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Samples in periodicals archive:
would help stop the speculative bidding that has marred the Medicare competitive bidding program for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS).
Specifically, 3B/BMC asserted that exclusion of competing CPAP devices and interfaces would frustrate the mission of Medicare's competitive bidding program and the goals of the Affordable Care Act, by excluding lower priced equipment from the bidding process.
At the National Registry of Rehabilitation Technology Suppliers (NRRTS)' third annual Continuing Education and Legislative Advocacy conference April 28-30, ATG Rehab management and staff members held 75 meetings with congressional members and legislative aides to advocate for HR3790, a bill that would repeal the Centers for Medicare & Medicaid Services' national competitive bidding program for complex rehab equipment, including power wheelchairs.
The new competitive bidding program was developed to reduce Medicare's substantial DME expenditures and to decrease the out-of-pocket burden for beneficiaries, who are liable for copayments of 20%.
With funding from a large tobacco company settlement of $250 million with annual payments of $10 million to the City of San Jose over a 25-year period, the HNVF, a competitive bidding program, was created from citizens' suggestion for the allocation of the settlement monies.
Congressional budget reconciliators, looking for offsets to help fund hurricane-relief efforts, avoided the temptation to restore patient co-payments or otherwise trim reimbursement levels for Medicare lab services; several states shelved proposals to impose co-pays or competitive bidding programs for Medicaid lab services.
``People don't like government because they think it's a monopoly,'' said Ronald Jensen, who helped Phoenix design its competitive bidding program.
The waiver requests a number of changes, among the most pertinent are: (1) A phase-in program to add 355,000 uninsured (55 percent of the state's total uninsured) to state health care programs; (2) a competitive bidding program where insurers would submit proposed managed care programs to the Division of Medical Services of the Department of Social Services; (3) a capitated system of state payments, and; (4) several methods designed to save approximately $581 million over the five years that the program will run ($262 million in federal funds and $319 million in state funds).