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Tag: Payers


Heard at the Summit: Scaling hospital-at-home, understanding payers & weaponizing data 

November 1, 2023Liz Beaulieu, Editor

CHARLOTTE, N.C. – The administrator of Atrium Health’s hospital-at-home program provided insight into its partnership with Best Buy Health and more at the HME News Business Summit last week in Charlotte.  Colleen Hole said the partnership makes the best use of the strengths of Atrium Health, a Charlotte-based health system serving patients at 40 hospitals and hundreds of care locations, and the health division of the big box retailer.  “We’re good at operations;...

Data, HME News Business Summit, Hospital at home, Payers

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Also Noted

AAH updates: Anthem, UnitedHealthcare, MACPAC

August 27, 2020HME News Staff

AAHomecare has doubled down on Anthem, sharing with the payer several examples of product cuts that highlight disparities between its new rates and Medicare rates both inside and outside competitive bidding areas, as well as the average rates currently in effect under the CARES Act. Earlier this summer, the association had expressed concerns about the cuts to Anthem, and the payer responded that the cuts “better align rates to state and local DME market dynamics.” In its subsequent response,...

AAHomecare, Payers, Regulatory update

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McKesson puts the partnership in payer relations

November 27, 2019Tracy Orzel

ROCK HILL, S.C. - McKesson recently hosted its fifth provider roundtable in Rock Hill, S.C., to discuss the importance of payer relations on the HME industry's future. “HME is a small percentage of what payers pay for, but it saves a lot of money in other areas of health care, because it's less expensive to have a patient home than in an acute care or long-term care facility,” said Ashley Latva, account manager, HME, North Carolina, McKesson. “So we want payers to see the value...

Home Medical Equipment (HME), McKesson, Payers

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David Chandler on MCOs: 'We need to transform school of thought'

April 1, 2019Liz Beaulieu, Editor

WASHINGTON - AAHomecare will grow its payer relations team in April to include David Chandler as its director of payer relations.Chandler is director of reimbursement and government affairs for Liberty Medical Specialties based in Whiteville, N.C.; treasurer of the Atlantic Coast Medical Equipment Services Association; chairman of the Medicare Jurisdiction C Advisory Council; and a member of AAHomecare's Regulatory Council and State Leaders Council. He also serves on the North Carolina Board of Pharmacy/DME...

AAHomecare, David Chandler, Payers

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Also Noted

VGM helps protect sleep contract

March 29, 2018HME News Staff

WATERLOO, Iowa - The VGM Group has helped providers in Maryland, Washington, D.C., and Virginia beat back CareFirst BlueCross BlueShield's plans to reduce the number of providers in its network that are authorized to provide CPAP equipment. The insurer planned to limit its network to a few providers after Feb. 15, 2019. When VGM heard from members about CareFirst's decision, it filed a complaint with the Maryland Insurance Administration and after some back and forth CareFirst agreed to allow...

Blue Cross Blue Shield, Contract, Payers, Sleep, VGM Group

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On the Editor's Desk

Unfortunately, perception is reality

February 24, 2015Liz Beaulieu, Editor

I had conversations this week with two very smart women, Tammy Zelenko and Michelle Templin, about how referral sources and payers have no idea what HME providers actually do. I expect this of most lawmakers, but referral sources and payers? Templin, vice president of strategic development for Managed Health Care Associates, interacts with a number of payers in her work to promote the company's ACO Network, a national network of post-acute providers. “The perception, from the payer perspective,...

Hospitals, Payers, Perception, Post-Acute Care, Readmissions, Referral sources

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