Archive for January, 2010

Healthcare Reform Bill Might Delay the delivery of Mobility and Medical Equipment for the Disabled

In reviewing current Medicare legislation, it looks like seniors will have a much harder time getting home health care products, particularly durable medical equipment like power chairs. Part of the reason for this is because this is an area that was abused by some equipment providers, who made promises of full Medicare payment for senior citizens who purchased their equipment.

As a result of several cases of Medicare fraud a much more stringent application process is now in place, but the downside of this is that some Medicare beneficiaries who truly qualify for power wheelchairs may experience delays in getting the medical equipment they need. While most of the reform in Medicare legislation is aimed at making it more difficult for providers to submit false claims, it also has the potential to adversely affect senior citizens and other beneficiaries.

Because of some new rules affecting the coverage of power wheelchairs, some providers are worried they might go out of business. This is because Medicare beneficiaries who qualify for a power wheelchair will no longer be able to purchase a power wheelchair during the first month after it is prescribed. They will continue to have the option of renting the chair for up to 13 months, but without the option to purchase during the first month, medical equipment suppliers expect this to adversely affect their cash flow.

In their efforts to pay for an overhaul of the health care system, most providers would be willing to accept a lower reimbursement rate for their equipment as long as they are able to continue offering a first month purchase option. However, in their rush to pay for health care reform, many lawmakers fail to recognize the impact their decisions will have on the medical equipment industry.

While competitive bidding is expected to save millions, the new process was put together rather quickly and without much thought about how it would affect the chronically ill and disabled. The medical equipment industry is eager to work with the Center for Medicare and Medicaid Services to correct the most pressing problems endemic to the programs, but they want to do so in a way that allows patients to get the critical care that they need without delay.

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Medical Equipment Suppliers Tap into Growing Market for Image-Guided Navigation

With increasing regularity, minimally invasive medical procedures are becoming the norm, and they are quickly replacing more dangerous and expensive surgeries. For patients, some of the benefits of these procedures include faster recovery times, less pain, and fewer follow up visits. A number of procedures that once required open surgery can now be accomplished just as easily using state-of-the-art image guided navigation, including cardiac procedures, oncologic treatment and several applications in women’s health.

The Royal Philips Electronics Company will be unveiling a new collection of interventional medical equipment for radiology and oncology practitioners, which are expected to increase the quality and range of non-invasive, image guided treatments. In addition, the company is working on new systems that will integrate the images from several sources into a single picture, marking a vast improvement in patient care.

The growth of minimally invasive surgical techniques requires a great deal of knowledge, since this type of technology is constantly evolving. Medical equipment manufacturers like Philips recognize the need for advanced imaging throughout these procedures, so they are constantly looking for new ways to make these complex surgeries easier for doctors.

Some of Philips’ most recent interventional solutions include vascular X-ray machines that use a low dose of radiation while providing unsurpassed image quality. This machine can also be customized to support image-guided, noninvasive procedures. Another new product, Dose Aware, allows clinicians to track X-ray dosage during longer interventional procedures and manage a patient’s exposure to radiation in real time.

Look for more products like these as medical equipment suppliers compete to create products that support minimally-invasive procedures through advancements in image-guided navigation.

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Solvent Used in Some Life-Saving Medical Equipment May Cause Cardiovascular Side Effects

With so many rapid advancements in medical treatment, it is not surprising that some of the newer technologies come with unforeseen risks. When medical scientists began developing high-tech medical equipment to perform the same functions as vital organs, they required processes where blood is circulated in tubes that are carried outside the body. This process, known as extracorporeal circulation (EC) is a critical component of these life-saving machines, but it comes with its own set of potential dangers.

In some cases, patients experience swelling of major organs, a depression in cardiac output, and cardiac arrhythmia, which has prompted several studies to determine the root causes of these problems and how they might be eliminated. In one study, conducted by the Johns Hopkins research team, a chemical commonly found in IV bags was examined to see if it could possibly play a role.

The chemical in question is actually a solvent called cyclohexanone (CHX), and it has been known to seep into the fluid IV bags during treatment. When researchers at Johns Hopkins administered the same relative dose of CHX in animal studies, they found a similar percentage suffered the same cardiovascular symptoms commonly seen in humans. This groundbreaking study sheds new light on the dangers commonly associated with EC treatment, and may result in follow up studies that examine other medical equipment where CHX is used. In addition to IV and EC bags, Cyclohexanone is found in PVC devices and the tubing through which intravenous fluids flow. Even if other potential dangers are discovered, the risk for EC patients is far greater because their entire blood volume is continuously circulating through tubing that has been treated with CHX.

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