Get a Bigger BANG for the August Recess Buck

Problems mount with Round 2 of the DME bidding program and CMS is still in denial. In fact, CMS denies everything to do with the flawed program they designed except to tout its supposedly wild success.

The latest news is that a southern hospital can’t find contractors to provide service for the patients it is discharging, so the hospital is creating its own bidding program by inviting local DME providers to submit bids for direct payment by the hospital.

Circumventing Medicare’s own absurd rules in order to help patients go home from the hospital can’t be what Congress intended, yet the people we elected have refused to stop Round 2 from going any further.

Congress NEEDS TO HEAR from YOU.

Yes, YOU—the DME provider who has been devastated by the bidding program. Yes, YOU—the patient who has been denied access to the equipment you paid your Medicare premiums to receive.

We have a plan that takes advantage of the August congressional recess, but it will have no effect unless we have huge support from YOU—the providers, patients, discharge planners, social workers, caregivers, doctors, and everyone else being affected by Medicare’s inability to take care of its beneficiaries.

So here’s the deal. To get the biggest BANG from the dog days of August, sit in the cool of your office or home and call, fax, or email (or all three) your Representative and both of your Senators. Tell them Medicare’s bidding program is not working.  It’s failing the people Medicare is supposed to care for and the very people who voted these lawmakers into office.

We can stop this train wreck if we push back against Congress’s refusal to hear our concerns. Ask your Representative and your Senators if this is what they want—sick and elderly patients in distress because of the government’s actions.

We simply can’t afford to do nothing. What will it be? Will you call Congress, or will you hang up the “going out of business” sign?

Ready! Set! Dial 1-202-224-3121! Tell Congress you just can’t take it anymore.

Better still, go to your Representative’s and Senators’ local district office. If you’re a DME provider, take a patient affected by this badly mismanaged program with you and let them tell the story. Or take your competitors with you and tell all of your stories.

Above all, don’t wait for someone else to fix it. There is no one else. There is only YOU.

Resources

For tips on how to talk to Congress and be more effective in the political process, download our 10 Step Guides in the AAHomecare Grassroots Toolbox.

For details about the bidding program and the reasonable alternative, the market pricing program, go to www.aahomecare.org/advocacy.

Find your Representative and Senators’ phone numbers and email addresses in our congressional directory.

Don’t Go It Alone—Go to Medtrade!

Bidding, audits, new regulations, whatever CMS can dream up next; they're enough to give a HME company owner nightmares! If they're keeping you up at night, too, you’re not alone. Everyone in the homecare sector is dealing with one, some, or even all of the same issues that you are working through as you serve your community while trying to maintain your bottom line.

If only there was some place where you could talk about the problems your company faces and tap into the collective expertise of a huge group of HME people. And wouldn't if be great if you could do it in just a couple of days, preferably in a place with a nice climate*?

Of course, such a place does exist—Orlando, Florida, during Medtrade, October 10-12.

Register today to take advantage of early bird discounts, then choose from more than 100 educational sessions led by industry experts, see new products from more than 400 exhibitors, network with HME leaders while supporting public policy efforts aimed at protecting your business.

Don’t go it alone—go to Medtrade. Here are some ways to help you get there without busting your budget:

Travel Info & Discounts
Hotel Accommodations

Spend some quality time with people who face the same challenges and demonstrate the same commitment to serve their patients as you do.

* The average high in Orlando in October is 84, and the average low is 66.

Virtual Fly-In: Early Reports Are Exciting!

With a lot on their plates, asking suppliers to take time to call Congress to convince them to stop the DME “competitive” bidding program was a tough request to make. But dealing with a program that’s creating huge access issues and is already putting suppliers out of business is far more difficult. 

The interest in this industry-wide effort was certainly evident in yesterday’s webinar with Rep. Glenn Thompson (R-Pa.), when attendee traffic overwhelmed the telephone service! For anyone who wasn’t able to get through, you can get a sense of what we talked about by checking out the presentation slides from the webinar.

As of late Thursday afternoon, the homecare community has generated approximately 2,500 new emails to Congress using our Action Center since we updated the message on Tuesday, and we suspect that number will increase significantly through the end of the day on Friday.

While these numbers that we can confirm are encouraging, we would also like to hear feedback from any of your calls to Capitol Hill, or responses to emails that you sent. We would also be interested in hearing about any organized efforts that companies or state associations undertook today.

