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competitive bidding

Tougher times ahead: Impact of rate cuts pile up

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04/21/2017

YARMOUTH, Maine – A whopping 65% of respondents to a recent HME Newspoll say they can sustain their businesses for less than a year, if they don’t get reimbursement relief.

CMS eases requirements for changing providers

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04/03/2017

WASHINGTON – CMS has instructed the DME MACs to accept timely orders and medical documentation whether they come from a beneficiary’s treating physician or a transferring HME provider.

Will Price pull-through?

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Wednesday, March 29, 2017

HME stakeholders have always had a dual strategy: regulatory and legislative.

But with industry champion Tom Price as the new secretary of Health and Human Services, their regulatory strategy has taken on a new sense of urgency.

Competitive bid program reform options and opportunities

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Wednesday, March 22, 2017
By Barry Alexander, Matthew Agnew, and Emily Shaw

The DMEPOS competitive bidding program has a long and controversial history; at this point, however, the program appears to be well-cemented into the fabric of the industry.

VGM calls on Price to take action

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03/21/2017

WATERLOO, Iowa – The VGM Group outlined three priorities that need “immediate action,” including relief for HME providers rural areas, in a March 20 letter to Health and Human Services Secretary Tom Price.

Slow but steady: Industry convinces other payers to delay cuts

‘As soon as the Medicare fee schedule is updated, it will be easier’
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03/03/2017

WASHINGTON – The industry’s attempts to get other payers to honor a retroactive delay to Medicare reimbursement cuts are starting to pay off.

AAH appeals to Price to freeze rates

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03/02/2017

WASHINGTON – AAHomecare has asked newly minted Health and Human Service Secretary Tom Price to issue an interim final rule to repeal the fully adjusted Medicare rates that originally went into effect in non-competitive bidding areas on July 1, 2016.

Senators in Minnesota seek to soften blow of upcoming Medicaid cut

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02/28/2017

SAINT PAUL, Minn. – Two senators in the Minnesota state legislature have introduced a bill to address a provision in the 21st Century Cures Act that would limit the federal portion of Medicaid reimbursement for HME to competitive bidding-influenced Medicare reimbursement starting in 2018.

Verma hearing includes comments on bid program

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02/21/2017

WASHINGTON – Seema Verma, President Donald Trump’s nominee to run CMS, said during a hearing before the Senate Finance Committee on Feb. 16 that one-size-fits-all approaches to health care, like the agency’s competitive bidding program, don’t always work.

Stakeholders stand ready to change bid program, with Price’s help

The broad underlying statute governing the program gives complete discretion to the administration, they point out
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02/13/2017

WASHINGTON – CMS’s decision to temporarily delay Round 2019 of competitive bidding could mean a revamp of the program, now that Rep. Tom Price, R-Ga., is taking the helm at the Department of Health and Human Services, say industry stakeholders.

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