Twin Cities/Metro - U.S
Owner, Manager Of Meik Medical Equipment And Supply Convicted Of Healthcare Fraud
The owner of Meik Medical Equipment and Supply, a durable medical equipment supplier located in the Bronx, New York — which now seems to be defunct, and the company's manager, Ayodeji Fasonu, are now officially federally convicted for engaging in a scheme to defraud Medicare Advantage and Medicaid managed care plans. Meik owner, Ikechukwu Udeokoro, and Fasonu were convicted of fraudulently billing the two insurance companies for over $3.8 million between December 2010 and February 2014 for hundreds of expensive patient support systems that were never provided to patients or caregivers.
The support systems billed included large devices designed to assist with lifting immobile patients and patients in nursing homes. Udeokoro and Fasonu instead provided patients with recliner chairs that included a seat lift feature. In the years this went on, the company billed Medicare and Medicaid over $3.8 million and were in-turn paid approximately $2.8 million as part of the scheme.
The FBI and United States Department of Health and Human Services Office of Inspector General (HHS-OIG) investigated the case and gathered sufficient evidence to arrest the two men for healthcare fraud. Trial attorney's Andrew Estes and Patrick J. Campbell of the Department of Justice Criminal Division's Fraud Section then successfully prosecuted both Udeokoro and Fasonu on the charge. Both men are scheduled to be sentenced on their conviction of healthcare fraud on Aug. 14 and Aug. 16, respectively, and face a maximum penalty of 10 years in federal prison. The federal district court judge assigned to the case will determine sentencing after considering US Sentencing Guidelines and other statutory factors.
In the Department of Justice Office of Public Affairs press release, it was noted that the departments fraud section leads the criminal divisions efforts to combat healthcare fraud through its Health Care[sic] Fraud Strike Force Program that began in March 2007. The program has since charged more than 4,200 defendants who have collectively billed Medicare for than $19 billion.
Durable Medical Equipment (DME) Market Trends 2023-2031Invacare, Sunrise Medical, ArjoHuntleighTop Key Players
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Short Description About Durable Medical Equipment (DME) Market:
The Global Durable Medical Equipment (DME) market is anticipated to rise at a considerable rate during the forecast period, between 2023 and 2031. In 2022, the market is growing at a steady rate and with the rising adoption of strategies by key players, the market is expected to rise over the projected horizon.
Durable Medical Equipment (DME) is a medical equipment that durable, can be used in the home and have at least 3 years of life expectancy.
Report Overview
Due to the COVID-19 pandemic and Russia-Ukraine War Influence, the global market for Durable Medical Equipment (DME) estimated at USD 190640 million in the year 2022, is projected to reach a revised size of USD 282900 million by 2028, growing at a CAGR of 6.8Percent during the forecast period 2022-2028.
The prevalence of chronic conditions, such as heart disorders, cancer, gynecological disorders, and neurological disorder is on a rise, demand of long term care and hospitalization for treatment of these disorders is anticipated to facilitate the demand for durable medical equipment.
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What are the factors driving the growth of the Durable Medical Equipment (DME) Market?Growing demand for below applications around the world has had a direct impact on the growth of the Durable Medical Equipment (DME)
Monitoring and Therapeutic Devices Which regions are leading the Durable Medical Equipment (DME) Market?Inquire more and share questions if any before the purchase on this report at –https://www.360researchreports.Com/enquiry/pre-order-enquiry/21965668
This Durable Medical Equipment (DME) Market Research/Analysis Report Contains Answers to your following Questions
Durable Medical Equipment (DME) Market – Covid-19 Impact and Recovery Analysis:
We were monitoring the direct impact of covid-19 in this market, further to the indirect impact from different industries. This document analyzes the effect of the pandemic on the Durable Medical Equipment (DME) market from a international and nearby angle. The document outlines the marketplace size, marketplace traits, and market increase for Durable Medical Equipment (DME) industry, categorised with the aid of using kind, utility, and patron sector. Further, it provides a complete evaluation of additives concerned in marketplace improvement in advance than and after the covid-19 pandemic. Report moreover done a pestel evaluation within the business enterprise to study key influencers and boundaries to entry.
Our studies analysts will assist you to get custom designed info to your report, which may be changed in phrases of a particular region, utility or any statistical info. In addition, we're constantly inclined to conform with the study, which triangulated together along with your very own statistics to make the marketplace studies extra complete for your perspective.
Final Report will add the analysis of the impact of Russia-Ukraine War and COVID-19 on this Durable Medical Equipment (DME) Industry.
