South Carolina Home Medical Providers Call on Congress to Preserve Homecare as an Option for Seniors and People with Disabilities.
"Round One of Competitive Bidding and the looming threat of Round Two, coupled with the 9.5% cut in Medicare Reimbursement, has already put four providers who were members of the South Carolina Medical Equipment Services Association (SCMESA) out of business," said Bobby Horton, executive director of SCMESA. "The current situation of South Carolina homecare providers being required to pay state retail sales tax on Medicare and Medicaid Medicare and Medicaid
U.S. government programs in effect since 1966. Medicare covers most people 65 or older and those with long-term disabilities. Part A, a hospital insurance plan, also pays for home health visits and hospice care. items, which they cannot recoup from the patient, and having to compete with out-of-state providers in Round Two, which covers all major urban areas of South Carolina, likely will result in more than 50 percent of current South Carolina providers going out of business."
The Medicare bidding program encourages "suicide bidding," using economic coercion by forcing providers to submit unsustainable bids necessary to win a contract. Although Congress delayed the implementation of the selective contracting program in 2008 to allow for needed changes, the Centers for Medicare and Medicaid Services The Centers for Medicare and Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (DHHS) that administers the Medicare program and (CMS (1) See content management system and color management system.
(2) (Conversational Monitor System) Software that provides interactive communications for IBM's VM operating system. ) ignored congressional intent and did not address the flaws that precipitated the delay.
The bidding process for durable medical equipment Durable medical equipment is a term of art used to describe certain Medicare benefits, that is, whether Medicare may pay for the item. The item is defined by Title XVIII the Social Security Act:
This bidding program will trigger a race to the bottom in terms of quality for home medical equipment and services. With a loss of providers, expedient deliveries of items and services will suffer and Medicare costs will increase.
The South Carolina Medical Equipment Services Association supports H.R. 3790, a bipartisan bill that would preserve access to homecare and provide a cost-effective alternative to a misguided Medicare "competitive" bidding program for durable medical equipment. H.R. 3790 replaces the Medicare bidding program with other types of cost-savings that will reduce reimbursements to home medical equipment providers but preserve patient access to medically required equipment and services in the home.
So far, the bill has 242 cosponsors in the U.S. House of Representatives with broad bipartisan support. More than half of both the Democratic and Republican delegations in the House support the bill.
In South Carolina, Representatives Gresham Barrett (R), Henry Brown, Jr. (R), Bob Inglis (R), and Joe Wilson (R) have all shown support as cosponsors of the legislation.
Patient and consumer groups that support the elimination of Medicare's "competitive" bidding program for durable medical equipment include the ALS Association, the American Association for Respiratory Care, the American Association of People with Disabilities, International Ventilator Users Network, the Muscular Dystrophy Association The Muscular Dystrophy Association (MDA) is an organization founded in 1950 which combats muscular dystrophy and diseases of the nervous system and muscular system in general by funding research, providing medical and community services, and educating health professionals , National Emphysema/COPD Association, National Spinal Cord Injury Spinal Cord Injury Definition
Spinal cord injury is damage to the spinal cord that causes loss of sensation and motor control.
Approximately 10,000 new spinal cord injuries (SCIs) occur each year in the United States. Association, and Post-Polio Health International, among others.
Proponents of the Medicare bidding program for durable medical equipment have perpetuated several myths about the program. However, the reality is quite different.
MYTH: The bidding program will be good for Medicare beneficiaries.
REALITY: It will, in fact, reduce access to medically required equipment and services.
MYTH: The program will eliminate Medicare fraud in the durable medical equipment sector.
REALITY: The solution to fraud is better screening of providers, real-time claims audits, stiffer penalties, and better enforcement mechanisms for Medicare - steps that the home medical providers support.
MYTH: The bidding program helps businesses by creating a more competitive environment.
REALITY: The program coerces providers to bid at unsustainable Medicare reimbursement rates and will force thousand of businesses to close, reducing competition in the long term.
MYTH: Providers will be competing on quality and price.
REALITY: The bidding program will ration care. Home medical equipment providers already compete on the basis of quality and help move people smoothly from hospitals to cost-effective care at home.
MYTH: The bidding program will make healthcare more cost-effective.
REALITY: The home is already the most cost-effective setting for post-acute care. As more people receive good equipment and services at home, the U.S. will spend less on longer hospital says, emergency room visits, and nursing home admissions.
The South Carolina Medical Equipment Services Association is composed of providers of home health care including durable medical equipment and services. Home medical equipment and services include oxygen therapy, wheelchairs, hospital beds, inhalation therapy, and other medically required supplies and services for people with conditions such as chronic obstructive pulmonary disease chronic obstructive pulmonary disease
n. Abbr. COPD
A chronic lung disease, such as asthma or emphysema, in which breathing becomes slowed or forced. (COPD COPD chronic obstructive pulmonary disease.
chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease (COPD) ), multiple sclerosis, Lou Gehrig's disease Lou Geh·rig's disease
See amyotrophic lateral sclerosis. , spinal cord injuries, congestive heart failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. , and diabetes. The association was established in 1987 to provide mechanism for communication, planning, education and research in matters relevant to home health care needs. The objective is to improve the health of citizens of South Carolina by providing high quality home health care and improve economic security of the HME industry in South Carolina. This mission is accomplished through frequent seminars, newsletters, legislative activities, and Medicaid and Medicare Advisory Committee activities.
For more details on the bidding program, visit www.aahomecare.org/competitivebidding.
SOURCE South Carolina Medical Equipment Services Association
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|Date:||Jun 7, 2010|
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