Legislative


AAHomecare Recommends Six Bidding Fixes to HHS

Letter of recommendations to HHS Secretary Price outlines six alterations to fix program’s fundamental problems.

VGM Letter to HHS’s Price Outlines Action Items

Organization’s formal letter to HHS Secretary identifies three regulatory priorities needed to protect beneficiaries’ access to HME.

Respiratory Industry Fights CPAP Bundling

Providers, AAHomecare, VGM, vendors, other stakeholders form unified front against CMS’s plan for bundled pricing for CPAPs and supplies.

AAHomecare Urges Providers to Attend Upcoming Legislative Conference

May 24-25 Washington Legislative Conference will leverage prime opportunity to work with receptive Congress and HHS.

Verma Takes Helm of CMS

After Senate votes 55-43 to approve Seema Verma as CMS Administrator, she takes first joint action with HHS Secretary Price.

CMS Slates Prior Authorization Call

March 16 Open Door Forum will focus on prior authorization process for power wheelchairs.

CRT Legislation Reintroduced in Both Chambers

House and Senate bills aim to protect complex rehab accessories from bid pricing.

CMS Slates CURES Act Feedback Call

March 23 call give stakeholders an opportunity provide agency with feedback on impact of bid expansion.



NY Providers Reduce Incontinence Cuts

NEMEP, AAHomecare advocacy effort leads N.Y. Dept. of Health to limit its reimbursement cuts.

AAHomecare Asks HHS to Repeal Full Bid Expansion Rates

Letter from association asks HHS Secretary Tom Price to set rates for rural/non-bid areas at the 50-50, phase-in rates.

Washington Update: Maintain the Advocacy Push

Despite having an industry champion heading up HHS, AAHomecare emphasizes needs for providers to keep telling their stories.

crossed fingers

Business Solutions

Legislative Outlook: Fingers Crossed!

As 2017 arrived, it was clear that the legislative chessboard had been reset for HME. What is the industry's gameplan, how is it proceeding, and what are the key opportunities and challenges that lay before it on Capitol Hill?

National CRT Conference Slated for April 26-27

Event will see complex rehab stakeholders lobby lawmakers and staff to protect CRT and accessories.

Leitten Study: HME Saves Medicare Significant Sums

Annual savings to Medicare program range from $23 to $41 for every dollar invested in HME; translates to millions annually.

CMS CURES Guidance Raises Additional Concerns

Language of last week’s direction from CMS causes uncertainty over CMS's rate-setting methodology.

CMS Instructs DME MACs on CURES Reimbursement

CMS outlines how DME MAC contractors are to begin implementing retroactive reimbursement per the law; process should begin in May.

CMS Delays Competitive Bidding Round 2019

A week after announcing major bid program overhaul that would have merged all rounds, including the mail-order competition, into a single round, CMS puts the plan back under wraps.

AAHomecare: TRICARE Must Fall in Line with CURES Act

Association calls on military insurance program to reprocess 2H 2016 HME claims per CURES-mandated reimbursement adjustments.

CMS Consolidates All Bid Areas Into Single Round

Agency moves to merge Rounds One and Two, as well the mail order competition, into a single competitive bid it calls Round 2019.

States, AAHomecare Study Response to Bid Pricing for Medicaid

Component of recently approved CURES Act limits Federal portion of Medicaid spending to competitive bidding prices for affected DME items, starting 2018.

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