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Medicare Competitive Bidding Program.

Christopher G Parkin¹

¹1 CGParkin Communications, Inc, Boulder City, NV, USA.

Journal of Diabetes Science and Technology

|August 6, 2016

Summary

This summary is machine-generated.

The Medicare competitive bidding program has led to adverse health outcomes and disrupted access to medical supplies, contrary to Centers for Medicare & Medicaid Services claims. The program

Keywords:

CMS Medicare competitive bidding program insulin-treated diabetes mortality

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Area of Science:

Health policy
Healthcare economics
Medical device access

Background:

The Centers for Medicare & Medicaid Services (CMS) implemented a competitive bidding program in 2011.
The program aimed to reduce costs for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).
Concerns exist regarding the program's impact on beneficiary access and health outcomes.

Purpose of the Study:

To evaluate the failures and adverse health outcomes of the Medicare competitive bidding program.
To analyze the discrepancies between CMS reports and observed program impacts.
To provide a rationale for suspending the program pending improved CMS monitoring.

Main Methods:

Review of the National Minority Quality Forum (NMQF) study findings.
Analysis of economic modeling by McGeary and Katzman (2004) on program design flaws.
Discussion of unintended consequences and potential patient safety risks.

Main Results:

The NMQF study reported failures and adverse health outcomes.
CMS reported no disruption or adverse outcomes, despite early signals of disruption.
Economic modeling indicated significant flaws in the program's design.

Conclusions:

The Medicare competitive bidding program has had negative consequences for beneficiaries.
CMS's monitoring protocols are insufficient to protect Medicare beneficiaries' safety.
The program should be suspended until effective monitoring can be implemented.