选择耐用医疗设备和用品时明尼苏达州医疗补助计划可以显着降低支付价格
Minnesota Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies
关键词:医疗补助;付款;医疗器械;医疗用品
摘 要:The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 mandated the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program (the Competitive Bidding Program). The Competitive Bidding Program sets lower payment rates than conventional Medicare payment rates for selected durable medical equipment and supplies (DME items) while ensuring beneficiary access to quality items and services. In previous audits, we identified an estimated $16.5 million that the Illinois and Ohio Medicaid programs could have saved on diabetic test strips if they had obtained pricing similar to the pricing that Medicare obtained through the Competitive Bidding Program or by establishing a manufacturer rebate program. Test strips are just 1 of 339 DME items covered by the Competitive Bidding Program. Because we identified potential savings for test strips in Illinois and Ohio, we conducted this review of 42 selected DME items, including test strips in Minnesota. Our objective was to determine whether the Minnesota Medicaid program could achieve cost savings for the 42 selected DME items by obtaining pricing similar to the pricing that Medicare obtained through the Competitive Bidding Program.