Something changed for DME and HME providers this quarter. The enrollment door that stayed shut for months is open again, and the providers who move first will set the terms for everyone who follows. Round 2028 preparation is already underway. New states are reachable. New payor contracts are within range.
The opportunity is real. So 9.18.26 is the bottleneck.
Growth in this industry usually stalls in the payor relations back-n-forth. A provider ready to serve three new states can lose a full quarter waiting on contract negotiations to be complete. A business that gains a new payor contract can watch time evaporate in delays and phone tag. Expansion asks more of the operational side of the house than most teams are staffed to give. That is the gap Tactical Business Solutions was built to close.
Multi-state enrollment without the standstill
Moving into a new state means licensing, compliance, enrollment, negotiations, and credentialing done right the first time. Handled slowly, it delays revenue for months. Handled by people who do it every day, it becomes a repeatable process that scales with your footprint.
TBO manages the full enrollment lifecycle across states so your team can keep selling while the paperwork moves in the background. Applications get filed correctly. Follow-ups happen on schedule. Your contracts get active and billable faster, which is the only version of compliance that actually grows a business.
Contract expansion led by someone who has sat on both sides
Winning and expanding payor contracts is still a relationship business, and relationships are the one thing automation cannot manufacture. This is where TBO’s advantage is hardest to copy.
Lauren Barranti, TBO’s Vice-President of Payor Relations, brings 25 years of contracting and credentialing experience, built from working both sides of the payor relationship. She knows how plans evaluate a provider, where payors take more than you are willing to give, and how to position an organization for stronger network access and better terms.
An evaluation of your payors will put that expertise in your hands. It shows where your contracts underperform, which plans are worth pursuing, and where recoverable revenue is sitting untouched.
Payor relations that protect the revenue you win
A signed contract is only the beginning. Rates get misapplied. Claims get contractually underpaid. Updates and reporting needs to be continually worked.
TBO’s team works those queues every day, recovering the revenue your contracts already entitle you to and keeping your payor relationships healthy for the long term.
One Connected System
Enrollment, contracting, credentialing, and compliance are all connected. An error or delay in one can slow expansion across a county, state, or new market. TBO manages all four as one connected system under the leadership of Lauren Barranti, Vice President of Payor Relations.
Supported by a team of trained compliance specialists, Lauren helps providers navigate expansion into new territories, counties, and states while building the infrastructure to support broader growth.
The market has reopened for everyone. The providers prepared to expand now will be better positioned to keep growing when the window narrows again.
To see where your contracts and enrollments stand, call 800-422-5242 or email sales@thetbo.com.