We will be issuing more webcasts later in the bidder education program. The upcoming webcasts will address topics such as financial documentation requirements, how bids are evaluated, and how to submit a bid in the online bidding system, DBidS. As each webcast is posted, we will announce its availability with an e-mail update. If you have not already done so, please register on the CBIC website to receive these announcements and other updates about the competitive bidding program.
Video: Medicare Competitive Bidding for DMEPOS Simplified
Time is Running Out to Register for DMEPOS Competitive Bidding : Bid News
If you are a supplier interested in participating in the Round 2 and national mail-order competitions of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program and have registered an authorized official (AO) but not a backup authorized official (BAO), the Centers for Medicare & Medicaid Services (CMS) strongly recommends that a BAO register no later than Thursday, January 12th. It is important to do it now so that the BAO will be able to assist the AO with approving end user (EU) registration. The establishment of a BAO is encouraged, if your company has someone who can occupy the BAO role, to avoid any disruption in the bidding process once the 60-day bid window opens. The individual in the BAO role can also assume the AO role if for some reason the AO can no longer fulfill his or her bidding responsibilities; if there is no BAO and the AO leaves the company, all end users associated with the company will lose access to the bidding system.
DME Suppliers & Medicare Competitive Bidding Financial Requirements
If you are a DME supplier preparing to submit a bid for products covered under the competitive bid program, CMS is strongly urging companies to submit accountant-prepared (compiled) financial statements that meet the requirements set for by the qualifying bid guidelines. In Round 1 of the bidding process, many suppliers were disqualified for submitting non-compliant financials.
Expand Competitive Bidding in Medicare
Establish a Medicare Competitive Bidding Committee, composed of individuals from the private sector with acquisition experience and experts in competitive bidding. Since proper implementation of competitive bidding is complex and technical, the committee— rather than government staff at the Centers for Medicare & Medicaid Services —would oversee the process. The committee would monitor the market response to ensure product quality and access, and have authority to add and/or subtract goods and services subject to competitive bidding. For instance, it might be possible to extend competitive bidding to outpatient radiological examinations such as CT scans or MRIs.
“Comment on Cramton and Katzman: Medicare Competitive Bidding Lowered E” by Thomas J. Hoerger
In contrast to Cramton and Katzman’s assertion that Medicare encountered serious problems with its pilot competitive bidding program, Thomas Hoerger of RTI International cites his early evaluations that suggested strikingly positive results.
Medicare Expanding Competitive Bidding
The bidder education program launched today is designed to guide suppliers through the competitive bidding process and will feature numerous enhancements such as improved Request for Bids instructions, updated fact sheets, and a series of webcasts that suppliers will be able to view at their convenience. Information and materials may be found at www.dmecompetitivebid.comand a toll-free help line (1-877-577-5331) is available to assist bidders with questions and concerns.
Is Rick Santorum a Conservative Health
Furthermore, Santorum has positioned himself to the right of Mitt Romney on Medicare reform. Whereas both Romney and the new Ryan-Wyden plan appear to endorse a form of competitive bidding in which private insurers would compete with traditional government-run Medicare to serve retirees, Santorum supports competitive bidding without the inclusion of a “public option,” as Igor Volsky and Scott Keyes have documented. At a town hall meeting in Iowa on January 2, Santorum stated that he “liked” the Ryan-Wyden plan, but had “a problem with the public option part that Ron Wyden has insisted upon.”
CMS Says Medicare Competitive Bidding Program For Durable Medical Equipment Might Save $1B In 2009
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Medicare Expands Competitive Bidding Program (DMEPOS)
Under the program, DMEPOS suppliers compete to become Medicare contract suppliers by submitting bids to provide certain items in competitive bidding areas (CBAs). The new, lower payment amounts resulting from the competition replace the fee schedule amounts for the bid items in these areas. The first phase of the program was successfully implemented for nine product categories in nine areas of the country on Jan. 1, 2011. To date, CMS monitoring data have shown a successful implementation with no changes in beneficiary health status. Today, CMS released the detailed schedule for Round 2 bidding. Registration will begin on December 5, and the 60-day supplier bidding period will begin in late January of 2012. Round 2 expands the program to 91 additional metropolitan areas, and the new prices are expected to take effect on July 1, 2013. A National Mail Order Competition to help bring down prices for mail order diabetic supplies will coincide with the Round 2 timeline. The bidder education program launched today is designed to guide suppliers through the competitive bidding process and will feature numerous enhancements such as improved Request for Bids instructions, updated fact sheets, and a series of webcasts that suppliers will be able to view at their convenience. Information and materials may be found at www.dmecompetitivebid.comand a toll-free help line (1-877-577-5331) is available to assist bidders with questions and concerns.
