VGM Government Relations Along with Leitten Consulting Release the Latest Update to Competitive Bidding Study

Published in Government Relations on July 15, 2022

Graphic

VGM Government, in conjunction with Brian Leitten and Leitten Consulting, has released an updated study analyzing the efforts by the Centers for Medicare and Medicaid Services (CMS) to control distribution of Durable Medical Equipment (DME). The study, “Competitive Bidding – Pressure Sore, Urological and Diabetes Equipment & Supplies. The Expanded Case for Medicare Investment in DME in 2022,” builds off the 2021 study by expanding the range of DME and adding three additional categories: equipment and supplies to prevent pressure sores, catheters and related urological supplies to resolve urine and retention and incontinence, and diabetic test strips and meter to monitor blood glucose levels.  

“As CMS forced prices down and treatment costs continued to rise, the power of a dollar spent on preventive DME became ever more powerful,” stated Brian Leitten, head of Leitten Consulting. “CMS continues to spend its budget dollars on treating the very illnesses and injuries that could be avoided if they would just invest in providing the right DME to beneficiaries before they need it.”

The previous studies were focused around three areas of DME, mobility equipment (e.g., wheelchairs, walkers, and power chairs) to avoid falls; oxygen therapy equipment to counter symptoms of COPD; and continuous positive airway pressure equipment to treat obstructive sleep apnea (OSA). In the most recent study, DME was expanded to include three new categories of Medicare Spending that are significant to Medicare beneficiaries. Adding the three new categories significantly increases the cost and potential amount that could be saved if CMS were to invest in DME. 

“With the success of the previous studies, that had shown how much could be saved if CMS invested in three main DME categories, we wanted to expand with this most recent study to encompass three additional categories and how they could be affected,” says John Gallagher, vice president, VGM Government Relations. “In turn, we hope that these studies can then be used to help educate key legislators on why it is so important, and cost efficient, to invest now into DME.” 

READ FULL STUDY

From Our Experts

CMS Updates FAQ On Competitive Bidding Program thumbnail CMS Updates FAQ On Competitive Bidding Program On April 2, the Centers for Medicare and Medicaid Services (CMS) issued a new FAQ, inclusive of 24 new questions and answers, on the next round of DMEPOS Competitive Bidding Program (CBP) via CBIC, the official information source for bidders and focal point for bidder education. VGM Group Submits Comments on CMS-6098-NC Request for Information (RFI) Related to Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). thumbnail VGM Group Submits Comments on CMS-6098-NC Request for Information (RFI) Related to Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH). The comments reflect VGM Group's support of CMS' goal of strengthening program integrity and shares CMS' commitment to protecting Medicare beneficiaries and taxpayer dollars from fraud, waste, and abuse. DME suppliers already operate in a highly regulated environment and have a direct interest in ensuring that anti-fraud initiatives are precisely targeted, data driven, and operationally feasible, so that legitimate suppliers can continue to serve beneficiaries without unnecessary disruption. Call To Action - Access to Power Seat Elevation on Standard PWCs Threatened thumbnail Call To Action - Access to Power Seat Elevation on Standard PWCs Threatened As reported by NCART: Do you use, recommend or provide power seat elevation for individuals with any of the diagnoses below? If so, and you answer YES to any of the questions below, it is important for Medicare to hear your story in writing by midnight on Saturday, April 4 at PMDRecon@noridian.com. Florida Becomes First State To Follow Medicare; Issues A Six-month Moratorium On DMEPOS Suppliers Enrolling In Medicaid thumbnail Florida Becomes First State To Follow Medicare; Issues A Six-month Moratorium On DMEPOS Suppliers Enrolling In Medicaid As reported by The van Halem Group: On Thursday, March 26, 2026, the Agency for Health Care Administration (AHCA) issued a temporary moratorium on enrollment of new Medicaid providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year thumbnail CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98 Million a Year As reported by CMS: “The Centers for Medicare & Medicaid Services (CMS) is slashing wasteful spending and antiquated paperwork by swapping out faxing and mailing for streamlined electronic transactions. This action lets providers spend less time on administrative hassle and more time caring for patients. PAMES Raises Critical Concerns Over Sole-Source Supply Shift thumbnail PAMES Raises Critical Concerns Over Sole-Source Supply Shift PAMES and DME suppliers across Washington are taking an important stand on behalf of both providers and patients. The Tacoma Daily Index recently reported on the state's plan to move to a sole-source contract for incontinence and urological supplies. Under this decision, the Health Care Authority intends to transition all Medicaid recipients to receiving these products from a single vendor. SBA Advocacy: Your Input Matters thumbnail SBA Advocacy: Your Input Matters Make your voice heard about how the CBP has affected your business. New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries thumbnail New Bipartisan Senate Bill Aims to Improve Access to Diabetes Technology & Education for Medicare Beneficiaries U.S. Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME), Cochairs of the Senate Diabetes Caucus, have introduced the Diabetes Interventions Addressing Barriers to Enrollment, Technology, and Education Services (DIABETES) Act, S.4037.