Medicare Home Oxygen: Refining Payment Methodology Has Potential to Lower Program and Beneficiary Spending

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DIANE Publishing, 2011 - 58 pages
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Studies have found that Medicare payment rates for home oxygen exceeded other payers' rates. Congress has reduced home oxygen payment rates, capped rental payments after 36 months, and directed the Centers for Medicare & Medicaid Services (CMS), which administers Medicare, to use competitive bidding. This report examined Medicare home oxygen payment policy. It describes how Medicare pays for home oxygen; the effect on Medicare's payments of using other methodologies and rates; and changes in beneficiary access. The report reviewed industry-reported costs, Medicare claims data and payment data from selected private insurers, the VA, and CMS's competitive bidding program. Illustrations. This is a print on demand report.

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