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VGM’s Mike Mallaro on how to get to the other side

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07/10/2020

WATERLOO, Iowa – The COVID-19 pandemic has broken the mold for how the HME industry has always done business, but that can create opportunity—if providers are open to it, says VGM CEO Mike Mallaro.

Morin takes wheel at HOMES

‘We want to be the driving force for change’
 - 
07/10/2020

Jason Morin brings more than two decades of working for an HME company to his new role as president and CEO of HOMES—experience that he says gives him a “deep understanding” of the industry’s challenges and how they directly impact providers.

In brief: Medicare audits, Anthem rate cuts, NC win

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07/10/2020

WASHINGTON – Starting Aug. 3, auditors will restart their audit functions, according to a recently published FAQ from CMS.

CMS reinstates audits, prior auths

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07/10/2020

WASHINGTON – Starting Aug. 3, auditors will restart their audit functions, according to a recently published FAQ from CMS.

Anthem declines to rescind rate cuts

 - 
07/09/2020

WASHINGTON – Anthem does not plan to rescind rate reductions of 11% to 60% for HME, AAHomecare reports.

The payer and its subsidiary, Amerigroup, implemented the cuts for its commercial and government plans in the 22 states it serves.

North Carolina rate protects DME

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07/07/2020

RALEIGH, N.C. – North Carolina Gov. Roy Cooper on July 2 signed Bill 808, including a provision creating a rate floor for durable medical equipment.

Round 2021: All eyes on CMS

‘We’re beginning to see a surge, and we don’t know what the fall and winter will bring’
 - 
07/02/2020

WASHINGTON – There’s no crystal ball, but after two meetings with high-level CMS officials in late June, industry stakeholders feel there could be a chance the agency pauses Round 2021 of competitive bidding.

In brief: PHE extension, AdaptHealth’s public offering, Tricare update

A number of provisions are tied to PHE, including Medicare’s 25/75 blended reimbursement rates for non-rural, non-bid areas
 - 
07/02/2020

WASHINGTON – It appears the Department of Health and Human Services will extend the current public health emergency.

Stakeholders expect PHE to be extended

Number of provisions are tied to PHE, including Medicare’s 25/75 blended reimbursement rates for non-rural, non-bid areas
 - 
07/01/2020

WASHINGTON – It appears the Department of Health and Human Services will extend the current public health emergency.

Oklahoma: Medicaid cuts don’t take rural challenges into consideration

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06/29/2020

OKLAHOMA CITY, Okla. – Steep Medicaid cuts are scheduled to take effect July 1, despite multiple meetings with Medicaid officials, leading HME providers here to feel their concerns have “fallen on deaf ears.”

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