Tag: Linda Langiotti
Data, tools & advocacy keys to industry’s success, panelists say
February 19, 2025Liz Beaulieu, Editor
DALLAS – The HME industry needs to take a more data-driven approach to proving its value to legislators and policymakers, said the leaders of several councils during the AAHomecare Update at Medtrade on Wednesday.
“Ten years ago, the story did the trick,” said Cameo Zehnder, chief administrative officer of Pediatric Home Service, who participates on the Payer Relations Council. “Not so anymore. You need the data.”
Zehnder was joined by Laura Berry,...
Stakeholders push two-channel option for CGMs
November 27, 2024Theresa Flaherty, Managing Editor
WASHINGTON – Users of continuous glucose monitors have reported difficulties obtaining equipment and supplies when their insurers eliminate coverage under DME, adding more evidence that there needs to be a two-channel option, stakeholders say.
As CMS has expanded coverage of CGMs and supplies, some payers have begun making it a pharmacy-only benefit, limiting brand choices and narrowing networks.
“One patient wrote that they attempted to obtain sensors from three different...
Diabetes council rolls up sleeves
November 18, 2022Theresa Flaherty, Managing Editor
WASHINGTON – The new AAHomecare Diabetes Council has plenty to tackle with new technology requiring updated codes and coverage criteria.
CMS recently released a proposed local coverage determination for continuous glucose monitors (CGMs) that would increase access for Medicare beneficiaries by modifying coverage criteria to, among other things, eliminate the intensive insulin management requirement.
“(The diabetes space) is just so dynamic and it’s exciting...