Focusing on just a handful of significant … [Read more...]
HME Business Executive Outlook, Part 1: The Major Issues of 2025
MedPAC Report Signals Key Trends for HME in Medicare Advantage, Home Health
A large part of the Medicare Payment Advisory Commission’s report focused on Medicare Advantage plans’ use of supplemental benefits.
The June 2025 MedPAC Report to Congress doesn’t … [Read more...]
HME Business Webinar: The Impact of Medicare Advantage on HME Providers
Panelists for the April 15 webinar will discuss best practices for home medical equipment providers working with Medicare Advantage plans.
Medicare Advantage (MA) continues to gain … [Read more...]
Medicare Advantage Prior Authorization: A Growing Challenge for HME Companies
Prior authorizations can affect providers’ cash flow and also potentially threaten patients’ health.
Medicare Advantage (MA) prior authorization … [Read more...]
CMS Seeks to Remove ‘Barriers to Care’ in Medicare Advantage, Build Guardrails Around AI
The announcement targeted “inappropriate” use of prior authorizations by Medicare Advantage plans.
The Centers for Medicare & Medicaid Services … [Read more...]
New Senate Report Highlights Medicare Advantage Prior Authorization Challenges: What HME Providers Should Know
More than half of Medicare-eligible beneficiaries were enrolled in Medicare Advantage plans in 2024.
Prior authorization remains a serious roadblock … [Read more...]
Briefly: CGS Releases Mid-October Webinar Lineup; Medicare Open Enrollment Starts Oct. 15
Featuring CGS Administrators and the Centers for Medicare & Medicaid Services.
CGS Mid-October Webinars to Cover Documentation, … [Read more...]
AAHomecare: UnitedHealthcare Delays Medicare Advantage Changes in Georgia, North Carolina
The postponement could provide more time for providers to learn about upcoming order and fulfillment changes.
UnitedHealthcare has postponed implementation of … [Read more...]
Clinician Task Force Survey to Track Medicare Advantage Coverage of Power Chairs
The CTF will compare the numbers of claims denials issued by different MA plans.
The Clinician Task Force (CTF) has launched a … [Read more...]
AAHomecare to Study Outcomes of Noninvasive Ventilation
The research project will use Centers for Medicare & Medicaid Services’ own data.
The American Association for Homecare (AAHomecare) … [Read more...]