VGM Government Relations Along with Leitten Consulting Release the Latest Update to Competitive Bidding Study

Published in Government Relations on July 15, 2022

Graphic

VGM Government, in conjunction with Brian Leitten and Leitten Consulting, has released an updated study analyzing the efforts by the Centers for Medicare and Medicaid Services (CMS) to control distribution of Durable Medical Equipment (DME). The study, “Competitive Bidding – Pressure Sore, Urological and Diabetes Equipment & Supplies. The Expanded Case for Medicare Investment in DME in 2022,” builds off the 2021 study by expanding the range of DME and adding three additional categories: equipment and supplies to prevent pressure sores, catheters and related urological supplies to resolve urine and retention and incontinence, and diabetic test strips and meter to monitor blood glucose levels.  

“As CMS forced prices down and treatment costs continued to rise, the power of a dollar spent on preventive DME became ever more powerful,” stated Brian Leitten, head of Leitten Consulting. “CMS continues to spend its budget dollars on treating the very illnesses and injuries that could be avoided if they would just invest in providing the right DME to beneficiaries before they need it.”

The previous studies were focused around three areas of DME, mobility equipment (e.g., wheelchairs, walkers, and power chairs) to avoid falls; oxygen therapy equipment to counter symptoms of COPD; and continuous positive airway pressure equipment to treat obstructive sleep apnea (OSA). In the most recent study, DME was expanded to include three new categories of Medicare Spending that are significant to Medicare beneficiaries. Adding the three new categories significantly increases the cost and potential amount that could be saved if CMS were to invest in DME. 

“With the success of the previous studies, that had shown how much could be saved if CMS invested in three main DME categories, we wanted to expand with this most recent study to encompass three additional categories and how they could be affected,” says John Gallagher, vice president, VGM Government Relations. “In turn, we hope that these studies can then be used to help educate key legislators on why it is so important, and cost efficient, to invest now into DME.” 

READ FULL STUDY

From Our Experts

Ike Isaacson and Brian Leitten Podcast: The Case for DME Investment Continues to Strengthen thumbnail Ike Isaacson and Brian Leitten Podcast: The Case for DME Investment Continues to Strengthen Listen to Ike Isaacson, SVP of VGM Government Relations, and Brian Leitten, Leitten Consulting, discuss Brian's latest findings related to DME investment and their outlook on competitive bidding. Update: FTC Ban of Noncompetes Blocked thumbnail Update: FTC Ban of Noncompetes Blocked A new ruling this week means that the ban on noncompete agreements cannot and will not go into effect in September. The FTC has not yet said whether they will appeal the decision, but Victoria Graham, a spokesperson for the FTC, said they are considering that option. The FTC could also choose to address noncompete agreements in a different manner, perhaps through enforcement actions. Updates To Lymphedema Benefit thumbnail Updates To Lymphedema Benefit A recent article by Medtrade Monday outlined the latest news regarding the lymphedema benefit. CarePro Medical Hosts DME Champion Rep. Mariannette Miller-Meeks thumbnail CarePro Medical Hosts DME Champion Rep. Mariannette Miller-Meeks On Monday, August 5, CarePro Home Medical in Coralville, Iowa hosted an event for Rep. Mariannette Miller-Meeks. The group discussed the need for H.R.5555 passage at the end of 2024. DME is No Longer Exempt from Sales Tax in South Carolina thumbnail DME is No Longer Exempt from Sales Tax in South Carolina For nearly 17 years, DME providers in South Carolina were exempt from paying sales tax (under certain conditions). Find out how the latest South Carolina Supreme Court ruling has changed that. How FEMA Can Help DMEPOS Businesses Prep for Natural Disasters thumbnail How FEMA Can Help DMEPOS Businesses Prep for Natural Disasters FEMA's latest site update benefits DMEPOS businesses by assisting them in preparing for natural disasters. Ronda Vlog: Two Important Updates: Oxygen Testing and Home Assessment for Manual Wheelchairs Clarification thumbnail Ronda Vlog: Two Important Updates: Oxygen Testing and Home Assessment for Manual Wheelchairs Clarification Check out these updates from Ronda Buhrmester regarding oxygen testing and clarification on home assessment for manual wheelchairs! 75/25 Medicare Impact Survey thumbnail 75/25 Medicare Impact Survey AAHomecare is spearheading a nation-wide initiative to measure the impact of the expired Medicare fee-for-service 75/25 blended rate for non-bid non-rural areas on the HME community and Medicare patients' access to medically necessary equipment.