Centers for Medicare & Medicaid Services Competitive Bidding Program: Assessment of Impact on Beneficiary Acquisition of Diabetes-Testing Supplies and Durable Medical Equipment Prosthetics Orthotics and Supplies–Associated Health Outcomes

The Centers for Medicare & Medicaid Services (CMS) manages the Medicare program, which generally pays for durable medical equipment, prosthetics, orthotics, and other medical supplies (DMEPOS) on the basis of fee schedules. … The DMEPOS Competitive Bidding Program (CBP) is CMS’s prescription to remedy the overpayments engendered by fee-schedule reimbursements. …

This report reviews the impact of the CBP on the lives of Medicare beneficiaries. The primary questions are: Does the CBP disrupt beneficiary access to prescribed DMEPOS? If it does, what impact does the disruption have on beneficiary health outcomes? …

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