Subscribe to E–SP RSS Feed


by: Theresa Flaherty - Thursday, March 19, 2015

It’s what I dread most these days when making calls. A disconnected number. Especially when that number belongs to a provider who has cheerfully taken my calls and weighed in on whatever topics I throw at him regularly over the nearly 10 years I’ve been here.

This week, that closed door appears to belong to the owner of a small mom-and-pop diabetes business. It’s not like this hasn’t been coming for a long time, but still. It’s discouraging.

It’s been a diabetes week, all around.

My roommate Manisha began fundraising for the Tour de Cure, a 50k bike race to raise funds for the American Diabetes Association. She’s riding in honor of her father who died of diabetes complications.

I didn’t even know she had a bike, but I immediately donated to the cause. Even though I am kind of the cause.

On Wednesday, I met with the dietician at the diabetes center. We’ve been tweaking my diet because a.) I’ve put on weight and refuse to give in to the fat, and b.) I want to get my AIC down.

The result? I’ve gained three pounds and my AIC has crept up. OMG! WTF?!

Can I say WTF in a company blog?

Maybe I need to start training with Manisha.

Also on Wednesday I got a replacement meter in the mail because mine suddenly stopped working and I’ve been using a backup that is 12 hours off, timewise. Let’s hope I remember how to set it up properly.

Stay tuned.


by: Theresa Flaherty - Monday, March 16, 2015

Update: After all the waiting and lobbying, the passage of HR 284 went relatively quick. Actually, for an act of the government, this was lightning speed. The bill was introduced, moved to suspension calendar, debated for 40 minutes and passed.

We will be reporting this fully, of course. Congrats to everyone who made this happen.

I'm back in the reporter's seat making calls and several of the people who have actually taken my calls have asked: "Have you heard anything about the vote?"

I sometimes feel like an old time mail carrier, bringing word to far-flung frontier.

We, too, are waiting to hear what happens. Since this is the first time the industry has gotten this far ("historic" was Cara Bachenheimer's comment) we had to reach out to learn what steps would unfold on the House floor today, and when we could expect a vote.

According to Cara, Rep. Tiberi, R-Ohio, will give an opening statement on H.R. 284, sometime around 4:45 to 5 pm today, but the bill won't be voted on until, likely, 6:30 or later. 

As soon as we get the word, we'll let you know. Good luck out there!


by: Theresa Flaherty - Tuesday, February 17, 2015

I had to laugh, even though it’s really kind of sad. A Boston Herald article about the ongoing jury selection process for the Boston Marathon bomber featured this quote from the manager of a home medical equipment company. Apparently he hasn’t given the bombings

“any thought. It’s none of my business. If it doesn’t involve me, I don’t need to be involved.”

Granted, there’s no larger context here to put his comments into perspective, but still. What a thing to say! 

I'll bet when he read those comments in print, he was damn glad he has anonymity.

Unfortunately, this caught my eye because I know there are many providers out there who have had a similar attitude toward things like, oh say, competitive bidding. It’s not in their area, so they don’t need to worry. 

Until they do. With bid pricing being implemented nationwide in 2016 (that’s less than a year away), I imagine those fence sitters are starting to feel a few splinters.

Still, there are always new people getting involved, as Rose Schafhauser said in an editorial she published last week. She got three calls from non-members needing information. She converted one caller to member, and one caller planned to speak to the boss about becoming a member. The third caller did not sign up, but Rose holds out hope they’ll think about it in the future.

This isn’t quite the same thing, but it came up for discussion this morning. We have noticed an unfortunate trend in our monthly HME NewsPoll. They aren’t getting nearly the response they used to. In its heyday, the poll could be counted on for 300 or 400 responses. The most recent? 41.

I know, I know, everyone’s tired of bidding and audits and trying to make a living but it’s good to hear your voices. Speak up, call or write your lawmakers (or your favorite industry publication). Those who do let us know what’s going on, as always, I offer thanks.

I’ll assume the rest of you are buried under the snow.

Theresa Flaherty

by: Theresa Flaherty - Monday, February 2, 2015

I got a new TV for Christmas and when I hooked it up, I suddenly had a bunch of new TV channels I don't need but which I am having fun with. At least until the cable company catches on.

What this means is, I have been getting sucked into a lot of shows I don't typically watch, like Big Bang Theory and Mike & Molly. You know Mike & Molly, the story of a policeman and a schoolteacher, both overweight, who find each other.

The episode I caught the other night featured Molly spending the night at Mike's. She looks over to see him wearing his CPAP mask. Now, maybe this was addressed in an earlier episode, but what struck me, besides how funny it looked to me and the laugh track, was that there was no discussion or explanation of the mask. It was all in a night's sleep.

Is the humble CPAP finally becoming mainstream?

I recall blogging a while back about Homer Simpson (another show I don't generally watch) having to wear a CPAP, and I know there have been others as well.

I know Editor Liz Beaulieu is working on a story about a start-up that is looking at 3-D printing for CPAP masks—the ultimate in customization. That's because, all the advances in technology and design aside, the masks are still quite cumbersome, which can impede compliance. Who knows what other technology is coming down the pike?

