Editor’s Note: CMS’s uncompetitive bidding has been debunked and denounced by every independent scholar who has anlyzed the program. Over 240 professors and researchers, including several Nobel laureates, at schools ranging from the University of Maryland and the California Insitute of Technology to Harvard, Stanford, Yale, MIT and many other have explained that,
it is now clear that the CMS design is not an auction at all but an arbitrary pricing process.
The scholars further explained that the Medicare program violates the Administration’s regulatory principle’s set forth President Obama’s Executibe Order on regulatory reform,
The National Association for the Support of Long-Term Care has registered strong support for lawmakers who say the government should put the brakes on a Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies.
In an example of bipartisan agreement in the House of Representatives, Reps. Glenn Thompson (R-PA) and Bruce Braley (D-IA) composed a joint letter, which 226 other representatives signed. The letter asks Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner to delay round two of the competitive bidding program, which is scheduled to take effect July 1. The program is set to expand from nine to 100 areas, including New York City, Los Angeles and Chicago.
From: HME News
by: Liz Beaulieu
LOUISVILLE, Ky. – When it comes to the steep cuts Medicare plans to implement as part of Round 2 of competitive bidding, industry stakeholders have been waiting for the other shoe to drop.
In the wake of the announcement of the cuts—on average, 45% below the current fee schedule—there have been reports of private payers and Medicaid programs looking to slash pricing. But now, it looks like it’s happening on a much bigger scale.
From: Modern Healthcare
By Rachel Landen
Lawmakers on both sides of the aisle have asked CMS Administrator Marilyn Tavenner to delay the second-round implementation of Medicare’s Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) competitive bidding program, scheduled to take effect July 1.
Reps. Glenn Thompson (R-Pa.) and Bruce Braley (D-Iowa) have circulated a letter urging their congressional colleagues to press Tavenner to halt Round Two of the program through the end of the year.
From: HME News
by: Elizabeth Deprey
WASHINGTON – Providers with high error rates could lose their billing privileges if a proposed rule takes effect.
The Department of Health and Human Services published a proposed rule in the Federal Register April 29 that contains a provision that would expand Medicare’s authority to revoke billing privileges to cases where the provider “has a pattern or practice of billing for services that do not meet Medicare requirements.”
That’s going too far, say stakeholders.
“This is not revocation for fraud,” said Steve Azia, counsel at Washington, D.C.-based Baker Donelson. “A provider could lose billing privileges based on an error rate that’s often overturned.”
From: The Post and Courier
A group of small-business owners who distribute medical supplies to elderly patients got a chance last week to air their grievances about federal Medicare regulations to South Carolina’s newest congressman.
When U.S. Rep. Mark Sanford, R-S.C., asked the group last week for more information about Medicare’s competitive bid program, an issue he said came up on the campaign trail earlier this year, he got an earful.
“The real problem with it is if you’re not awarded a contract, you have to stop participating in the Medicare program altogether,” said Daniel Gooch, president of the S.C. Medical Equipment Services Association.
By Letters from our readers
I am a provider of home medical equipment who has served this community for a number of years. We provide quality care and services to people requiring medically necessary equipment like home oxygen or wheelchairs. Caring for an aging family member in his own home is the most cost-effective and patient-preferred way of caring for the elderly. Yet The Center for Medicare Services (CMS) continues to slash the components that make quality homecare possible.