Medicare Advantage has increasingly been criticized for waste, fraud, and abuse. A key issue lies in how the government reimburses these private insurers.

Medicare RAC reviews will introduce new complexities, including distinct coverage rules, medical necessity criteria, and documentation standards.

DME suppliers must not only satisfy traditional Medicare FFS requirements, but they must also satisfy Medicare Advantage Plans (MAPs).

Unlike large hospital systems that can better absorb administrative overhead, independent providers operate on razor-thin margins.

Tell the Dept. of Commerce what additional tariff costs for DME and supplies, potentially implemented as early as 2026, will mean for your business and the patients you serve.

The lesson for DME suppliers is that if they are going to provide services to a referral source, the referral source needs to pay FMV compensation to the suppliers.