Re: CMS NEWS: MEDICARE APPOINTS ADVISORY PANEL FOR NEW DURABLE MEDICAL EQUIPMENT COMPETITIVE BIDDING PROCESS
tony barr
Description
Collection
Title:
Re: CMS NEWS: MEDICARE APPOINTS ADVISORY PANEL FOR NEW DURABLE MEDICAL EQUIPMENT COMPETITIVE BIDDING PROCESS
Creator:
tony barr
Date:
9/28/2004
Text:
This list serve provides an excellant forum to discuss the below make up of
the newly formed DME Advisory panel:
Frankly I wasn't too surprised that the list of appointments wasn't released
earlier by other subscribers of this listserve or AOPA. But then again I am
often labeled an conspiracy theorist!:)
I personally would think some patient advocacy groups should be included
in the advisory panel; for example Spina Bifida, Multiple Scoliosis,Polio
and other national organizations whom represent the disabled and who are
treated with a variety of comprehensive orthoses which is historically often
lumped together with DME.
Any other opinions from subscribers?
AOPA is well represented thru their long time board director member/owner of
a chain of O&P facilities in the Midwest and panel appointee Anthony
Filippis - President and CEO, of Wright & Filippis.
Does he represent the industry interests or the O&P profession or both ?
Could there a conflict here with Wright and Filippis being on the board of
AOPA and owning 2 other companies.. Northwood and the other American
Benefits Plan.?
I believe Northwood is the 3rd party administration company for BCBS
Michigan for all GM employees, retirees, etc. for the DME and O&P services.
They get a check each year from GM and then W&F (Northwood) has to provide
the services (Oxygen, wheelchairs, prosthetics, orthotics, etc) to all the
GM people that need it.
Is this panel headed for the same zero results that were delivered from Neg
Reg or can a multiple interest represenative of O&P and DME help Medicare
distinguish between the two?
Any comments or suggestions?
Tony
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of tony barr
Sent: Tuesday, September 28, 2004 9:54 AM
To: <Email Address Redacted>
Subject: [OANDP-L] CMS NEWS: MEDICARE APPOINTS ADVISORY PANEL FOR NEW
DURABLE MEDICAL EQUIPMENT COMPETITIVE BIDDING PROCESS
MEDICARE NEWS
FOR IMMEDIATE RELEASE
CMS Office of External Affairs
September 24, 2004
MEDICARE APPOINTS ADVISORY PANEL FOR NEW DURABLE MEDICAL EQUIPMENT
COMPETITIVE BIDDING PROCESS
The Centers for Medicare & Medicaid Services today announced the appointment
of a committee to advise the agency about the implementation of competitive
bidding for certain supplies and equipment provided to Medicare
beneficiaries, and about establishing standards for suppliers who want to
participate in the Medicare program.
Medicare anticipates that beneficiaries will have access to higher quality
at lower prices when it adopts a competitive bidding model for certain
durable medical equipment, prosthetics, orthotics, and supplies (also
referred to as DMEPOS). Because the beneficiary pays 20 percent of the
costs of these products and Medicare pays 80 percent, lower prices will help
both beneficiary and taxpayer.
We all want seniors and disabled individuals to have access to quality
health care at the best possible price, says CMS Administrator Mark B.
McClellan. This committee will help us get the process right.
The Medicare Modernization Act (MMA) requires CMS to make competitive
bidding a permanent part of Medicare. CMS demonstration projects in Florida
and Texas, involving such items as oxygen, hospital beds, manual wheelchairs
and simple orthotics, showed price reductions on average of 20 percent. The
MMA requires the new competitive bidding process to be phased in over a
period of years, beginning in 2007 in ten of the largest Metropolitan
Statistical Areas.
The advisory committee membership represents a broad range of stakeholders
in the outcome of the competitive bidding process:
beneficiary/consumer, physician/provider, manufacturer, supplier,
certification/standards, and federal and state programs. This committee
will ensure that CMS maintains an open communication process during the
implementation of this new program. Specifically, the committee will be
advising CMS on implementation of competitive bidding, beneficiary access
issues, appropriate educational strategies, and financial and quality
standards for suppliers under the program.
The committee is scheduled to hold its first meeting on Oct. 6 at CMS
headquarters in Baltimore. It will meet periodically until the end of 2009.
A list of the committee members is attached.
