As DME Bidding Program Rolls Ahead, Auction Researchers Call It “Fatally Flawed”
This article was originally published in The Gray Sheet
CMS is moving forward as planned with a 10-fold expansion in the number of metropolitan areas where Medicare will pay for popular durable medical equipment at reduced, competitively bid rates.
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Starting July 1, Medicare plans to pay 45 percent less than current fee-schedule rates for eight categories of DMEPOS in 91 cities, and 72 percent less nationwide for diabetes products.
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Durable medical equipment supplier groups pressed their “Market Pricing Program” during a May 9 House subcommittee hearing as an alternative to the Medicare competitive bidding program. The Congressional Budget Office is currently analyzing the proposal.