Author: United States. Government Accountability Office
Publisher:
Published: 2004
Total Pages: 42
ISBN-13:
DOWNLOAD EBOOK →Author: United States. Government Accountability Office
Publisher:
Published: 2004
Total Pages: 30
ISBN-13:
DOWNLOAD EBOOK →Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
Published: 2017-10-20
Total Pages: 36
ISBN-13: 9781978452909
DOWNLOAD EBOOK →Medicare: Past Experience Can Guide Future Competitive Bidding for Medical Equipment and Supplies
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
Published: 2018-01-28
Total Pages: 36
ISBN-13: 9781984278654
DOWNLOAD EBOOK →GAO-04-765 Medicare: Past Experience Can Guide Future Competitive Bidding for Medical Equipment and Supplies
Author: Kathleen M. King
Publisher: DIANE Publishing
Published: 2012-10-19
Total Pages: 29
ISBN-13: 1437988490
DOWNLOAD EBOOK →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.
Author: United States. Congress. House. Committee on Small Business. Subcommittee on Rural and Urban Entrepreneurship
Publisher:
Published: 2008
Total Pages: 196
ISBN-13:
DOWNLOAD EBOOK →Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health
Publisher:
Published: 2013
Total Pages: 232
ISBN-13:
DOWNLOAD EBOOK →Author: Kathleen M. King
Publisher: DIANE Publishing
Published: 2008-10
Total Pages: 16
ISBN-13: 1437905706
DOWNLOAD EBOOK →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: Kathleen M. King
Publisher: DIANE Publishing
Published: 2010-06
Total Pages: 65
ISBN-13: 1437926851
DOWNLOAD EBOOK →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.