Here's the start-up I am rooting for: A company that is developing a way for people with diabetes to print their own test strips. On a standard inkjet printer no less. OK, not that standard. You have to rig the printer to shoot enzymes instead of ink, but imagine the cost savings! a projected 5 cents per strip as opposed to nearly $1 per strip.

by: Theresa Flaherty - Monday, January 19, 2015

After being threatened with a walker, my dad has finally begun using (occasionally) a cane. Not always successfully. He tends to carry it, which kind of defeats the purpose. The cane is not from your local DME or pharmacy. It came from the attic (or shed) and apparently belonged to a grandparent, which explains why he hasn’t learned to use it properly.

I was talking to HME providers in early January to see whether they have any after holiday sales, kind of like white sales. I figured the answer was no (it was) but it still made for interesting conversation.

One thing that does drive a bit of retail traffic after the holidays: Adult children who, upon visiting their parents, get a chance to look around and see what their parents might need.

I found myself doing exactly that at Christmas. Where, for example are the grab bars I thought they were planning to have installed in the bathroom? Hell, even I worry sometimes about falling in that hazard pit (bathrooms in general, not my parents’ in particular).

I suppose it would be impractical to put grab rails all around the house.

My mother has also added an extra cushion to the easy chair my father sits in to make it easier for him to stand up (and sit down). Methinks it’s time for him to consider a lift chair, which it turns out is an item that providers definitely promote. 

I think the very idea of a lift chair will make him feel old (uh, dad, you are).

It shouldn’t, providers tell me.

“A lot of people just want a comfortable chair,” said Kevin Brown, owner of All Star Medical. “If they can buy a La-Z-Boy, why not a chair from Golden?”

Why not, indeed?

Still, with all the talk about aging in place, the biggest obstacle in this case would be the age-ee himself—a not uncommon problem, I surmise.

by: Theresa Flaherty - Tuesday, December 23, 2014

Boy, there’s belt-tightening all over the HME industry. Take today when I received my annual birthday card (I am a Christmas Eve baby) from my wing mates.

Rather than drive allll the way over to Rite-Aid on Rte 1 and fork out $2 for a funny, office humor card, or a December birthday card (if your birthday is in, say, May, you probably don’t know that there are very special birthday cards for us December kids), they opted to recycle one of the leftover Christmas cards that we sent out to advertisers and other important people a few years back.

Did they think I wouldn’t recognize it? I probably had to hand-sign 400 of these suckers.

Not one to mince words, I complained.

Me: “You gave me an old Christmas card? One of the most annoying things for someone born near Christmas is to use Christmas gear and try to birthday-ify it.” 

Nicole: “It is?”

It’s the thought that counts and they did write fun messages in the card. And yes, I do plan to enjoy my day, at least the parts that don’t involve a 200-mile drive. Solo. In the rain.

Since I have taken Christmas Eve off (we close at noon anyway, so if CMS drops a bomb on the industry, well, don't look to HME News), as I sit here at my desk on the 23rd of December (any Van Morrison fans out there?) I have pretty much checked out, mentally. But don’t tell the boss, who’s officially back.

Merry Christmas!

Theresa Flaherty

by: Theresa Flaherty - Tuesday, December 16, 2014

It’s been a fun—and busy—three months, but with the return of our editor, Liz Beaulieu, I must hand off my crown.

I won’t lie, I like being in charge. Except when I wish someone else was.

In fact, it’s been a busy three months for the entire industry, with what must, at times, feel like Sisyphean legislation to push, including that long-awaited Senate bill. At press time in mid-December, there’s still a chance to get it passed. As I said to our new(ish) associate editor, Tracy Orzel, it’s one of the biggest stories of the year but with the shortest shelf life, at least from an editorial perspective. Let’s hope by the time you read this in the New Year that the bill passed.

If it hasn’t, well, the bidding window for the Round 2 recompete is scheduled to open in January. You know the drill.

The other big story in 2014—right from day one—was audits. You may remember the memo, from the Chief ALJ no less, raising concerns about the appeals backlog that lit the proverbial fire. Since then, to no one’s surprise, that backlog has ballooned and is closing in on 1 million. That’s outrageous! What ever happened to due process? 

With the majority of appeals being overturned at this level, it’s clear that the system is broken. Claims should not be denied as medically unnecessary when, for instance, the doctor didn’t wear blue socks on that particular Tuesday, as one exasperated provider mentioned during a phone call in November. 

But lest you think I’m all doom and gloom, we hear some wonderful stories from a great number of providers out there. They participated in the Ice Bucket Challenge, raised awareness and funds for diabetes, breast cancer and a host of other causes, and helped out with getting our veterans to Washington D.C. 

We are already looking ahead to 2015, starting immediately with the February issue, planning for two Medtrade shows, the HME Business Summit, and numerous webcasts for the upcoming year. Starting with this issue we have four new Smart Talk columns (LinkedIn, Marketing, Aging in Place and Mergers and Acquisitions) that I hope everyone can learn from. I mean really, just what is LinkedIn for?

