Subcommittee on Healthcare and Technology
September 11, 2012
Medicare’s Durable Medical Equipment Competitive Bidding Program: How are Small Suppliers Faring?
For years, Medicare’s benefit for durable medical equipment, prosthetics, orthotics and supplies has been plagued by a fee schedule with high error rates and above-market costs for the Medicare program, beneficiaries and taxpayers. In response, in 2003, Congress established a competitive bidding program designed to provide greater value while ensuring beneficiary access to supplies and satisfaction with them.
According to the Centers for Medicare and Medicaid Services (CMS), in the first nine geographic areas, the program generated first year savings of about $202 million, or 42%, compared to costs expected under the fee schedule. The health care law expanded the competitive bidding program to additional areas and product categories. Many suppliers are small businesses, and CMS developed special considerations to assist small firms in winning contracts. Approximately 51% of winning suppliers are small suppliers (defined by gross revenue of $3.5 million or less), exceeding CMS’s goal of 30%. Still, some small businesses complain that the system favors large companies and they are at a competitive disadvantage. The hearing examined the program to understand its impact on small suppliers.
Opening Statement:Chairwoman Renee Ellmers (R-NC)
Witnesses and Testimony:Panel 1
Laurence D. Wilson, Director, Chronic Care Policy Group, Centers for Medicare and Medicaid Services, Baltimore, MD
Peter Cramton, Ph.D., Professor of Economics, University of Maryland, College Park, MD
Tammy Zelenko, President/CEO, Advacare Home Services, Bridgeville, PA
Randy Mire, Owner, Gem Drugs, Reserve, LA