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Letters to the editor: Be serious to be taken seriously

 - 
07/25/2011

Robert is spot on ("The state of long-term oxygen therapy," HME News, July 2011). I would add that as O2 is considered a medication, more emphasis on ongoing O2 evaluation is critical in the MD office.

Letter: Not all fees are bad

 - 
06/23/2011

It is important to clearly understand the companies program that is being responded to in order to understand the OIG's stance (See "OIG frowns on pay-to-play arrangement" on page 4).

The state of long-term oxygen therapy

 - 
06/23/2011

"The Long Term Oxygen Therapy (LTOT) Conference; Separating Fact From Fiction" held March 31-April 1 in Orlando, Fla., was not like the typical oxygen conference. The objective of this meeting was to focus on the science of LTOT and identify the issues that are impacting effective oxygen therapy in the home. The faculty consisted of some of the most respected pulmonologists and clinicians in the country. The goal was to have an objective review of the current situation in LTOT and discuss what we know, what we don't know and what we must do to change direction in therapy to improve overall outcomes for patients needing LTOT.

The great CGM experiment

 - 
06/23/2011

"This thing costs $1,000. Please don't drop it in the toilet. With those words of wisdom, I was ready to go. I had the opportunity in May to use a continuous glucose monitor (CGM) for a week. The CGM tracks blood glucose levels 24/7 to pinpoint potentially problematic patterns.

A run on the dark side of the paperwork debate

 - 
06/23/2011

So a friend and I have made a habit of going for a stress-busting run on Wednesday nights after work. It's one of my favorite runs, one that starts and ends in the parking lot of a local grocery story on the edge of Casco Bay in South Portland, Maine, and follows a trail that winds through neighborhoods where people work on their boats in their yards and parks where lighthouses guard the coastline.

How did we 'win' the mock auction?

 - 
05/25/2011

I attended Professor Peter Cramton's "Mock Medicare Auction" on April 1 at the University of Maryland along with 122 other stakeholders from the industry, government, academia and the press. The purpose was to better understand how a free market auction designed by economic experts would work as a potential alternative to the current fundamentally flawed bidding program designed and implemented by Medicare. I was assigned to the Harry Truman & Co. team and was partnered with a Washington D.C. healthcare reporter. Even though both of us had limited knowledge in auction theory and design, we won the exercise as the most profitable company.

You're either in business to win, or you're not

 - 
05/25/2011

What's your plan?

I like this phrase. I use it all the time. I ask myself, my partners, my clients. It's a sharp, no-nonsense jab that gets right to it, and also forces you to look ahead--and if you're not doing that, you might as well turn out the lights.

Letters: Let's charge for services

 - 
05/25/2011

It would be most unlikely that taking ventilator rentals into the CMS bidding process would meet the goals of the program ("Next in line: Vents and manual wheelchairs?" page 4). Rates have remained, relative to other medical costs, rather stable over the past 12 years despite the technological advances (and with that, added significant provider costs). Additionally, the vast majority of Medicare beneficiaries on ventilators generally have their co-payment paid for by Medicaid, so the "reduces the out-of-pocket expenditures" argument should not carry much weight. Of all the in-home equipment rentals Medicare provides for, undoubtedly ventilation is the most complex, hands-on service provided.

Letters: Managed care: Not all bad?

 - 
05/25/2011

We went through a similar situation here in Hawaii when the entire state Medicaid fee-for-service membership was either enrolled or assigned in one of two managed care programs set-up here in the state ("New Jersey: State moves toward managed care," April 2011).

Letters: Education among physicians is a must

 - 
05/25/2011

The article was right on target: "Game's changing for home oxygen," May 2011. For 37 years I have been a practicing therapist and saw the home oxygen business flourish when patients need to go from the hospital to the home.

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