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Tag: Diabetes Test Strips


Specialty Providers

OIG: Three strips dominate market

March 27, 2019HME News Staff

WASHINGTON - The top three types of diabetes test strips accounted for just over half of the non-mail order market, and the top 10 types accounted for approximately 93% of the market, according to a new report from the Office of Inspector General.The sampled claims included 34 types of test strips provided to Medicare beneficiaries from April-June 2018.This is the second of two OIG reports providing market shares of diabetes testing supplies during that time period. The first report, released in...

Diabetes Test Strips, Non-mail order market


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Specialty Providers

Roche, pharmacies clash over 'unwarranted' rebates

September 28, 2018Theresa Flaherty, Managing Editor

INDIANAPOLIS - A judge has sided with Roche Diagnostics and issued a court order preventing a pharmacy network from dispensing Accu-Chek Test Strips, according to court documents.The order, issued by the U.S. District Court for the Northern District of Alabama on Sept. 17, is in response to a lawsuit filed by Roche against Priority Healthcare Corp., a network of pharmacies in Alabama, Mississippi and Arkansas.In the lawsuit, filed Sept. 11, Roche says it paid $37.5 million of “unwarranted”...

Diabetes Test Strips, Priority Care, Roche Diagnostics Corp.


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OIG releases final report on test strip market share

June 13, 2017HME News Staff

WASHINGTON - Suppliers in Medicare's national mail-order program provided 19 types of diabetes test strips to beneficiaries from October through December 2016, according to a new study from the Office of Inspector General. The top two strip types accounted for 53% of the Medicare mail-order market, and the top 10 strip types accounted for 97.5% of the market, the study says. To conduct the study, the OIG sampled 1,210 claims from a total population of 438,872 claims for diabetes test strips. The...

Diabetes Test Strips, Market share, MIPPA, OIG


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Specialty Providers

OIG updates Medicare market shares for diabetes test strips

February 7, 2017HME News Staff

WASHINGTON - Suppliers in Medicare's national mail-order program provided 18 types of diabetes test strips to beneficiaries from July through September 2016, according to a new report from the Office of Inspector General.The top strip type accounted for 43% of the mail-order market, and the top 10 strip types accounted for 98% of the market, the OIG found.The OIG conducted its report by sampling 1,210 claims from a population of 456,784 claims for mail-order test strips.Suppliers must comply...

Diabetes Test Strips, Market share, OIG report


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Specialty Providers

OIG report: Prodigy gains further market share

November 26, 2014Theresa Flaherty, Managing Editor

WASHINGTON - Three types of diabetes test strips account for 58% of the Medicare mail-order market share, according to a study released Nov. 25 by the Office of Inspector General (OIG).The OIG examined 1,210 claims from the three-month period of October 2013 through December 2013. This is the third of three reports released in 2014 that the OIG has released to ensure that winning bidders are meeting the 50% market share requirement required by the Medicare Improvements for Patients and Providers...

Diabetes Test Strips, Prodigy Diabetes Care


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Does mail-order program meet requirement?

June 17, 2014HME News Staff

WASHINGTON - CMS may want to consider whether subsequent rounds of its national mail-order program for diabetes supplies meet a 50% requirement outlined in the Medicare Improvements for Patients and Providers Act (MIPPA). A new report from the Office of Inspector General (OIG) says 22 suppliers submitted at least 43 types of test strips for the three-month period from July to September 2013. Two types of test strips accounted for about 45% of the Medicare mail-order market share, three types...

Diabetes Test Strips, Mail-order program, Market share, OIG


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Specialty Providers

OIG spotlights diabetes test strips

March 19, 2014HME News Staff

WASHINGTON - The Office of Inspector General (OIG) says in a March 18 report that state Medicaid programs could save millions on diabetes test strips.The OIG conducted audits in five states—Illinois, Indiana, New Jersey, New York and Ohio—to see whether competitive bidding or manufacturer rebates could lower costs for the test strips.The OIG found that two of the five states had saved $17.9 million through the use of rebates; and four of the five states could have saved an additional...

Diabetes Test Strips


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New meter: Early observations

July 26, 2013Theresa Flaherty, Managing Editor

Yes, after much ado, I got the strips for my new meter. The insurer would still only authorize 1/3 of the prescription but I was so beaten down and discouraged (in other words, right where they wanted me) that I took it. Supposedly on the next go-round I can get the full load, but I'll believe that when I see it. I also noted, on the prescription label another problem I'll have to deal with: Though it clearly states that it is a 30-day supply, it also states that I have 3 refills between now and...

Diabetes, Diabetes Test Strips, Type 1 diabetes


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Prodigy teams up with pharmacy

June 12, 2013HME News Staff

CHARLOTTE, N.C. - Prodigy Diabetes Care has formed a partnership with Rx 'n Go, an alternative pharmacy network, to offer fixed price diabetes monitors and test strips, according to a press release. The initiative, which takes effect July 1, 2013, is designed to reduce medical costs on diabetes supplies for self-funded employers. Under the partnership, payers are incentivized to offer their diabetes members access to supplies at no cost. “With all the changes healthcare reform is...

Diabetes Supplies, Diabetes Test Strips, DME, HME, Insulin, Prodigy Diabetes Care, Rx ‘n Go


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Docs to CMS: Streamline prescription process

May 24, 2013HME News Staff

LEAWOOD, Kan. - The American Academy of Family Physicians, an organization representing family doctors and medical students, is calling on CMS to simplify the Medicare requirements for prescribing diabetic supplies, according to a press release. The organization wants CMS to allow physicians to use more generic terms when writing prescriptions and to allow them to write open-ended prescriptions, the release noted. AAFP Board Chair Glen Stream, M.D., said in a letter to CMS that lengthy requirements...

American Academy of Family Physicians, CMS, Diabetes Supplies, Diabetes Test Strips, DME, HME, Lancets, Medicare


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