Medtech Insight is part of Informa PLC

This site is operated by a business or businesses owned by Informa PLC and all copyright resides with them. Informa PLC’s registered office is 5 Howick Place, London SW1P 1WG. Registered in England and Wales. Number 8860726.

This copy is for your personal, non-commercial use. For high-quality copies or electronic reprints for distribution to colleagues or customers, please call +44 (0) 20 3377 3183

Printed By

UsernamePublicRestriction
UsernamePublicRestriction

Medicare clinical lab bidding demo

This article was originally published in The Gray Sheet

Executive Summary

CMS will soon announce the target region for its Medicare Clinical Lab Bidding Demonstration Project, as well as the date of a related bidder's conference, the agency says Oct. 9. The project is designed to assess the cost-saving potential of replacing Medicare's clinical laboratory fee schedule with prices based on the lowest bids from labs ("1The Gray Sheet" Aug. 13, 2007, p. 8). CMS has made three changes to the demo in response to comments received over the summer: Labs providing services exclusively to nursing home beneficiaries or those who receive home health services in the competitive bidding area will not be required to bid, but will be paid at the demonstration fee schedule rate; a non-winning lab may serve as a reference lab to those participating in the demo, but cannot bill Medicare directly; and the labs must bid on 303 Health Care Procedure Coding System (HCPCS) codes, representing the top 99% of tests paid for under the Part B Clinical Laboratory Fee Schedule. Various lab groups support legislation to quash the project ("2The Gray Sheet" Oct. 1, 2007, In Brief)

You may also be interested in...



Bill Would Stop Competitive Bidding Demonstration For Laboratory Services

A bill introduced in the House Aug. 4 would cancel a Medicare clinical laboratory services competitive bidding demonstration project before it begins

Colorectal, Bladder Cancer Therapies Are Top Prospects For April US FDA Approvals

Sanofi’s next-generation meningococcal vaccine, broader use of Bristol-Myers Squibb’s Reblozyl move toward approval; United Therapeutics foreshadows Trevyent regulatory difficulties.

Rapid Biopharma Response To COVID-19 Enabled By Decades Of R&D Investment, Firms Say

Biopharma is working on a reputation renaissance as the public looks to industry for treatments and vaccines for the COVID-19 epidemic and drug pricing concerns take a back seat.

Topics

UsernamePublicRestriction

Register

MT025367

Ask The Analyst

Please Note: You can also Click below Link for Ask the Analyst
Ask The Analyst

Your question has been successfully sent to the email address below and we will get back as soon as possible. my@email.address.

All fields are required.

Please make sure all fields are completed.

Please make sure you have filled out all fields

Please make sure you have filled out all fields

Please enter a valid e-mail address

Please enter a valid Phone Number

Ask your question to our analysts

Cancel