In the short term, my boss is returning in mere days. Time to clear out her office and welcome her back!

by: Theresa Flaherty - Thursday, November 13, 2014

I don’t know about the rest of you, but I, for one, am glad the elections are over. 

The onslaught of political mailers (we receive everything in triplicate at my house), the negative TV and radio ads, the knocks on the door. Being a voter is exhausting.

Unfortunately, as election results show, our country remains divided along partisan lines and I fear we face yet another session of partisan squabbling.

I think provider Michael Mayfield said it best when, in his response to our November NewsPoll, he summed it thus: “I have never disliked our government more than I have in the past four years.”

It comes as no surprise to me that HME providers are as divided along party lines as the rest of the country. What I always find interesting about the HME industry when it comes to politics is that, to my eye, it would seem providers face an inherent conflict.

On the one hand, as business owners, they often vote Republican; on the other hand, as professionals in the healthcare industry, they are as equally likely to vote Democrat.

Whichever way we cast our votes, the current lame duck session promises to be a busy one for the industry, which needs to make one last Herculean effort to push through legislation to improve the audit process and reform the flawed Medicare competitive bidding program.

You’re probably as sick of hearing about these bills as I am sick of writing about them (uh, no offense), but it’s the most important thing you can do for your business today.

For now, I look forward to the descent of December’s foggy freeze which closes in on Maine like a very dark blanket. Our publisher, Rick Rector, says the prospect of winter depresses him but I love it—until about May, when I weary of what feels like an uphill battle against snow. 

It’s kind of like...lobbying.

by: Theresa Flaherty - Tuesday, October 21, 2014

At today's far-too-early AAHomecare Washington Update, the association announced a new app. But CEO Tom Ryan (you all know Tom, right?) mentioned he's on twitter. I'm sorry, we're in Georgia. I meant to use the official state phrase: ya'll.

"You all follow me on twitter, right?" he asked the crowd. Needless to say, that resulted in those of us who tweet regularly to tweet and retweet this statement or that they (we) follow @Tom RyanHME. These are the moments that twitter is fun and interactive. I'll be curious to learn if Tom picked up some new followers today.

This is a group that's really pushing the need to band together to effect change. As Jay Witter said during his presentation, some of the progress being made (however incremental it may seem), is because of efforts, both collaborative and individual, toward boosting industry bills.

I confess, I didn't get to spend time on the show floor today because I was holed up in the myserious Show Daily office. I understand there's about 100 new exhibitors and 1,000 new attendees. Even Madame Defarge would agree that's impressive in the best of times, which these certainly aren't.

And I must end the day with a shout out to the newly annointed homecare champions, Joel Mills of North Carolina-based Advanced Home Care and Invacare's Cara Bachenheimer. Both are truly deserving of the award. Joel couldn't be here tonight, but Cara was, for better or worse. I think it was Tom Ryan who led the crowd in a chant of "Cara! Cara! Cara!"

And to my own personal heroes of the day: the anonymous good Samaritan who found my missing show daily office key on the shuttle (easier to find the key than the actual location) and turned it in to GWCC security; the security officer who found the office to return it to me; and to Lane Vento, who unlocked the door at 7:30 this morning for me with a cheery "No problem."

My feet are up, the music is playing and the wine is cold. Peace out and good night.

Theresa Flaherty

by: Theresa Flaherty - Monday, October 20, 2014

“Do you know where the show daily office is?”

It didn’t take long to learn that this year’s best kept show secret is the location of the show daily office.

No matter who we asked, no one could tell us. I mean, I even had the room number but it was, frankly, weird.

Door monitor: “That number isn’t right. I need a meeting room number.”

Me: “But it’s not a meeting room. And this is the room number.”

And on and on and all around.

Rick Rector (on my behalf): “Do you know where the show daily office is?”

Answer: “No, but we see Theresa tweeted that she can’t find it.”

After finally locating the room and settling in, the A/V guy showed up with the printer.

A/V guy: “This was a hard room to find. Nobody knew where it was."

After hooking us up to the internet, the first thing I checked was my email.

Email from show daily reporter John Andrews: “Nobody knows where the show daily office is. I’m at registration—can you give me directions or come meet me?”

And you thought GWCC hall C was tough to find. I mean, it took me 20 minutes to walk from my hotel to registration (primarily uphill, I might add, but this is Atlanta, so at least there isn't "two feet of snow" as our New England grandparents were so fond of saying). It took another 25 minutes to find the show daily office (not literally).

Overworked feet up, we are geared up and ready for the first full day of the show on Tuesday. We’ve already covered a couple of excellent sessions Monday afternoon.

In my wanderings, I also had the pleasure of meeting provider Steve Ackerman, the newest treasurer for AAHomecare, as well as other providers and met up with Lisa Wells, who will be  helping us out with HME News TV this year.

All in all, a productive day. We look forward to seeing you here this week (probably not in the show daily office).

Now, if we could just figure out who the show photographer is…