Resource Center

VGM Government Relations offer a variety of resources to members, including policy and informational materials, presentations, talking points, papers, and studies, all to keep you informed on the latest government developments and their effects on both the consumers and the HME industry.

View All Resources

VGM Government Relations offer a variety of resources to members, including policy and informational materials, presentations, talking points, papers, and studies, all to keep you informed on the latest government developments and their effects on both the consumers and the HME industry. To view all resources, log into vgm.com/portal and go to Forms and Documents. From there, you can toggle to the Government tab to access our resources.

Research Studies and Articles Congressional meeting toolkit Login to the Portal

Congressional Meeting Toolkit

Congressional Meetings 101

A comprehensive guide on congressional meeting etiquette, advice, and other tips.

Committees of Jurisdiction for Health Care

A list of the 117th Congress committee assignments.

Delivery Cost Study

Costs have risen for suppliers in the wake of the pandemic. Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the results (separated by region) here.

Decreasing number of HME suppliers nationwide

We have tracked the number of HME suppliers since 2010. Every year, we update these numbers and have found 41% of suppliers have exited business since then. View this document to see how suppliers have decreased nationwide.

Geographic Classifications

View how physical locations of beneficiaries determine reimbursement rates for suppliers

What the government could gain from investing into HME

A page from a study by Brian Leitten over cost savings the government could achieve by investing into HME. Additionally, there is a chart that shows how much the government currently spends on HME.

Research Studies and Articles

Study: Competitive Bidding - A Decade Focused on the Wrong Prize

Over the past decade, CMS imposed its competitive bidding program on the DME supply industry, attempting to reduce DME spending and attempt to eliminate the fraud they saw in the system. CMS spent the entire decade focused on the wrong prize. Instead of squeezing every dollar they could out of the system, often without due regard to the needs of their Medicare beneficiaries or the realities of the DME marketplace, they totally missed the big opportunity, orders of magnitude larger ‐‐ reducing the cost of treating injuries and illnesses that befall Medicare beneficiaries who lack the critical DME they need to stay well.

State request President release federal stockpile of supplies

This articles from Bloomberg Government on March 17, 2020 provides information about states asking the federal government to tap into the nation's reserve of medical supplies as demand for essentials like masks and ventilators are far higher than the public supply.

MAP- Decline of Medical Equipment Suppliers in the U.S. over the past 10 years

DME suppliers, many of them being small businesses, are being forced to close their doors due to reimbursement cuts, regulatory restrictions, and excessive and unreasonable audits. The map indicates the number and percentage increase or decrease in DME suppliers over the last ten years.

Medicare Cost Shifting-Leitten Study July 2018

This study from 2018 outlines how by shifting both the cost and the focus of CMS to provide needed treatment for patients up  front, the government can dramatically reduce overall healthcare costs and
improve the care provided to its Medicare beneficiaries. 

DME Supplier Numbers

Use this spreadsheet to illustrate the issues DME suppliers are facing to elected officials and their staff. When printing, print in landscape orientation.

The Case For Medicare Investment in DME - Brian Leitten

This resource outlines how America can cut waste, save money, and improve healthcare.

Delivery Cost Survey Results-Far West

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Far West region results here.

The Case for Medicare Investment in DME (Full Study) - Brian Leitten

This full-version study outlines how America can cut waste, save money, and improve healthcare..

Delivery Cost Survey Results-Great Lakes

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Great Lakes region results here.

Rural HME Provider Study (NE,ID,KS,UT,SD)

This report details findings and summarizes important statistics from the study done in response to changes in the competitive bidding process regarding the Medicare DMEPOS.

Delivery Cost Survey Results-Mideast

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Mideast region results here.

Rural HME Provider Study (MT,ND,OR,WA,WV,WI)

This report details findings and summarizes important statistics from the study done in response to changes in the competitive bidding process regarding the Medicare DMEPOS.

Delivery Cost Survey Results-New England

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the New England region results here.

ADA official statement on NMQF Study

This statement is a response to Puckrein et al., “Impact of CMS Competitive Bidding Program on Medicare Beneficiary Safety and Access to Diabetes Testing Supplies: A Retrospective, Longitudinal Analysis.”

Delivery Cost Survey Results-Plains

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Plains region results here.

NMQF Press Release Diabetes Care

This press release announces a peer-reviewed journal article shows how disruption in access to diabetes testing supplies led to increased mortality and hospitalizations, higher costs for Medicare beneficiaries.

Delivery Cost Survey Results-Rocky Mountain

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Rocky Mountain region results here.

The Case for Medicare Investment in DME-2014 by Brian Leitten

In an effort to reduce health care costs, Medicare has implemented policies that drastically cut medical equipment access for seniors and people with disabilities. However, a recent study shows that the healthcare system and beneficiaries will actually save on long-term costs if the government invests in durable medical equipment services up front.

Delivery Cost Survey Results-Southeast

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Southeast region results here.

DMEPOS NPI Count

DMEPOS NPI Count 2010-Sept. 2020

Delivery Cost Survey Results-Southwest

Although they are still rising, we captured the increased costs suppliers have been facing through a snapshot survey. View the Southwest region results here.