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Medicare Issues For Manufacturer Level Bidding For Durable Medical Equipment
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Book Synopsis Medicare: Issues for Manufacturer-Level Bidding for Durable Medical Equipment by : Kathleen M. King
Download or read book Medicare: Issues for Manufacturer-Level Bidding for Durable Medical Equipment written by Kathleen M. King and published by DIANE Publishing. This book was released on 2012-10-19 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2009, Medicare spent approx. $8.1 billion on durable medical equipment (DME), prosthetics, orthotics, and related supplies for 10.6 million beneficiaries. DME includes items such as wheelchairs, hospital beds, and walkers. Medicare beneficiaries typically obtain DME items from suppliers, who submit claims for payment for these items to Medicare on behalf of beneficiaries. The Centers for Medicare & Medicaid Services (CMS), an agency within the Dept. of Health and Human Services (HHS), has responsibility for administering the Medicare program. Medicare and its beneficiaries -- through their out-of-pocket costs -- have sometimes paid higher than market rates for various medical equipment and supplies. To achieve Medicare savings for DME and to address DME fraud concerns, Congress required CMS to phase in a competitive bidding program (CBP) for DME suppliers in selected competitive bidding areas (CBA). In CBP, suppliers submit bid prices in the amounts they are willing to accept as payment to provide DME items to Medicare beneficiaries. CMS then enters into contracts with select DME suppliers to provide DME items at the prices determined by CBP. In contrast to CBP's supplier-level approach, some health care purchasers use a manufacturer-level approach to buy DME items directly from DME manufacturers to obtain savings by leveraging their purchasing power. CMS has not been required to develop a manufacturer-level approach. This report provides information on health care purchasers that currently use a manufacturer-level approach and on issues that would need to be addressed if CMS implemented such an approach. It describes (1) efforts used by some non- Medicare purchasers to reduce DME spending by contracting with DME manufacturers or using purchasing intermediaries, and (2) issues that CMS might face if required to implement a DME manufacturer-level approach with broad authority to do so. Figures and tables. This is a print on demand report.
Download or read book Medicare written by Kathleen M. King and published by . This book was released on 2011 with total page 27 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-06 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2007, Medicare spent $8.3 billion for durable medical equipment (DME) and related supplies. To reduce spending, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) required that the Centers for Medicare and Medicaid Services (CMS) phase in a competitive bidding program (CBP) for DME and other items. DME suppliers began bidding in round 1 of the CBP in May 2007. After contracts were awarded, the Medicare Improvements for Patients and Providers Act of 2008 was enacted in July 2008. This report examined: (1) the results of CBP round 1; (2) the major challenges CMS had in conducting CBP round 1; and (3) the steps CMS has taken to improve future CBP rounds. Charts and tables.
Author :United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health Publisher : ISBN 13 : Total Pages :232 pages Book Rating :4.:/5 (319 download)
Book Synopsis Medicare's Competitive Bidding Program for Durable Medical Equipment by : United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Download or read book Medicare's Competitive Bidding Program for Durable Medical Equipment written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and published by . This book was released on 2013 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Your Guide to Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program by : U. S. Department Human Services
Download or read book Your Guide to Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program written by U. S. Department Human Services and published by CreateSpace. This book was released on 2013-10 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare's Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) changes the amount Medicare pays for certain DMEPOS items and makes changes to which suppliers Medicare will pay to supply these items to you. The first phase of the program is already in effect in 9 areas of the country. Starting July 2013, Medicare is scheduled to expand the competitive bidding program to more areas. The program replaces the outdated, inflated fee-schedule prices Medicare is currently paying with lower, more accurate prices. Under this program, suppliers submit bids to provide certain medical equipment and supplies at a lower price than what Medicare pays for these items now. Medicare uses these bids to set the amount it will pay for those equipment and supplies under the competitive bidding program. Qualified, accredited suppliers with winning bids are chosen as Medicare contract suppliers. The program: Helps you and Medicare save money; Ensures that you have access to quality medical equipment, supplies, and services from suppliers you can trust; Helps limit fraud and abuse in the Medicare Program. If you have Original Medicare, live in one of the competitive bidding areas, and use equipment or supplies included under the program (or get the items while visiting a competitive bidding area), you generally must use Medicare contract suppliers if you want Medicare to help pay for the item. If you live in one of the areas where the program is expanding and you're renting oxygen or certain other durable medical equipment (DME) at the time the program starts, you'll be able to continue renting these items from your current supplier if that supplier becomes a contract supplier or decides to participate in the program as a "grandfathered" supplier. If you live in (or get these items while visiting) these areas and don't use a Medicare contract or a grandfathered supplier, Medicare won't pay for the item, and you may have to pay full price. It's important to know if you're affected by this program to make sure Medicare will help pay for your item and to avoid any disruption of service. The competitive bidding program applies to Original Medicare only. If you're enrolled in a Medicare Advantage Plan (like an HMO or PPO), your plan will notify you if your supplier is changing. If you're not sure, contact your plan. Also available in Spanish.
