Skip to Content

Tag: Round 2021


News

CMS shares bid pricing for Round 2021

January 15, 2021HME News Staff

WASHINGTON – CMS tonight released a “pivotal bid report” for Round 2021, in response to requests to share additional information on its latest round of the competitive bidding program. In the Las Vegas competitive bid area for example, the pivotal bid for CPAP devices, E601, was $110.80, a difference of 157.4% compared to the former CBA adjusted fee schedule amount. “CMS anticipates that this information will be helpful for stakeholders and other interested parties in...

competitive bidding, Round 2021


Read Full Articlered right arrow icon

Navigating lead generation safely

Specialty Providers

Navigating lead generation safely

December 29, 2020Theresa Flaherty, Managing Editor

ATLANTA - Wayne van Halem gets contacted “all the time” by companies that are having issues with audits. A common factor? Lead-generating companies, he says. These are companies that are new to the industry and those that are well established, he says. “They will convince people that they can make them a lot of money,” said van Halem, president of The van Halem Group. “They get told, ‘We’ll do all the work and the paperwork, and all you have to do is...

lead generation, orthotics, Round 2021, Wayne van Halem


Read Full Articlered right arrow icon

News

Reimbursement continues to be an issue, poll respondents say 

December 18, 2020Liz Beaulieu, Editor

YARMOUTH, Maine – The notion that reimbursement rates have stabilized due to the pause in Round 2021 for most products is a “misconception,” say numerous respondents to a recent HME Newspoll.  CMS announced in October that it would not move forward with new single payment amounts for 13 product categories, instead continuing the current rates in bid areas.  “(Rates) have not stabilized and will continue to be an issue going...

HOme medical equipment, Round 2021


Read Full Articlered right arrow icon

Specialty Providers

Will Round 2021 crack ‘bedrock’ of O&P care? 

December 11, 2020Theresa Flaherty, Managing Editor

YARMOUTH, Maine – The majority of competitive bidding contracts for off-the-shelf back braces in Round 2021 went to less than two-dozen companies, including a few that haven't traditionally provided them direct to consumer.  Companies with contracts include Hangar, a national provider of O&P; Medline, a distributor; and Breg, a manufacturer, which all won contracts nationally. Other contracts went to regional providers,...

back braces, competitive bidding, contract suppliers, o&P, Round 2021


Read Full Articlered right arrow icon

Specialty Providers

CMS announces contract suppliers

November 23, 2020HME News Staff

WASHINGTON - CMS on Nov. 21 announced the contract suppliers for off-the-shelf knee and back braces in the next step in Round 2021 of its competitive bidding program.The agency announced on Oct. 27 that it had set the single payment amounts for the two product categories and had begun the contracting process.The payment amounts for OTS knee and back braces are, on average, 30% to 35% below Medicare's current fee schedule, based on a preliminary analysis by the American Orthotic & Prosthetic Association.The...

back braces, competitive bidding, contract suppliers, knee braces, Round 2021


Read Full Articlered right arrow icon

News

Round 2021: Providers vent, ponder next moves

November 20, 2020Theresa Flaherty, Managing Editor

YARMOUTH, Maine - Industry reactions to CMS's plans not to move forward with the bulk of the competitive bidding program were a mixed bag, but a number of respondents to a recent HME Newspoll say they were disappointed that the agency plays by a “different set of rules.” In October, CMS announced that it had dropped 13 product categories from Round 2021 because they did not achieve “expected savings.” “It did not impact us too much, except we were upset that CMS plays...

HOme medical equipment, Round 2021


Read Full Articlered right arrow icon

Specialty Providers

Round 2021 & COVID-19: Not a good time to limit access, AOPA says

November 6, 2020Theresa Flaherty, Managing Editor

WASHINGTON - The single payment amounts for off-the-shelf knee and back braces under Round 2021 of competitive bidding will be about 30% to 35%, on average, below Medicare's current fee schedule, based on a preliminary analysis by the American Orthotic & Prosthetic Association. The reductions aren't necessarily a surprise, stakeholders say, but they have new meaning during a public health emergency. “The COVID environment business conditions are not anything like what they were when bids were...

AOPA, back braces, knee braces, orthotics, Round 2021


Read Full Articlered right arrow icon

News

In brief: Bid amounts for braces, changes for CGMs and external pumps, provider reactions

October 30, 2020HME News Staff

WASHINGTON – CMS on Oct. 27 announced Round 2021 single payment amounts for off-the-shelf back braces and knee braces.   The agency has made contract offers for back and knee braces in 127 CBAs, a move that it expects to save $600 million for the Medicare program and beneficiaries over the three-year contract period.  CMS is not making offers for back and knee braces in certain CBAs where savings would not be achieved. Payment in those areas will be based on adjusted fee schedule...

180 Medical, braces, FODAC, Protech, Round 2021, Viemed


Read Full Articlered right arrow icon

News

Round 2021 raises big question: Where should pricing be?

October 30, 2020Theresa Flaherty, Managing Editor

WASHINGTON - Industry stakeholders hailed CMS's decision not to move forward with most of Round 2021 as a “watershed” moment, but they also criticized the agency for trying to have it both ways. CMS on Oct. 27 announced new single payment amounts for off-the-shelf knee and back braces but not for 13 other product categories because they did “not achieve expected savings.” “You can't have a one-way bid program,” said Tom Ryan, president and CEO of AAHomecare. “You...

aahomecare, HOme medical equipment, Round 2021, VGM


Read Full Articlered right arrow icon

News

Providers commend CMS on changes to Round 2021

October 30, 2020HME News Staff

WASHINGTON - CMS's decision not to push forward with the majority of Round 2021 of the competitive bidding program has been met with support from numerous providers. CMS on Oct. 27 announced new payment amounts for off-the-shelf back and knee braces but not for 13 other product categories, including CPAP and oxygen therapy, because there were no expected savings. In light of the ongoing public health emergency, it's the right thing to do, says Casey Hoyt, CEO of Viemed Healthcare. “While the...

CQRC, Protech, Round 2021, Viemed Healthcare


Read Full Articlered right arrow icon