Medicare market shares of diabetes test strips from April through June 2019
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Data snapshot (United States Department of Health and Human Services, Office of Inspector General)
- Contributor(s):
- United States. Department of Health and Human Services. Office of Inspector General. Office of Evaluation and Inspections, issuing body.
- Publication:
- [Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, January 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Competitive Bidding Health Care Sector -- statistics & numerical data Medicare -- economics Reagent Strips -- economics Blood Glucose Self-Monitoring -- instrumentation United States United States. Department of Health and Human Services Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Why OIG Did This Review. In 2011, the Centers for Medicare & Medicaid Services (CMS) implemented a Competitive Bidding Program (CBP) for mail-order diabetes test strips (DTS) in limited areas, and in July 2013, CMS expanded the program nationally to include a national mail-order program (the National Mail-Order Program). The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) currently prohibits CMS from awarding a CBP contract to a DTS supplier if the supplier's bid does not cover at least 50 percent, by volume, of the DTS types provided to Medicare beneficiaries. (This is known as the 50-percent rule.) This rule is intended to ensure that Medicare beneficiaries have access to top-selling DTS via the National Mail-Order Program. MIPPA requires the Office of Inspector General (OIG) to determine the Medicare market shares for DTS before each round of bidding. The Bipartisan Budget Act of 2018 amended the 50-percent rule by requiring that, for bids to furnish DTS on or after January 1, 2019, CMS must use multiple sources of data (from the mail-order and non-mail-order Medicare markets). OIG's analysis assists CMS in determining whether bidding suppliers meet this 50-percent rule. Since 2010, OIG has released nine reports evaluating the Medicare market shares for mail-order and non-mail-order DTS.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (8 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918266298606676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918266298606676