We are Sorry, due to the forth-coming changes with Medicare and the new Competitive Bidding districts for HME supplies. We can no longer bill medicare outside our service area.

The Details are below:

Stakeholders in the home medical equipment and services community have continue to gather evidence regarding problems with the Round One rebidding process in Medicare competitive bidding program.

We are asking providers, patients, family members, and referral sources to report problems to the Association related to the bidding program. There you will find separate forms for HME providersphysicians and clinicianscase managers, discharge planners, and referral sources; and Medicare beneficiaries, family, and caregivers.

We will report the problems to policymakers to document the flaws and negative consequences of the bid program.

Please fill out a Competitive Bidding Feedback Form.

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Competitive Bidding Will Hurt Seniors & Patients

Congress must stop the Medicare competitive bidding program for home medical equipment and services (HME). The bidding program restricts access to quality home care for seniors and people with disabilities. Providers of home medical equipment face serious disruption to their businesses if competitive bidding becomes the mechanism for Medicare reimbursement rates.

  •  bidding in Medicare reduces access to care, patient choice, and quality of care.
  • Competitive bidding is actually anti-competitive.
  • Home medical equipment and services is already a cost-effective alternative to expensive institutional care and a solution for controlling spending growth in Medicare.

An independent study focused on the patient impact of the competitive  bidding program for HME, published by Dobson DaVanzo & Associates, predicts many negative outcomes, including fewer choices, reduced access to care, and lower quality products for the Medicare beneficiaries who depend on home medical equipment and services.

What is Competitive Bidding?

Competitive bidding in Medicare is a proposal that sounds good, but, in fact, reduces access to care, patient choice, and quality of care.

  • It selectively contracts with a limited number of homecare providers based on the lowest bid prices.
  • It results in lowest common denominator health care for seniors and homecare patients.
  • It forces out providers who utilize high-quality medical equipment or provide critical patient services.
  • It forces certain patients to switch away from providers they rely on and trust.
  • It ignores the provider's ability to serve a geographic market, meaning fewer home visits to patients in rural areas.
  • Reduced access to equipment service for patients.
  • Reduced access to commonly prescribed products.
  • Fewer resources to set up/adjust wheelchairs, walkers, and hospital beds.

Will Competitive Bidding Save the Government Money?

No, it will increase costs by forcing seniors to extend hospital stays, instead of receiving care in their homes.

  • More expensive, longer hospital stays, since hospitals would have to use multiple home medical equipment and service providers to equip patients they discharge, instead of a single, one-stop provider.
  • Home medical equipment and services represent the most cost-effective, slowest-growing portion of Medicare spending, increasing only 0.75 percent per year. That compares to more than 6 percent annual growth for Medicare spending overall.
  • Home medical equipment represents only 1.6 percent of the Medicare budget.

Wont Competitive Bidding Increase Competition?

No. Despite its misleading title, Competitive Bidding is actually anti-competitive.

  • During its trial period in 2008, the vast majority of providers were shut out of the program, proving that the bidding program depresses competition and limits patient access and choice.
  • The initial round of bidding eliminated 90% of qualified home medical equipment and service providers from serving Medicare's seniors.
  • It is similar to a closed-model HMO and will have the effect of government-mandated consolidation in the home medical equipment and services sector.
  • Click here for the effects of the Competitive Bidding 2008 trial

What is American Association for Homecare doing to address Competitive Bidding?

  • The American Association for Homecare is urging members of the current administration and the Congress to review and rescind this harmful regulatory change.
  • The American Association for Homecare has written letters to key Congressional leaders, as well as Health and Human Services Secretary Kathleen Sebelius, urging them to review and rescind Competitive bidding.
  • On March 11, 2011, Congressman Glenn Thompson (R-Pa.) and Congressman Jason Altmire (D-Pa.) officially introduced H.R. 1041, the bipartisan bill to repeal the controversial and deeply flawed competitive bidding program in Medicare for durable medical equipment and services, such as medical oxygen and wheelchairs that are medically required for use in the home. If your Member of Congress is not already a co-sponsor of H.R. 1041 (you can check to see here) please contact their office to ask that they support this important legislation. You can look up your Member of Congress and send a letter by visiting the AAHomecare Action Center.
Thank You to AA Homecare!