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MedPAC reports on Medicare payment incentives, enrollment decisions & more

June 16, 2026HME News Staff

WASHINGTON – The Medicare Payment Advisory Committee (MedPAC) has released its June 2026 Report to Congress: Medicare and the Health Care Delivery System to highlight issues affecting the Medicare program, as well as broader changes in health care delivery and the market for health care services. The report includes six chapters: Improving payment incentives in Medicare: We describe incentives in fee-for-service (FFS) Medicare, alternative payment models (APMs), and Medicare Advantage...

Medicare, Medicare Payment Advisory Commission (MedPAC)


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Florida launches Medicaid fraud crack down initiative

June 15, 2026HME News Staff

WEST PALM BEACH, Fla. – Florida Gov. Ron DeSantis has announced a Medicaid integrity initiative that includes enhanced provider screening, advanced fraud detection technology, enrollment controls for high-risk provider categories, and a statewide revalidation of all active Medicaid providers. “In Florida, we work to ensure that taxpayer dollars are spent responsibly and that public programs serve the people they are intended to serve,” he said. The Trump Administration and...

Florida, Fraud, Medicaid


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Jeff Baird

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Small supplier networks face steep hurdles in next bid round

June 12, 2026Theresa Flaherty, Managing Editor

WASHINGTON – There may be strength in numbers, but the logistics of smaller suppliers submitting bids as part of a network in the next round of Medicare’s competitive bidding program (CBP) may be too prohibitive, says health care attorney Jeff Baird. In the next round of CBP, the Centers for Medicare and Medicaid Services (CMS) will implement a nationwide Remote Item Delivery (RID) program that effectively shuts out smaller, independent suppliers. “The goal of CMS that at...

Competitive Bidding, Home Medical Equipment (HME), Jeff Baird


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In brief: CPAP’s adherence assumption, CGM’s benefits, Shaq’s sleep apnea

June 12, 2026HME News Staff

ORLANDO, Fla. – Many insurers stop covering continuous positive airway pressure (CPAP) devices if patients don’t use them regularly in the first 90 days. But new research presented at the ATS 2026 International Conference shows that many patients who initially struggle to meet these early-use thresholds do go on to use and benefit from CPAP therapy. The findings challenge long-held assumptions that poor early use predicts long-term CPAP use, said first author Dennis Hwang, MD, a sleep...

Continuous Glucose Monitor (CGM), CPAP, Daybreak, Diabetes, Home Medical Equipment (HME), Project MEND, Senseonics, Shaquille O'Neal, Sleep Apnea


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New research questions Medicare’s 90-day rule for CPAP adherence

June 11, 2026HME News Staff

ORLANDO, Fla. – Many insurers stop covering continuous positive airway pressure (CPAP) devices if patients don’t use them regularly in the first 90 days. But new research presented at the ATS 2026 International Conference shows that many patients who initially struggle to meet these early-use thresholds do go on to use and benefit from CPAP therapy. The findings challenge long-held assumptions that poor early use predicts long-term CPAP use, said first author Dennis Hwang, MD, a sleep...

CPAP, Medicare, Sleep Apnea


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Study: CGM use lowers A1C in adults with Type 2 diabetes

June 11, 2026HME News Staff

NEW ORLEANS – Adults with Type 2 diabetes who are on of continuous glucose monitoring (CGM) but who are not on insulin saw substantially reduced hyperglycemia, resulting in a large reduction in A1C compared with a routine care control group, according to new researchers presented at the 2026 Scientific Sessions of the American Diabetes Association (ADA) in New Orleans.  The study found that CGM was associated with a substantial reduction in hyperglycemia, resulting in a 0.9% greater...

American Diabetes Association, Continuous Glucose Monitor (CGM), Diabetes, Scientific Sessions


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In brief: WOY named, SBA listening session, CMS Medicaid expenditures

June 10, 2026HME News Staff

WATERLOO, Iowa — Lisa Wells has been named 2026 HME Woman of the Year. Wells, senior vice president of Med-South, was honored during a special ceremony at the VGM Heartland Conference. “Lisa represents the very best of our industry,” said Jeremy Stolz, CEO of VGM Group, Inc. “Her commitment to patient care, her influence in advancing policy and best practices, and the way she invests in developing others make her an outstanding leader and a truly deserving recipient...

Competitive Bidding, Convaid, Heartland Conference, Home Medical Equipment (HME), Lisa Wells, Medicaid, Medtrade, Small Business Administration (SBA)


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Lisa Wells

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Lisa Wells named WOY

June 9, 2026HME News Staff

WATERLOO, Iowa — Lisa Wells has been named 2026 HME Woman of the Year. Wells, senior vice president of Med-South, was honored during a special ceremony at the VGM Heartland Conference. “Lisa represents the very best of our industry,” said Jeremy Stolz, CEO of VGM Group, Inc. “Her commitment to patient care, her influence in advancing policy and best practices, and the way she invests in developing others make her an outstanding leader and a truly deserving recipient...

Heartland Conference, HME Woman of The Year, Home Medical Equipment (HME), Lisa Wells, VGM


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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, competitive bidding program (CBP), Office of Actuary, Small Business Administration (SBA)


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Lilly’s investigational GLP-1 reduces AHI by up to 36 events per hour in OSA patients

June 8, 2026HME News Staff

INDIANAPOLIS – Eli Lilly, the maker of Zepbound and Foundayo, has announced positive results from Phase 3 trials of retatrutide, an investigational GLP-1, showing substantial weight loss along with meaningful improvements across knee osteoarthritis pain, moderate-to-severe obstructive sleep apnea, and Type 2 diabetes – common obesity-related conditions. "Obesity drives more than 200 downstream diseases, yet we have historically treated those conditions one at a time and in silos,"...

Eli Lilly, GLP-1, Obstructive Sleep Apnea (OSA), retatrutide


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