CMS bundling, competitive bidding rule finalized | For more: | O&P establishment has mixed views on 3D-printed devices
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November 11, 2014
AOPA In Advance SmartBrief
News for Professionals in the Orthotics, Prosthetics and Pedorthics Profession

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CMS bundling, competitive bidding rule finalized
The CMS has issued the final rule on bundling and competitive bidding, which will phase in bid rates in areas without competitive bidding beginning Jan. 1, 2016. The payment will be 110% of the average single payment amount in areas with competitive bidding. Stakeholders are concerned about potential access issues, since rural providers are not required to accept assignment, and they say an OIG study of how bidding will affect rural areas needs to be completed before moving forward with the plan. HME News (11/7)
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O&P establishment has mixed views on 3D-printed devices
Reaction to the proliferation of simple, 3D-printed prosthetic devices, often intended for children or for adults as back-up prostheses, is mixed among established O&P manufacturers and practitioners. Some foresee a time when such devices will be more mainstream, adhere to FDA standards and be fitted by professionals. Others consider the technology to be disruptive with such limitations as product liability and lack of classification by the FDA. O&P Almanac (Adobe Flash required) (11/2014)
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YouBionic completes prototype of 3D-printed robotic prosthetic hand
YouBionic has created its first prototype of a 3D-printed, computer-controlled hand that can be directed by the user’s brain. One feature of the device is the easy replacement of actuators, electronics and extra 3D-printed parts. (11/8)
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Medical News
Study IDs biomarker of dangerous breast cancers
A new study identifies intercellular adhesion molecular 1, a highly expressed molecule in triple-negative breast cancer, as a potential molecular target for detecting and treating the disease. The study was supported by the NIH. (11/7)
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Whey-guar mix curbs glucose levels in diabetes patients
A small study in Nutrition Journal found consuming a low-calorie whey and guar drink before breakfast led to lower mean glucose levels in patients with prediabetes and type 2 diabetes. Researchers said the effect was similar to or greater than that of the diabetes drug sitagliptin. NutraIngredients (11/10)
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Childhood obesity often persists into adolescence
A study on the website of Pediatrics says 65% of obese fifth-graders continued to be obese as 10th-graders, while 83% of obese 10th-graders had been obese in fifth grade. Data also showed that overweight fifth-graders who had obese parents or watched more television faced greater odds of becoming obese. (11/13)
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Legislative and Regulatory
HHS forecasts sluggish ACA enrollment in 2015
HHS on Monday projected Affordable Care Act insurance enrollment by the end of 2015 to be between 9 million and 9.9 million people, compared with a Congressional Budget Office projection of 13 million. The administration also noted a lower official enrollment count this year at 7.1 million as of Oct. 15, down from 7.3 million in August. Politico (11/11), Reuters (11/10), The Hill (11/10)
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Other News
Business and Finance
Business planning starts with financial knowledge
Small-business owners who know the financial details of their companies can plan more effectively, writes Rob King of Intuit Canada. King's 10 tactics for improving your financial knowledge include adding up your operating costs, learning to read financial statements and finding an accountant who can act as a strategic partner. The Globe and Mail (Toronto) (tiered subscription model) (11/6)
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ACA-compliant health plans mean higher rates for some businesses
Businesses with at least 100 employees will have to offer health coverage or pay a penalty beginning in 2015, and businesses with 50 or more employees will have to follow suit in 2016. Some businesses are experiencing steep rate increases as they move to health plans that comply with the Affordable Care Act. Detroit Free Press (11/9)
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Breaking news from AOPA
The 2015 HCPCS codes have been released. Read about the changes today to make sure you are coding correctly. AOPA pledges Silver Level Sponsor for OPAF in 2015. AOPA National Assembly exhibit space is NOW AVAILABLE for 2015! Call for papers: Become a presenter at the Assembly. Off-the-shelf final rule released: CMS reverses fields. What does it mean for O&P? Attend tomorrow’s webinar: Gifts: Showing Appreciation Without Violating the Law. All this and more in today's AOPA Breaking News!
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Upcoming events
Nov. 12: Gifts: Showing Appreciation without Violating the Law, webinar conference Learn more or register online.
Dec. 10: New Codes & Changes for 2015, webinar conference Learn more and register online.
Jan. 14: Fill In the Blanks: VA Contracting and the New Template, webinar conference Learn more or register online.
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-- Charles Dudley Warner,
American essayist
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