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Common Sense (and Dollars)

July 26th, 2010

Does anyone else think it’s amazing that a government that can make a trillion dollars disappear at the drop of a hat is gloating at the possibility of saving only $17 billion over ten years? It’s even more ironic that they’re proudly going through with National Competitive Bidding at the expense of job-creating small and medium businesses, who will simply erode the current tax base from both an employer and employee perspective.

I’m all for reining in waste at all levels of government, but where’s the common sense here? And this is before we ever get to the points of NCB sustainability.

Will hospital discharge planners need to coordinate with a half-dozen home care suppliers, three of which are out-of-state, to send one Medicare patient home? I can hear the 2011 conversation now:

“You’re saying that you can supply the hospital bed, but can no longer supply the oxygen?”

“That’s right. You see, we didn’t bid 30% below our cost; however, I’m sure the bid winner who’s three states away will be happy to take your call.”

All for $1.7 billion annually for ten years. Maybe Thomas Paine should be required reading to become a bureaucrat.

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Summer Vacation

July 19th, 2010

We hear so many stories of misguided and self-centered youth. Considering all the current negative story lines affecting HME and all Americans, I believe we deserve to begin this week on a positive note.

Nearly 180 kids and young adults rode on buses last week from Harrisburg, PA, to Lake Station, IN. Did they unite for a relaxing summer vacation getaway? Nope.

They quietly and graciously sacrificed a week of their summer to assist flood victims in a very economically challenged part of our United States. The Gary, IN, area had thrived during our country’s heavy industrial heyday, but has steadily declined over the past few decades as businesses closed and jobs moved out.

Rebuilding a community center and public parks isn’t easy work. However, it can be rewarding work, especially when you’re truly helping others. I’m sure this proved to be an eye-opening experience for many of these young people — an experience they’ll never forget — as they met and befriended local people their own age.

We’ll always have need among us. The key is in how we respond to that need. It’s refreshing how these young people united for a very positive response to their neighbors’ need. Last week, they made a difference.

Here’s a link if you’re interested in learning more about these ongoing projects.

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Why We’re Here

July 16th, 2010
24/7 Dedication

Extra coffee flows around CAU today. Industrial strength coffee.

Our sharp IT supervisor noticed a potential issue with one of our servers yesterday. After our chief technical officer and other IT staff evaluated the condition of the server, they decided to back it up, take it out of service and restore it from scratch. That included the operating system and everything on top of it.

This one decision wiped out family dinners, evening plans and a night’s sleep. When the rest of us arrived this morning, they were all still here along with a freshly brewing pot of coffee! The best news was that the server had been restored and was back in service.

This allowed me to reflect on my own “all nighter” experiences. The 24/7 radio business afforded many opportunities for a team to help listeners through weather emergencies.

You go on adrenaline (and caffeine). You make sacrifices because it’s part of the job.

You’re dedicated, because you know you’re making a difference for people who rely on you. It’s why we’re here. For you.

Sleep well tonight, my respected colleagues!

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Section 5, Row 3, Seat 1

June 3rd, 2010

That’s one of the happy places where I wish to remember my father-in-law. After all, he’s the biggest reason I became a season ticket holder for minor league baseball.

He’s still with us, but barely recognizable as the former player or even the man who most occupied my seat on the row at first base. Ironically, those seats no longer exist after this past winter’s stadium upgrades.

Unfortunately, I don’t believe he’ll get to enjoy the view from our new seats behind the home dugout. I know he’d relish the awesome perspective between the pitcher and catcher.

Now, we just wait. And we remember.

I recall his cheering the home team, accurately calling pitches or hit-and-run plays, and sharing stories of games past. I feel fortunate to have spent this mostly one-on-one time with him over the years.

You see, he was caretaker for my mother-in-law until her passing. We thought he’d get to enjoy the ballpark even more thereafter, but it was as if his health held on just long enough to see her through. Ever since, it’s been one medical issue after another, robbing him of his former independence.

Our family now gets to experience the coordination between hospice and a caring HME provider like you. Thanks, by the way, for all that you do in this respect. Believe me, it’s appreciated.

Meanwhile, rather than in a hospital room, I want to remember him in that seat near the first base coach.

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Home Sweet Home

May 5th, 2010

Where else could you find a transportation hub directly connecting New York City with all points west and south? A free annual agricultural event that’s been attracting as many urbanites and suburbanites as farmers for decades (and traditionally promises snow during its mid-January time frame)? A pro baseball team that plays in the middle of a river?

These are just a few of the unique qualities that ranked our geographic region #5 on Forbes magazine’s list of “America’s Most Livable Cities.” Harrisburg-Carlisle doesn’t really tell the whole story of where we live.

Our region includes city limits where you can travel five minutes and be on a dairy farm. A collection of villages, each with its own personality, abut both Harrisburg and Carlisle boundaries.

Carlisle is known worldwide for its vast auto shows and transportation hub, linking three of the most traveled highways on the East coast: I-81, Route 11 and the PA Turnpike. And we can’t forget Hershey, with its mouth-watering chocolate and entertainment attractions.

I enjoy being part of a quiet, small village since 1987; yet I can drive just 15 minutes to downtown Harrisburg, Carlisle or Hershey. And I’m only five miles from the scenic Susquehanna River, which separates Harrisburg from the quaint West Shore communities.

We’re proud to be on this Forbes list. Come see us sometime.

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(Stop and Smell the) May Flowers?

May 3rd, 2010
Web Edition Calendar

Is anyone else surprised that it’s already the 5th month of 2010? As I flipped my calendar, I realized that we’ve already experienced blizzards (that’s plural for anyone in the sun belt!), a prolonged electrical outage, temperatures in the single digits, temperatures approaching 90 F, and severe thunderstorms.