Book Synopsis Medicare by : United States. Government Accountability Office
Download or read book Medicare written by United States. Government Accountability Office and published by . This book was released on 2004 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare: Competitive Bidding for Medical Equipment and Supplies Could Reduce Program Payments, But Adequate Oversight Is Critical by : Kathleen M. King
Download or read book Medicare: Competitive Bidding for Medical Equipment and Supplies Could Reduce Program Payments, But Adequate Oversight Is Critical written by Kathleen M. King and published by DIANE Publishing. This book was released on 2008-10 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare has paid higher than market rates for medical equip. and supplies provided to beneficiaries under Medicare Part B. Medicare has used fee schedules based on historical charges to set payment amounts. But this approach lacks flexibility to keep pace with market changes and increases costs to the fed. gov¿t. CMS is required to test competitive bidding as a new way to set payments. CMS did this through a demonstration in two locations in which suppliers could compete on the basis of price and other factors for the right to provide their products. This testimony describes the effects that competitive bidding could have on Medicare program payments and suppliers and the need for adequate oversight to ensure quality and access. Illustrations.
Author :United States. Congress. House. Committee on Small Business. Subcommittee on Rural and Urban Entrepreneurship Publisher : ISBN 13 : Total Pages :196 pages Book Rating :4.0/5 ( download)
Book Synopsis Subcommittee Hearing on Competitive Bidding for Durable Medical Equipment by : United States. Congress. House. Committee on Small Business. Subcommittee on Rural and Urban Entrepreneurship
Download or read book Subcommittee Hearing on Competitive Bidding for Durable Medical Equipment written by United States. Congress. House. Committee on Small Business. Subcommittee on Rural and Urban Entrepreneurship and published by . This book was released on 2008 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare past experience can guide future competitive bidding for medical equipment and supplies : report to congressional committees. by :
Download or read book Medicare past experience can guide future competitive bidding for medical equipment and supplies : report to congressional committees. written by and published by DIANE Publishing. This book was released on with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :152 pages Book Rating :4.0/5 ( download)
Book Synopsis Medicare's DMEPOS Competitive Bidding Program by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Medicare's DMEPOS Competitive Bidding Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 2009 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare by : United States. Government Accountability Office
Download or read book Medicare written by United States. Government Accountability Office and published by . This book was released on 2009 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Small Business. Subcommittee on Rural Development, Entrepreneurship, and Trade Publisher : ISBN 13 : Total Pages :176 pages Book Rating :4.0/5 ( download)
Book Synopsis Subcommittee Hearing on the Impact of Competitive Bidding on Small Businesses in the Durable Medical Equipment Community by : United States. Congress. House. Committee on Small Business. Subcommittee on Rural Development, Entrepreneurship, and Trade
Download or read book Subcommittee Hearing on the Impact of Competitive Bidding on Small Businesses in the Durable Medical Equipment Community written by United States. Congress. House. Committee on Small Business. Subcommittee on Rural Development, Entrepreneurship, and Trade and published by . This book was released on 2009 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies Publisher : ISBN 13 : Total Pages :104 pages Book Rating :4.0/5 (12 download)
Book Synopsis Durable Medical Equipment by : United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Download or read book Durable Medical Equipment written by United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies and published by . This book was released on 1995 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Distributed to some depository libraries in microfiche.
Download or read book Medicare written by Kathleen M. King and published by . This book was released on 2010 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Your Guide to Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program by : Centers for Medicare & Medicaid Services (U.S.)
Download or read book Your Guide to Medicare's Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program written by Centers for Medicare & Medicaid Services (U.S.) and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Small Business. Subcommittee on Investigations and Oversight Publisher : ISBN 13 : Total Pages :160 pages Book Rating :4.0/5 ( download)
Book Synopsis Subcommittee Hearing on Competitive Bidding for Durable Medical Equipment by : United States. Congress. House. Committee on Small Business. Subcommittee on Investigations and Oversight
Download or read book Subcommittee Hearing on Competitive Bidding for Durable Medical Equipment written by United States. Congress. House. Committee on Small Business. Subcommittee on Investigations and Oversight and published by . This book was released on 2007 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. House. Committee on Ways and Means. Subcommittee on Health Publisher : ISBN 13 : Total Pages :198 pages Book Rating :4.F/5 ( download)
Book Synopsis Fiscal Year 1991 Reconciliation Issues Relating to Durable Medical Equipment, Clinical Laboratory Services, and Other Issues Under the Medicare Program by : United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Download or read book Fiscal Year 1991 Reconciliation Issues Relating to Durable Medical Equipment, Clinical Laboratory Services, and Other Issues Under the Medicare Program written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1990 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt:
