PFQC’s Philadelphia Town Hall Teleconference

People For Quality Care BadgeLast week I mentioned that I had participated in a town hall teleconference call sponsored by People For Quality Care (PFQC).

Yesterday I saw on the PFQC’s Facebook page that HME News, the Business Newspaper for Home Medical Equipment Providers, published an article about that town hall. During the call, participants were invited to answer poll questions. One of those questions asked if they knew about competitive bidding. 100% of the people responding to the poll question did not know about it. Philadelphia is in the next round of areas to be added to competitive bidding. I think that it is really sad that people were not aware of what is going to happen.

You can read the full HME News article here, but I wanted to share part of what I stated during that teleconference:

Booth, who lives outside Pittsburgh, a Round 1 bid area, said she’s heard that beneficiaries in that area are having trouble getting quality test strips and are having to wait to receive supplies.

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Reporting Medicare Competitive Bidding Problems

When I did the More Information on the Medicare Bidding Program post, I mentioned that the American Association for Homecare had a place on their website to submit problems with the competitive bidding program. Michael Reinemer, American Association for Homecare, left a comment on that post with another website and phone number. I copied his comment here:

Also, providers, consumers, clinicians and others can report concerns or complaints about the competitive bidding system by visiting or by calling a toll-free number, 1-888-990-0499.

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More Information on the Medicare Competitive Bidding Program

After I posted the Medicare 2011 DME Changes, I found out a few more things that I wanted to share.

I know a lot of you are thinking that because you are not on Medicare, this stuff does not affect you.  Well, it does.  A lot of insurance companies follow Medicare guidelines so other insurance companies can start doing this same thing.  My friend Mary’s husband works for a very large corporation and his company switched insurance policies the first of the year.  Mary’s daughter has an intellectual disability and uses the Omni Pod pump and the Dexcom CGMS.  The Omni Pod is one of the easiest pumps to use and she is able to use it without having to make complicated decisions on what she should bolus.  Although Mary makes the important management decisions for her daughter, her daughter having a pump that she is able to use and give herself meal boluses with ease is something that is very important to both of them.  A CGMS is a very important part of her control and Mary does not have to worry 24/7 about her daughter having severe lows.  They were informed that their new insurance follows Medicare guidelines and they will not cover the Omni Pod or the Dexcom.  Now Mary has to start her year off fighting to try and keep the Omni Pod and Dexcom for her daughter.

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