Medicare Competitive Bidding Threatens Access to Seating and Mobility Products
I know this could also be posted under the CareCure Legislative forum, but since it is specific to the seating and mobility equipment that you are passionate about I thought it would be appropriate to post it here in the Equipment forum. For those Forum members in the US, Medicare is pursuing a cost savings strategy of competitively bidding critical DME devices including major categories of manual and power wheelchairs as well as wheelchair seat cushions. The details of the Competitive Bidding Program are complicated, but it is clear that government bidding of these individualized, specialty items will no doubt limit choice and make access to top performing seating and mobility products more difficult. I have been involved in industry lobbying efforts to try and convince Medicare officials of the negative impact such a bidding program will have on individuals who rely on high performance wheelchairs, but it seems clear that many top level government officials see wheelchairs and seat cushions as commodity DME items, not realizing the critical importance these devices have on those who rely upon them for both mobility and skin protection. Perhaps the most scary part of Medicare pursuing this strategy is that the negative impact won’t only be restricted to the Medicare market. We are already seeing many state Medicaid programs and private insurance programs grab on to lower payments rates and access restrictions that resulted from a Round 1 pilot program of Competitive Bidding. And this is before the Medicare bidding program becomes a national program in 2013. I can’t see any scenario where the Medicare Competitive Bidding program will not ultimately limit your access and choice to critical seating and mobility equipment. It is not too late to convince Medicare officials and Members of Congress that this is a bad program – but to accomplish this we need individuals who use and rely upon this equipment to add your voice to lobbying efforts. Here is a great posting on the ROHO blog site from Bob Vogel about how to engage with your Members on Congress on this important topic. Your Members of Congress work for you. They are your elected officials. Part of their job is to listen and respond to your concerns. I encourage you to make your voice heard with the same passion that you show in participating in this Forum! http://blog.therohogroup.com/index.p…-and-senators/ Thank you! Tom Borcherding The ROHO Group firstname.lastname@example.org
Healthcare Economist · Bring Market Prices to Medicare
Authors also propose to eliminate the 25% tax on premiums. According to MedPAC, “Plans that bid below the benchmark also receive payment from Medicare in the form of a “rebate.” The law defines the rebate as 75 percent of the difference between the plan’s actual bid (not standardized) and its case mix-adjusted benchmark. The plan must then return the rebate to its enrollees in the form of supplemental benefits or lower premiums” The rebate structure gives plans a disincentive from lowering their bids since they only recover a share of the cost decreases.
More Information on the Medicare Competitive Bidding Program
I know a lot of you are thinking that because you are not on Medicare, this stuff does not affect you. Well, it does. A lot of insurance companies follow Medicare guidelines so other insurance companies can start doing this same thing. My friend Mary’s husband works for a very large corporation and his company switched insurance policies the first of the year. Mary’s daughter has an intellectual disability and uses the Omni Pod pump and the Dexcom CGMS. The Omni Pod is one of the easiest pumps to use and she is able to use it without having to make complicated decisions on what she should bolus. Although Mary makes the important management decisions for her daughter, her daughter having a pump that she is able to use and give herself meal boluses with ease is something that is very important to both of them. A CGMS is a very important part of her control and Mary does not have to worry 24/7 about her daughter having severe lows. They were informed that their new insurance follows Medicare guidelines and they will not cover the Omni Pod or the Dexcom. Now Mary has to start her year off fighting to try and keep the Omni Pod and Dexcom for her daughter.
Medicare Expands Competitive Bidding Program
The Hill: Medicare Says Competitive Pricing Will Save $28B Medicare is dramatically expanding a program that it says will save billions of dollars and serve as a model for other cost-cutting efforts. The Centers for Medicare and Medicaid Services (CMS) on Friday announced the second round of a program that uses competitive bidding to set prices for certain medical products. Medicare now uses competitive bidding in nine cities and will expand to 91 areas, according to the Friday announcement. In its first six months, the nine-city competitive bidding program has saved roughly $130 million, CMS officials said. The agency expects to save $28 billion over the next 10 years, roughly a third of which would be savings to patients (Baker, 8/19).
Pursuing common solutions
There are promising elements to the proposal unveiled this month by Rep. Paul Ryan of Wisconsin and Sen. Ron Wyden of Oregon. But what is really promising is that a Republican and a Democrat — respected legislators within their respective parties — are pursuing a common solution to a serious problem that has been used to score political points.