All feedback—even from those offices that may have told you that CMS has assured them that there are very few complaints about the bidding program—is helpful for our lobbying team here. Please forward any intel to Gordon Barnes at gordonb@aahomecare.org.

Keep the pressure on! Talk to your peers, friends, families, patients, and anyone else affected by the bidding program. Tell them that their help is needed to convince Congress that the bidding program is bad medicine for patients, providers, and our nation's health.

CMS Can’t Handle the Truth About Round 2

Less than two weeks after implementation, problems with Round 2 of the bidding program are becoming increasingly evident. AAHomecare is receiving reports of delays, equipment shortages, and contractors refusing services in bid areas around the country. Yet, CMS is reporting just a few dozen complaints.

It is critical that home medical equipment providers report problems with the bidding program to their representatives, especially in cases where patients are seeing new barriers and complications in getting the products, services, or maintenance they need.

In congressional hearings and on Capitol Hill visits made by the HME community and the AAHomecare lobbying team over the past year, many members of Congress and their staffs expressed sympathy for the effects of the bidding program on our sector, but they were not convinced that patients would suffer significant disruptions. Now that the program is lurching forward and is indeed causing serious problems for Medicare patients, we need to make sure Congress is fully aware that these disruptions are taking place.

AAHomecare is coordinating efforts with VGM, The MED Group, and state associations to hold a virtual fly-in next Thursday, July 18, for providers and patients from all across the country. This virtual fly-in is the perfect opportunity to tell Congress about problems you or your patients have experienced since the implementation of Round 2.

You can use the AAHomecare Action Center to quickly send a message directly to your congressional representatives, or look up phone numbers to call those offices on July 18. Email Gordon Barnes at gordonb@aahomecare.org if you need any assistance.

In the meantime, we are still collecting information about provider problems through our dedicated email address: CBRound2Problems@aahomcare.org.  Don’t worry though, we won’t use any details about you or your company when we talk to members of Congress unless we have your permission first.

Don’t let CMS pull the wool over Congress’ eyes! Representatives and Senators MUST hear from you and your patients—current or former—about problems with the bidding program.  Please add your voice to our efforts on July 18. Mark your calendar!

Was That the Earth Moving Under Our Feet?

Although you may not have felt it, on July 1, 2013, the earth certainly moved under the feet of DME suppliers across the country. It was the beginnings of a tectonic shift in how consumers will get their home medical equipment and supplies. Cracks began to show up on the surface of the DME world over the past months but on July 1, fissures began to open up that will swallow a large number of suppliers and the patients they serve. How bad this movement will be is uncertain and it will be weeks before the impact will be known. In the meantime, there is work to do.

The last thing this industry can afford to do is let the shock of July 1 cloud the more urgent need to take every possible action to expose the truth about the CMS DME bidding program. Never has the need for DME suppliers to not give up the fight been greater.

Transition to this new world order for DME will be anything but smooth, and every supplier has a duty to not only insure that the problems are exposed, but also to insure that every member of Congress is engaged. 

We must somehow help Congress get past partisan politics, past the purported savings touted by CMS, and past the mid-term election blinders. We know that literally hundreds of members of Congress agree that there are problems with the current DME bidding program, now we must get them to act.

Remember that most action by Congress is constituent driven; in other words, voter driven. Since a third of the Senate and the entire House will be campaigning to keep their jobs, we must make sure that the problems with the DME bidding program are laid squarely at the feet of these elected officials.

Do not give up the fight until we have lost this war, and we have not lost yet, we just have to change our battle plan. The flawed bidding program has begun, but it will not succeed. If we believe that it is wrong, then we also believe it will not serve patients well. The problems and patient complaints must be gathered and shared with Congress.  Additionally, the impact on suppliers, both contract winners and those not receiving contracts, must be shared with Congress.

State associations and suppliers everywhere must step up their advocacy game. Yes, we are all weary of the fight that has been raging for years, but we have the forces of good on our side. Yogi Berra said, “it ain’t over til it’s over,” and this fight is far from over.

Here’s what you can do:

1. Contact Congress—demand a delay for Round 2 and ask for support of H.R. 1717
2. Get patients involved—ask them to make three calls to register their complaints

a.       Congress (1-202-224-3121)

b.      People for Quality Care Medicare beneficiary hotline  (1-800-404-8702)

c.       CMS (1-800-Medicare / 1-800-633-4237)

If you need help with how to fight back, contact Wayne Stanfield, the vice president of provider relations at AAHomecare. His email address is waynes@aahomecare.org and his phone number is 202-372-0757.