Tag: TRICARE
Doctor charged in $13.7M scheme
March 5, 2024HME News Staff
SPOKANE, Wash. – Dr. Thomas Andrew Webster of Sylvania, Ohio, has pleaded guilty to conspiring to accept kickbacks in connection with a fraudulent telemarketing and medical supply scheme throughout Washington and in other states, according to the U.S. Attorney for the Eastern District of Washington. According to the plea agreement and information disclosed in court proceedings, between May 2021 and September 2023, Webster participated in a telemarketing scheme and conspiracy whereby a company...
DHA announces new TRICARE contracts
January 12, 2023HME News Staff
WASHINGTON - The Defense Health Agency (DHA) recently announced new TRICARE contract awards taking effect in 2024, according to AAHomecare. The Eastern region will continue to be served by Humana Military; the West will transition to TriWest from current contractor Health Net Federal Services, a Centene subsidiary. TriWest previously held TRICARE contracts with the DoD for 17 years. In addition, six states are transitioning from the East to West region: Arkansas, Illinois, Louisiana, Oklahoma, Texas and...
In brief: AZ MediQuip CEO, Tricare decision, DexCom 7 approval
December 9, 2022HME News Staff
SCOTTSDALE, Ariz. – AZ MediQuip has named Lane Hamm CEO, replacing Mark Nicotera.
Hamm has a retail background, most recently serving as CEO of Weekends Only Furniture & Mattress, a family-owned company with eight stores and an e-commerce platform. While there, he led the company’s expansion into multiple markets and launched its e-commerce platform.
“With his strong resume and straightforward demeaner, I am delighted to pass on the leadership of AZ MediQuip to...
Pharmacy organizations criticize Tricare decision
December 7, 2022HME News Staff
ALEXANDRIA, Va. – A group of pharmacy organizations, including the National Community Pharmacists Association and the National Home Infusion Association, worry that decisions by Cigna and Express Scripts to eliminate the option for Tricare beneficiaries to obtain prescriptions at their pharmacy of choice will disrupt patient access to needed medications.
In a letter to Amy Bricker, president of Express Scripts, and David Cordani, president and CEO of Cigna, the organizations argued...
In brief: Allina Health partnership, TRICARE appeal, DME scams
October 21, 2022HME News Staff
MINNEAPOLIS – Allina Health has partnered with venture capital firm Flare Capital Partners to launch Inbound Health, a new company that enables health systems and health plans to offer hospital-at-home and skilled nursing-at-home programs.
Allina Health and Flare Capital are leading a $20 million fundraising round for Inbound Health to scale successful acute care-at-home programs nationally through their unique partnership model, they say.
“The home hospital programs...
NCPA appeals to DOD
October 19, 2022HME News Staff
ALEXANDRIA, Va. – A recent decision by Express Scripts to eliminate the option for TRICARE beneficiaries to obtain their prescriptions at their pharmacy of choice should be rectified to ensure continued access to needed medications, the National Community Pharmacists Association stated in a letter to U.S. Defense Secretary Lloyd Austin.
Express Scripts, the Cigna-owned pharmacy benefit manager that administers the TRICARE benefit on behalf of the DOD, recently announced changes effective...
Doc faces charges related to DME scheme
June 27, 2022HME News Staff
CHARLOTTE, N.C. – A Charlotte doctor is facing federal charges for her role in a DME scheme that defrauded federal benefits programs of more than $11 million, according to the Department of Justice, U.S. Attorney’s Office, Western District of North Carolina. Sudipta Mazumder, 46, is charged with one count of health care fraud and six counts of making false statements relating to health care matters. According to allegations contained in the indictment, during 2019 and 2020, Mazumder was...
In brief: Medtrade location, Quipt expansion, CGM access
June 24, 2022HME News Staff
ATLANTA – Medtrade will take place March 28-30 in Dallas next year, show organizers have announced.
The event will take place at the Kay Bailey Hutchinson Convention Center in the Convention Center District in downtown Dallas.
“Switching to one show per year was motivated by feedback from attendees and exhibitors,” said York Schwab, show director, in today’s Medtrade Monday. “Moving the show to Dallas is part of the same equation. Dallas is centrally...
TRICARE expands access to CGMs
June 20, 2022HME News Staff
FALLS CHURCH, Va. – The TRICARE pharmacy benefit now covers two brands of continuous glucose monitors (CGMs): the Abbott FreeStyle Libre 2 and the Dexcom G6. Previously, CGMs were only available as DME under the TRICARE medical benefit. They will also continue to be covered under the medical benefit. “This change in expanded coverage will improve access for patients to get the CGMs they need,” said Edward VonBerg, PharmD, chief of the Defense Health Agency’s Formulary Management...
AAH pushes for more timely payments from Tricare
December 22, 2021Theresa Flaherty
WASHINGTON – Industry stakeholders met with the Defense Health Agency recently to discuss ongoing issues with timely payment of Tricare East claims and the changes Humana Military is making to improve the process.
The primary issue, says Laura Williard, vice president of payer relations for AAHomecare, stems from the inability to attach supporting documentation to claims submitted to Humana Military, the contractor for Tricare East.
“We felt from a DME claims process,...