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1 Market Overview1.1 Product Overview and Scope of Durable Medical Equipment (DME)1.2 Classification of Durable Medical Equipment (DME) by Type1.2.1 Overview: Global Durable Medical Equipment (DME) Market Size by Type: 2017 Versus 2022 Versus 20311.2.2 Global Durable Medical Equipment (DME) Revenue Market Share by Type in 20221.3 Global Durable Medical Equipment (DME) Market by Application1.3.1 Overview: Global Durable Medical Equipment (DME) Market Size by Application: 2017 Versus 2022 Versus 20311.4 Global Durable Medical Equipment (DME) Market Size and Forecast1.5 Global Durable Medical Equipment (DME) Market Size and Forecast by Region1.6 Market Drivers, Restraints and Trends1.6.1 Durable Medical Equipment (DME) Market Drivers1.6.2 Durable Medical Equipment (DME) Market Restraints1.6.3 Durable Medical Equipment (DME) Trends Analysis
2 Company Profiles2.1 Company2.1.1 Company Details2.1.2 Company Major Business2.1.3 Company Durable Medical Equipment (DME) Product and Solutions2.1.4 Company Durable Medical Equipment (DME) Revenue, Gross Margin and Market Share (2020,2021,2022, and 2023)2.1.5 Company Recent Developments and Future Plans
3 Market Competition, by Players3.1 Global Durable Medical Equipment (DME) Revenue and Share by Players (2020,2021,2022, and 2023)3.2 Market Concentration Rate3.2.1 Top3 Durable Medical Equipment (DME) Players Market Share in 20223.2.2 Top 10 Durable Medical Equipment (DME) Players Market Share in 20223.2.3 Market Competition Trend3.3 Durable Medical Equipment (DME) Players Head Office, Products and Services Provided3.4 Durable Medical Equipment (DME) Mergers and Acquisitions3.5 Durable Medical Equipment (DME) New Entrants and Expansion Plans
4 Market Size Segment by Type4.1 Global Durable Medical Equipment (DME) Revenue and Market Share by Type (2017-2023)4.2 Global Durable Medical Equipment (DME) Market Forecast by Type (2023-2031)
5 Market Size Segment by Application5.1 Global Durable Medical Equipment (DME) Revenue Market Share by Application (2017-2023)5.2 Global Durable Medical Equipment (DME) Market Forecast by Application (2023-2031)
6 Regions by Country, by Type, and by Application6.1 Durable Medical Equipment (DME) Revenue by Type (2017-2031)6.2 Durable Medical Equipment (DME) Revenue by Application (2017-2031)6.3 Durable Medical Equipment (DME) Market Size by Country6.3.1 Durable Medical Equipment (DME) Revenue by Country (2017-2031)6.3.2 United States Durable Medical Equipment (DME) Market Size and Forecast (2017-2031)6.3.3 Canada Durable Medical Equipment (DME) Market Size and Forecast (2017-2031)6.3.4 Mexico Durable Medical Equipment (DME) Market Size and Forecast (2017-2031)
7 Research Findings and Conclusion
8 Appendix8.1 Methodology8.2 Research Process and Data Source8.3 Disclaimer
9 Research Methodology
10 Conclusion
Continued….
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Humana Teams With Durable Medical Equipment Organizations On Home Care
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Humana has reached an agreement with two national organizations to provide Durable Medical Equipment (DME) services to help Humana Medicare Advantage HMO members receive home healthcare.
The national DME providers, AdaptHealth and Rotech Healthcare, will begin providing DME services for Humana's Medicare Advantage HMO enrollees under a value-based structure beginning July 1, with each serving a specific region of the country.
Humana framed the partnerships as part of a push to expand value-based care across its slate of home health services through its onehome subsidiary and its entire Home Solutions business. As part of this commitment, one of the company's top priorities is to build and scale a value-based home care offering that covers 40% of Humana Medicare Advantage members by 2025.
WHAT'S THE IMPACT?
With the move, Humana signaled its intent to create a more unified approach to the sourcing of durable medical equipment – one the company hopes results in a more coordinated experience for Medicare Advantage HMO members, as well as physicians and other healthcare professionals.
Humana expects that the sophistication and scale of these DME organizations can help drive greater value for members, and, as Humana more closely collaborates with these DME providers, members will receive a higher level of service, the company said.
For healthcare providers, the approach is designed to simplify and speed the process of ordering and obtaining medical equipment for patients.
Humana and the DME companies are in the process of communicating this transition to Medicare Advantage HMO members, Humana said. The DME organizations will also begin directly contacting members who currently receive DME services to ensure all medical equipment needs are cared for once the new contracts take effect.
The move pertains to Humana Medicare Advantage HMO plans. It does not pertain to Medicare Advantage members enrolled in PPO or private fee-for-service plans, or Humana's Medicaid, commercial or TRICARE lines of business.
THE LARGER TREND
Humana posted strong financial results for the first quarter, driven by its Medicare Advantage and managed Medicaid business, its senior-focused value-based primary care platform CenterWell and the award of the TRICARE military contract.
Individual Medicare Advantage membership grew by 17%, at least 775,000 members, in 2023. In highly-penetrated value-based markets in Texas, Georgia, Florida and Illinois, MA membership has grown nearly 13% year-to-date, according to Humana president and CEO Bruce Broussard.
Just this week, Humana said it was teaming with Longevity Health plan to expand special needs health plan offerings that support the requirements of Medicare-eligible patients living in skilled nursing and senior living facilities.
In February Humana said it will be exiting the Employer Group Commercial Medical Products business, which includes all fully insured, self-funded and Federal Employee Health Benefit medical plans, as well as associated wellness and rewards programs. The insurer said it will be exiting the business in a "phased manner" over the next 18 to 24 months, and will shift more of its focus to government-funded programs and specialty businesses.
ON THE RECORD
"Partnering with national DME partners under a value-based arrangement aligns with our goal to enhance access to the home care services we provide to patients across the country," said Kirk Allen, senior vice president of Home Solutions at Humana. "We're excited about the partnerships we're announcing today because working with these organizations on a national level will help us streamline and simplify our efforts to get Medicare Advantage HMO patients the equipment they require with best-in-class service, while empowering health care providers to more efficiently fulfill their patients' DME needs. These deeper relationships will also enhance our ability to deploy clinical programs aimed at reducing hospitalizations for our members."
Twitter: @JELagasseEmail the writer: Jeff.Lagasse@himssmedia.Com
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