MESSAGE
| DATE | 2013-06-21 |
| FROM | Ruben Safir
|
| SUBJECT | Subject: [NYLXS - HANGOUT] A little fraud never hurt anyone
|
I clipped this out of my linkedin thread. Next month, if you can't get
any diabetic supplies, you should know why:
~~~~~~~~~~~~
Part of the new plan — the nationwide Medicare National Mail Order
Program — will mean that diabetic beneficiaries who receive their
glucose-testing supplies delivered to their homes will need to obtain
them from 1 of 18 contract suppliers chosen by Medicare via a
competitive bidding process.
People who prefer to buy their supplies at retail stores can still do
so, but they need to make sure that the store accepts Medicare
"assignment" to avoid higher charges for the supplies.
The program applies only to enrollees in "old Medicare" and not to
private Medicare Advantage plans, Claire Borelli, associate director of
public policy at the ADA, told Medscape Medical News.
Testing supplies affected by the new plan are glucose strips, lancets,
lancet devices, batteries, and control solution, but not the meters
themselves. However, because the strips are designed to work with
specific meters, the new plan could result in a change of meter for many
seniors as well.
The ADA is monitoring the landscape as the program's launch nears, Ms.
Borelli noted.
"If beneficiaries want to continue using their current monitor, they may
need to shop around to find a mail-order contract supplier or a local
store that can provide them with the supplies they need," she said.
"Our overarching concern with the national mail-order competitive
bidding program is that beneficiaries with diabetes can access the
testing supplies they need to manage their condition and that
self-monitoring of blood glucose is not disrupted," she stressed.
~~~~~
If I'm not mistaken, CMMS is allowing $7 a box of 100 strips to be
reimbused. Note to readers: CONTOUR B/G TEST STRIPS , FORMERLY MICROFILL
: 100: Cost from Wholesaler: 99.45 - DEAD NET.
In fact a quick survey of costs:
[Order item] 50 BLOOD GLUCSE TRU TRK STRP , A3027-81,Case:24 G A 767-301
41.79
19.85
H
[Order item] 50 ACCU-CHEK SMARTVIEW STRP MD/MC
Case:36 773-937 34.56
25.60
H
[Order item] 50 ACCU-CHEK SMARTVIEW TEST STRIP
Case:36 773-960 95.64
70.85
H
[Order item] 100 ACCU-CHEK SMARTVIEW TEST STRIP
Case:24 841-551 175.23
129.80
H
[Order item] 25 ACCU-TREND PLUS T/S CHLSTRL
ROCHE DIAGNOSTICS CORP, 5213312160, 383-547 101.18
74.95
H
[Order item] 50 ACCU-TREND PLUS T/S GLUCSE
REPLACED W/ITEM#592378 383-703 53.12
39.35
H
[Order item] 25 ACCU-TREND T/S GLUCOSE
ROCHE DIAGNOSTICS CORP, 11447575160, 592-378 27.52
20.39
H
[Order item] 50 Case:24 348-672 15.99
7.95
H
[Order item] 50 BLOOD GLUCSE TRU READ STRP
G3027-81,Case:24 A 176-982 30.59
14.50
12 -at- 13.95
H
[Order item] 100 BLOOD GLUCSE TRU TRK STRP
, A3027-80,Case:12 G A 767-202 75.69
35.50
H
28 minutes ago
Ruben Safir
Ruben Safir • H
05/17/12
[Order item] 50 BREEZE 2 TEST STRIPS
BAYER HEALTHCARE-DIABETES CARE, 1465,Case:24 1.07800 065-276 78.70
58.30
H
[Order item] 100 BREEZE 2 TEST STRIPS
BAYER HEALTHCARE-DIABETES CARE, 1466,Case:16 1.05325 065-540 146.88
