Under the Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) program, medical product manufacturers submit bids to supply products to Medicare beneficiaries. Lower costs win the war. There is a fatal flaw with this approach – it assumes all products are created equal.
A case in point is diabetes. People with diabetes rely on self-monitoring of blood glucose systems (SMBG) to manage their disease and dose their insulin. At a meeting convened in May by the Diabetes Technology Society, a panel of experts, including representatives from the U.S. Food and Drug Administration (FDA), determined that as many as 25 percent of SMBG systems provided by mail order to Medicare recipients fail to give patients accurate blood glucose readings. Inaccurate readings can cause a person to take too much insulin, resulting in severe hypoglycemia, hospitalization and even death. Hospitalizations are of course, the primary driver of healthcare costs in diabetes. With competitive bidding, we effectively limit seniors’ access to quality glucose monitors and open the floodgates to increased hospitalization.
These are only a couple of the problems with the new Medicare program. We are just days away from full implementation and it appears that Congress is finally sitting up and taking notice. In mid-June, 228 members of the House of Representatives issued a letter to Centers for Medicare & Medicaid Services (CMS) requesting an administrative delay of the program. In the past week alone, lawmakers have introduced legislation that would require a delay in the implementation of competitive bidding and the Association for Homecare has filed a lawsuit against the Department of Health and Human Services with the goal of halting implementation. CMS denied the first request to delay the program, so the pressure still builds.
There is still time for CMS to do the right thing and delay the implementation of competitive bidding. The question is, will they?
Puckrein is the president and CEO of the National Minority Quality Forum and a founding partner of the Diabetes Care Project.