NewRetirement Retirement News Digest : Medicare Savings vs. the Lobbyists
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Medicare Savings vs. the Lobbyists

The New York Times, June 25, 2008

To cut costs and reduce fraud in one corner of the sprawling Medicare program, Congress called for competitive bidding on medical equipment that is provided to elderly and disabled Americans and set a sensible schedule for phasing in the program. Demonstration projects were held, the results looked promising, and last year Medicare received competitive bids from companies to supply equipment in 10 metropolitan areas.

With those companies about to start selling their wares next month, Congress has bowed to pressure from the losing bidders. The House approved legislation Tuesday that would terminate the contracts and delay the launch for 18 months. In the Senate, key committee leaders are leaning toward a delay.

This backtracking inevitably makes one wonder if major reform will ever be possible in a medical marketplace dominated by imperfect government bureaucracies and private lobbyists bent on resisting governmental reforms.

There is little doubt that Medicare has been paying far too much for equipment — including wheelchairs, hospital beds, oxygen concentrators, diabetic test kits, and walkers — under fee schedules based on historical charges. According to federal officials, Medicare currently pays $1,825 for a hospital bed that can be bought online for $754, and $4,023 for a power wheelchair that can be bought online for $2,174.

When Medicare awarded competitively bid contracts to some 325 companies to serve the 10 metropolitan areas, it reduced equipment prices by 26 percent on what it would have paid for the same equipment under the current fee schedule. That means that if the contracts were allowed to proceed, beneficiaries would save 26 percent on their co-payments. Medicare would save $125 million the first year and as much as $1 billion a year if the program went nationwide.

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Published Thursday, June 26, 2008 2:29 AM by jberman
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