how increasing vertical integration and concentration has enabled the six largest PBMs to manage nearly 95% of all prescriptions filled in the United States. This market structure has allowed PBMs to...
AAH seeks data on impact of reimbursement cut
July 8, 2024HME News Staff
WASHINGTON – AAHomecare has launched a nationwide survey on the impact of the expired 75/25 blended Medicare reimbursement rates in non-bid/non-rural areas on the HME industry and patient access to home medical equipment.
The association encourages all providers serving patients in these areas to take the survey by July 19.
“AAHomecare and other HME stakeholders continue to push for legislation to restore the 75/25 blended rates suppliers in non-bid, non-rural areas,...
Industry keeps heat on Medicare Advantage
July 3, 2024Theresa Flaherty, Managing Editor
YARMOUTH, Maine – There’s a lot of noise right now around improving the prior authorization process for Medicare Advantage plans and the HME industry needs to make sure it continues to add its voice to the conversation, say stakeholders.
Most recently, in June, members of the House of Representatives and the Senate reintroduced bipartisan legislation to streamline and standardize the use of prior authorization for these plans. The Improving Seniors’ Timely Access to Care...
In brief: ALS report, McKesson agreement, Swift C-suite
June 28, 2024HME News Staff
WASHINGTON - The National Academies of Sciences, Engineering and Medicine have published “Living with ALS,” a report on improving the quality of care for individuals with ALS that includes specific recommendations to strengthen access to respiratory care.
The report includes a policy brief that urges CMS and private insurers to act quickly to expedite access to essential ALS medical and support services, including:
Requiring expedited (within 72 hours)...
AAHomecare promotes Chandler
June 27, 2024HME News Staff
WASHINGTON – AAHomecare has promoted David Chandler to vice president of payer relations. Chandler has been with the association for five years and has been instrumental in the formation and strategy of AAHomecare’s Payer Relations Council and has taken a leading advocacy role with the association's Diabetes Council in protecting and expanding access to diabetes equipment and supplies in the home. “David has forged strong relationships with policymakers, HME leaders and patient...