You know what they say about Pennsylvania weather: if you don’t like it, wait ten minutes and it’ll change.

May also marks CAU’s first HME software release back in 1987. May 11th, to be exact.

As I considered that milestone, I realized that I’ve been with CAU longer than any other employer. And I entered the workforce at age 15.

Of course, it doesn’t take much to outlast stints in broadcasting. My colleagues and I used to award each other prizes for most W2s!

I overlapped a little, starting at CAU at the very beginning of 2000 while my partners and I didn’t officially sell our radio stations until the first half of 2001. We were still having fun, but we predicted that competition for audience (satellite radio) and advertising revenue (Internet) would soon erode our regional market share.

And that memory allowed me to reminisce a little more. Our brand new FM station flooded the airwaves for the very first time during May more than 20 years ago. I’ll never forget any detail of that sign-on day!

Now here’s my point (finally): try to make every day a memorable day. Don’t flip the calendar and lose months as just a blur. Slow down enough to live in the moment, appreciate your relationships, and savor each experience. Enjoy!

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What’s in Omaha?

April 23rd, 2010
Omaha, NE

I can’t tell you how many times I’d heard that question after I informed the curious where I needed to go last week. I finally came up with one clever response, “Well, I just wanted to see how the new replacement for Rosenblatt Stadium was coming along.”

Actually, I attended an event that I truly look forward to semi-annually: a MAMES conference. No matter where it’s held in the bread basket of America, a MAMES conference will always make you feel welcome. Last week in Omaha was no exception.

In addition to important education and spending quality time with current and future clients, I’d like to share a few specifics with you. First of all, if you’ve never heard or read Dr. Gary Schwantz, you may be missing out on all that life has to offer.

Next, I’d like to congratulate Tim Pederson, outgoing MAMES president, for a job well done; and, his able successor, Julie Weidemann. We’re all looking forward to Julie’s leadership for the next two years.

A quick congrats to Dana Jensen who won the CAU door prize. Also, the MAMES board and committees should be recognized for their ability to work and play well together, all to further the MAMES organization.

And finally, a hearty thank you to Rose and Jim Schafhauser, who time after time make the whole affair look easy. This wife and husband team set the bar for all other state organization events. And you won’t just hear that from me.

If they didn’t care so much about the HME industry, Rose and Jim could easily take their act on the road to any number of other organizations. Kudos for their experience, their skill, and their upbeat dispositions.

If you ever need a smile, you’ll find plenty during a MAMES conference. Plus, on my way back to the airport, (which is in Iowa if you’ve never been to Omaha), I did get to see the new baseball stadium construction. That gave me one more smile while heading home.

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Amish Health Insurance

February 24th, 2010

The outrage over health insurance premiums rising annually by double digits, especially this recent eye-opener, got me to thinking. The current system is unsustainable.

No one (employers, individuals, government) can plunk down enough dough to make this problem go away. However, I know of one “simple” solution.

This solution has worked for the Amish for generations. And it works for them in any situation for which the rest of us believe we require insurance.

Besides the Amish people living humbly to honor God, they promote good health by eating naturally, working physically and avoiding many stresses of modern life. Plus, they help each other in times of need.

The Amish are not forbidden by their faith to seek medical treatment. Whenever an Amish person becomes ill and welcomes modern medicine, the family pays the cost. Whatever the family cannot afford will be provided by the rest of the community.

The result? The family’s medical bills are paid. And not one penny was wasted on years of health insurance premiums.

Can we learn anything from the Amish propping up the less fortunate among them? How about we all band together to say, “You want to raise our health insurance rates through the roof annually? Tell you what: we all quit. You get nada. Stick that in your premium pipe and smoke it.”

Put another way, can we as a nation that’s had enough come together to scare the profit margin and rate increase-happy health insurers? From now on, we help ourselves by helping each other. That’s what it’s all about anyway.

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“We’re Overregulated”

February 22nd, 2010

I must have been in just the right mood when the PECOS delay was announced last week. That’s what led to last Friday’s post.

You see, I’d just read an article (what was supposed to be leisure reading) in a January issue of The Sporting News. John Feinstein penned an article about college basketball’s dichotomy: graduation rate vs. winning percentage.

In that article, a quote from Duke coach, Mike Krzyzewski, hit me right between the eyes, “We’re overregulated…. Until that changes, things won’t get better.” All of a sudden, that quote transformed my leisure reading into echoing the challenges of HME providers.

“Overregulated.” Obviously, there needs to be some oversight; however, the pendulum has swung so far to the side of punishing innocent HME providers that patients are beginning to feel the pinch.

“Until that changes, things won’t get better.” Not for beneficiaries, not for taxpayers, not for anyone in this health care vertical.

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New Sweater?

January 13th, 2010

This is the time of year that the new Christmas clothing debuts. It can be a little disorienting when you wear that new sweater for the first time.

“Does it fit the way I’d expected? Does the rest of my outfit complement my new sweater? Does it feel as comfortable as I’d expected?”

That’s sort of the stage we’re in with the new cau.com site. We appreciate your valuable input as you take time to contact us about our new look and where you can find familiar information. “Keep those cards and letters coming” and we’ll continue to evolve this site into a very helpful tool for you.

Now for some new projects on the horizon. Very soon, we’ll introduce at least two new features in this space. I invite you to participate, which may take a little thought on your part, but very little time to execute.

Please stay tuned. “Hey, this sweater’s beginning to feel a bit more comfortable already.”

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