108.80
H
[Order item] 50 BREEZE 2 TEST STRIPS MCR/MCD
BAYER HEALTHCARE-DIABETES CARE, 1468,Case:24 105-825 38.29
28.37
12 -at- 25.08
H
[Order item] 50 CONTOUR B/G TEST STRIPS
BAYER HEALTHCARE-DIABETES CARE, 7080D,Case:24 1.14400 775-312 76.88
56.95
H
[Order item] 100 CONTOUR B/G TEST STRIPS
BAYER HEALTHCARE-DIABETES CARE, 7090,Case:12 1.07250 775-411 134.25
99.45
H
[Order item] 25 CONTOUR NEXT B/G TEST STRIPS
Case:24 827-956 27.74
20.55
27 minutes ago
Ruben Safir
Ruben Safir • 50 CONTOUR NEXT B/G TEST STRIPS
Case:24 0.72600 827-964 50.89
37.70
H
[Order item] 100 CONTOUR NEXT B/G TEST STRIPS
Case:12 0.72600 827-972 101.85
75.45
H
[Order item] 50 CONTOUR NEXT B/G TEST STRP DME
Case:24 840-512 35.03
25.95
H
[Order item] 50 CONTOUR TEST STRIPS MCR/MD
BAYER HEALTHCARE-DIABETES CARE, 7097B,Case:24 831-529 38.29
28.37
12 -at- 25.08
H
[Order item] 50 CONTOUR TST STP 340B ACCT ONLY
Case:24 718-734 29.55
21.89
H
[Order item] 50 CONTROL TEST STRIPS
U.S. DIAGNOSTICS INC., IGMG3203,Case:24 975-920 18.56
13.75
H
[Order item] 50 EASYGLUCO TEST STRIPS
U.S. DIAGNOSTICS INC., IGMG2203,Case:24 976-126 18.56
13.75
H
[Order item] 50 FREESTYLE GLUCO T/S MCR/MDC
ABBOTT DIABETES CARE, 12450-01,Case:12 713-784 43.67
32.35
H
[Order item] 100 FREESTYLE GLUCO T/S MCR/MDC
ABBOTT DIABETES CARE, 1240101,Case:12 713-883 84.17
62.35
H
[Order item] 50 FREESTYLE GLUCO TEST STRIPS
ABBOTT DIABETES CARE, 12050,Case:12 A 1.29778 595-371 92.38
68.43
H
26 minutes ago
Ruben Safir
Ruben Safir • 100 FREESTYLE GLUCO TEST STRIPS
ABBOTT DIABETES CARE, 12101,Case:12 1.25378 595-389 178.49
132.22
H
[Order item] 50 FREESTYLE INSULINX STRP MD/MC
Case:12 774-703 43.67
32.35
H
[Order item] 50 FREESTYLE INSULINX TEST STRIPS
Case:12 1.39942 773-515 99.80
73.93
H
[Order item] 100 FREESTYLE INSULINX TEST STRIPS
Case:12 1.39942 879-551 203.29
150.59
H
[Order item] 50 FREESTYLE LITE GLUCO TEST STRP
ABBOTT DIABETES CARE Case:12 1.29778 131-508 87.61
64.90
H
[Order item] 100 FREESTYLE LITE GLUCO TEST STRP
ABBOTT DIABETES CARE Case:12 1.25378 131-607 178.49
132.22
H
[Order item] 50 FREESTYLE LITE STRIPS MCR/MDC
25 minutes ago
Ruben Safir
Ruben Safir • 50 ONE TOUCH ULT TEST STRP MCR/MD
LIFESCAN INC Case:24 302-646 40.43
29.95
H
[Order item] 4X100 ONE TOUCH ULTRA TEST STRIPS
Temporarily Out Of Stock 707-380 595.13
440.84
H
[Order item] 50 ONE TOUCH VERIO TEST STRIPS
Case:24 1.42340 743-773 98.48
72.95
H
[Order item] 100 ONE TOUCH VERIO TEST STRIPS
Case:12 1.42340 743-799 192.83
142.84
23 minutes ago
Ruben Safir
Ruben Safir • and so on. You get the idea.
23 minutes ago
Ruben Safir
Ruben Safir • Ah - here it is in the article:
Indeed, notes Mike Iskra, the current chief operating officer and
incoming chief executive officer of Diabetes Care Club (DCC), the 72%
drop in reimbursement means that Medicare will now reimburse just $10.41
for a box of 50 test strips, compared with $34 previously. The
beneficiaries' 20% copay, therefore, will also be reduced
proportionately.
~
With CMMS - a little bit of fraud can never hurt.
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