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Medical supplies of an expendable nature, such as bandages, rubber gloves and irrigating kits are not considered by Medicare to be DME. Within the US medical and insurance industries, the following acronyms are used to describe home medical equipment: DME: Durable Medical Equipment; HME: Home Medical Equipment
Durable medical equipment (DME) is a category of medical devices designed to assist individuals with disabilities, injuries, or chronic health conditions. [1] These devices are prescribed by healthcare professionals and intended for repeated use over an extended period.
Following employment as a medical reviewer for Humana and medical director at Blue Cross/Blue Shield Health Plans, she became a critic of how U.S. HMOs drive profits through denial of care. [1] [2] On May 30, 1996, Peeno testified before Congress as to the downside of managed care. [3]
Humana pulled out of the acquisition after United stock dropped $2.9 billion in value. [9] In 2001, Humana was a cofounder of Avality. [10] In 2005, Humana entered into a business partnership with Virgin Group, offering financial incentives to members for healthy behavior, such as regular exercise. [11]
ACHC was established in 1985 by home care health providers to create an accreditation option which was more focused on the needs of small providers. The process began in Raleigh, North Carolina, with the group incorporated in August 1986. The first accredited organization was awarded certification in January 1987.
In June 2015 [8] Humana sold Concentra shares to a joint venture between Select Medical Holdings Corporation (Select Medical) and Welsh, Carson, Anderson & Stowe, a private equity fund, for approximately $1.06 billion in cash. [9] The deal called for Select Medical to own 50.1% of the stock, while Welsh, Carson, Anderson & Stowe would own 49.9%.
Around 1939, state medical societies created Blue Shield plans to cover physician services, as Blue Cross covered only hospital services. These prepaid plans burgeoned during the Great Depression as a method for providers to ensure constant and steady revenue. In 1970, the number of HMOs declined to fewer than 40.
The operator then pays for their medical expenses. Traditional Medicare directly compensates providers on a fee-for-service basis. [ 1 ] Plans are offered by integrated health delivery systems, labor unions , non profit charities, and health insurance companies, which may limit enrollment to specific groups of people (such as union members).
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