OK. Providers have all heard that they need to get the beneficiaries involved on HME issues, like, say, competitive bidding.
While I agree with that, I have a feeling that there's an obstacle there: the beneficiaries themselves.
Meet Wayne. Wayne is a beneficiary with longtime Type 1 diabetes. He uses an insulin pump. Wayne learned last week that CCS Medical would no longer supply him with strips. About a month before that, they told him they could no longer supply him with insulin. The reason, he was told, was that Medicare was not paying them.
This was all posted on a online forum, btw.
I don't know if his doctor isn't doing the documentation correctly, or they were referring to low reimbursements or what. Several people suggested it may have to do with competitive bidding, (CCS did not win any contracts) but since it sounds like Wayne lives in Oregon (I could be wrong about this), I doubt that's the problem. At least for now. Several posters to Wayne's post mentioned competitive bidding; a few mentioned he needs to let his lawmakers know the program is the problem, etc etc.
Yeah, Wayne doesn't sound like he wants to do that. "As a diabetic, we do not have months to chat with political peoples, as without insulin and a way to test, we are sunk!" (his words, not mine. I would never call myself a diabetic).
OK, Wayne, if not you, then who? You are retired for crying out loud. Yes, this is bad, and I get your frustrations and fears. But seriously dude, make a call. Will it change the program? No, but neither will never speaking up accomplish anything.
In the meantime, he worries he won't find another supplier, and he worries he won't get the insulin and supplies he needs.
"I am mad as Hell about this!" he wrote. But not so mad that he'll actually do anything to constructively channel his rant about how he's entitled to his entitlements
Type 1, 12.5 years