New DMEPOS Competitive Bidding Program Analysis Shows No Changes in Health 
Outcomes

On Sat Jan 1, 2011, the Centers for Medicare & Medicaid Services (CMS) launched 
the first phase of the Durable Medical Equipment, Prosthetics, Orthotics, and 
Supplies (DMEPOS) Competitive Bidding Program in nine different areas of the 
country.  Since the program's implementation, CMS has used real-time claims 
analysis to track groups of Medicare beneficiaries potentially affected by the 
program.  This analysis has consistently shown that the competitive bidding 
program preserves beneficiary health outcomes.

CMS has now released a broad-view analysis that compares the impact of the 
program on the general Medicare population as well as Medicare beneficiaries 
likely to use competitively bid equipment based on their health conditions.  
For these groups, it compares rates of health outcomes (such as 
hospitalizations, length of hospital stays, and number of emergency department 
visits) in the competitive bidding areas to rates in regions without 
competitive bidding.  The new analysis enables an easier comparison between 
subpopulations and between areas with competitive bidding and without 
competitive bidding.  This results in a clearer depiction of the effect of the 
DMEPOS competitive bidding program on Medicare beneficiaries' health outcomes.  
Consistent with prior analyses, we find that beneficiary health outcomes are 
stable in competitive bidding areas.  To view the results, please visit 
http://www.CMS.gov/DMEPOSCompetitiveBid<http://www.cms.gov/DMEPOSCompetitiveBid>.

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It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each 
office visit and protect your patients against the seasonal flu. Medicare will 
continue to pay for the seasonal flu vaccine and its administration for all 
Medicare beneficiaries through the entire flu season. The Centers for Disease 
Control and Prevention (CDC) also recommends that patients, healthcare workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get the Flu Vaccine-Not the Flu.


Remember - The flu vaccine plus its administration are covered Part B benefits. 
 CMS has posted the 2011-2012 seasonal flu vaccine payment limits at 
http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp.  Note that 
the flu vaccine is NOT a Part D-covered drug.

For more information on coverage and billing of the flu vaccine and its 
administration, as well as related educational provider resources, visit 
http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and 
http://www.cms.gov/immunizations.

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