In other words, as DME's consolidate more and more into a few big companies with their eyes on the bottom line and not on actual patient care (lip service or not), do they really have people whose job it is to check each machine remotely and make sure the settings match the prescriptions on a regular basis? Perhaps when it's time to document compliance, but even then it's been years since I have seen anyone here complain that the DME monkeyed with their settings remotely without telling them. Back in the day there were tales of DME's and/or clinics resetting via the SD card when people brought them or sent them in manually to show mostly compliance data. But since it's all been "over the air", has anyone actually had that experience???
I also note that it's been rare in the last several years that anybody's reported their doctor pays attention to the settings enough to notice they've been changed and then mentioned that. Chunky is the first I've heard of this in a while. Obviously this is not a scientific study, but it seems like there were a lot more complaints in my earlier years of CPAP than recent years.
If it doesn't make money for the DME or doctor to care, they probably don't.
I keep my ResMed on Airplane Mode because the machine is mine, therefore I own the data. I don't have to prove my 100% compliance to anyone. If I needed help from the sleep clinic to review settings and suggest changes, then I would share the data for that express purpose, but I do not. When I go on Medicare, if I stay with an advantage plan (hopefully NOT) to obtain my machine I will never own the machine and might have to prove compliance periodically. But I won't get my machine through an advantage plan, I will save up for my own machine, because I'm that kind of control freak.
(and I won't have to play Crapria games ever again!!!).
