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Tag: private pay


Also Noted

AAHomecare looks beyond Medicare

May 17, 2016HME News Staff

WASHINGTON - AAHomecare has brought on board Laura Williard to help the association identify opportunities with payers besides Medicare. Williard, most recently senior director of regulatory affairs and contracting for Advanced Home Care, will serve in the association's newly appointed position of senior director of payer relations. “As healthcare trends have continued to shift toward a managed care environment, providers are having to focus more on these payers,” she said. “I have...

aahomecare, Laura Williard, Managed Care, private pay


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Specialty Providers

Private payers put squeeze on sleep

April 4, 2014Theresa Flaherty, Managing Editor

YARMOUTH, Maine - Since the first of the year, CPAP providers have seen an onslaught of policy changes among private insurers that have made it harder for them to do business.“Every day, we hear of a new insurance company putting more restraints on getting services,” said Lisa Feierstein, president and co-founder of Raleigh, N.C.-based Active Healthcare. “It's almost like the insurance companies want to limit access to care.”One of the biggest changes: an increase in the use...

home sleep testing, lab study, prior authorization, private pay, Sleep Therapy


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News

Private pay rates below bid rates

October 25, 2013Theresa Flaherty, Managing Editor

BlueCross BlueShield in several states plans to implement new payment rates this fall that look a lot like the Round 2 bid rates, and in some cases, worse.“They cut rates about 40%,” said Todd Tyson, founder of Hi-Tech Healthcare in Norcross, Ga., where the new fee schedule goes into effect Nov. 1. “In some cases, the rates are 6% to 8% below the Round 2 bid rates.”The single payment amounts for Round 2, implemented July 1, are, on average, 45% lower than the Medicare fee...

Blue Cross Blue Shield, private pay, Round 2 competitive bidding


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On the Editor's Desk

Private pay, miracles and the Summit

July 30, 2013Liz Beaulieu, Editor

We had a great response to a webcast on how to snag private-pay contracts on July 25—a real testament to how many HME providers out there are trying to diversify their businesses away from traditional Medicare. There's nothing like a competitive bidding program hitting 91 cities and a reimbursement reduction of 45% to light a fire under you know what. In an hour-long webcast with 13 slides, speaker Stephen Hodges, a strategic business development consultant for HME Solution, barely had time...

contracts, HME News Business Summit, private pay


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Also Noted

Aeroflow: In with Wellmark

December 27, 2012HME News Staff

ASHEVILLE, N.C. - Aeroflow Healthcare, a provider of home respiratory and mobility equipment services in the Southeast, has received network status with Wellmark Blue Cross Blue Shield of Iowa and South Dakota. Now patients who carry these insurances will have access to replacement CPAP/BiPAP equipment and supplies, nebulizers and other durable medical equipment. Aeroflow, based here, was founded in 2001.

Aeroflow, contract, private pay