# # #
1. ATTACHMENT
COMPETITIVE BIDDING PROGRAM ADVISORY AND OVERSIGHT COMMITTEE MEMBERSHIP
ROSTER
1. Cara Bachenheimer - Vice President of Government Relations,
Invacare Corporation.
2. Robert Baum - Program Manager for the Prosthetic and Sensory
Aids Service, Strategic Healthcare Group, Veterans Health Administration
(VA) Central office, Washington, DC.
3. Mary Benhardus - Founder and controlling owner, Handi Medical
Supply Inc.
4. Henry Claypool - Expert adviser to Social Security
Administration's Deputy Commissioner to advise on Interim Medical Benefits
5. Asela Cuervo - Senior Vice President, American Association for
Homecare.
6. David Gray - Associate Professor of Neurology and Associate
Professor of Occupational Therapy, Washington University School of Medicine.
7. Don Hawley, D.D.S. - Program Director, Utah Department of
Health, Division of Utah Health Care Financing.
8. Lawrence Higby - President and CFO, Apria Healthcare.
9. Rita Hostak - Vice President, Home Healthcare Group of Sunrise
Medical Inc.
10. Dave Kazynski - President, Van G. Miller & Associates's
HOMELINK division.
11. Anthony Filippis - President and CEO, Wright & Filippis.
Practicing certified prosthetist/orthotist.
12. Alan McMullen - Cost Reimbursement Analyst, Medical Assistance
Administration, Department of Social & Health Services, State of Washington.
13. Jean Minkel - Founder and President, Minkel Consulting.
Specializes in Assistive technology.
14. William Popomaronis - Vice President, Long-Term/Home Health
Care Pharmacy Services, The National Community Pharmacists Association
(NCPA).
15. Maryanne Popovich - Executive Director, Joint Commission on
Accreditation of Healthcare Organizations (JCAHO).
16. John Prassas - Director, Corporate Provider Development &
Contracting, PacifiCare Health Plans.
17. Chris Reisdorf - Manager, Benefit Policy Unit - Minnesota
Health Care Programs - Medical Assistance, General Assistance Medical Care,
and Minnesota Care programs.
18. David Van Sleet - VISN 1 Prosthetics Manager, Department of
Veterans Affairs, New England Healthcare System.
19. Ken Viste, M.D. - Medical Director, Physical Rehabilitation
Unit Mercy Medical Center and Staff Physician, St. Agnes Hospital.
20. Don Vliegenthart. M.D. - Medical Director, Hoveround
Corporation.
Daniel Waldmann- Director of Federal Affairs, Johnson & Johnson, Inc.
the newly formed DME Advisory panel:
Frankly I wasn't too surprised that the list of appointments wasn't released
earlier by other subscribers of this listserve or AOPA. But then again I am
often labeled an conspiracy theorist!:)
I personally would think some patient advocacy groups should be included
in the advisory panel; for example Spina Bifida, Multiple Scoliosis,Polio
and other national organizations whom represent the disabled and who are
treated with a variety of comprehensive orthoses which is historically often
lumped together with DME.
Any other opinions from subscribers?
AOPA is well represented thru their long time board director member/owner of
a chain of O&P facilities in the Midwest and panel appointee Anthony
Filippis - President and CEO, of Wright & Filippis.
Does he represent the industry interests or the O&P profession or both ?
Could there a conflict here with Wright and Filippis being on the board of
AOPA and owning 2 other companies.. Northwood and the other American
Benefits Plan.?
I believe Northwood is the 3rd party administration company for BCBS
Michigan for all GM employees, retirees, etc. for the DME and O&P services.
They get a check each year from GM and then W&F (Northwood) has to provide
the services (Oxygen, wheelchairs, prosthetics, orthotics, etc) to all the
GM people that need it.
Is this panel headed for the same zero results that were delivered from Neg
Reg or can a multiple interest represenative of O&P and DME help Medicare
distinguish between the two?
Any comments or suggestions?
Tony
-----Original Message-----
From: Orthotics and Prosthetics List [mailto:<Email Address Redacted>] On
Behalf Of tony barr
Sent: Tuesday, September 28, 2004 9:54 AM
To: <Email Address Redacted>
Subject: [OANDP-L] CMS NEWS: MEDICARE APPOINTS ADVISORY PANEL FOR NEW
DURABLE MEDICAL EQUIPMENT COMPETITIVE BIDDING PROCESS
MEDICARE NEWS
FOR IMMEDIATE RELEASE
CMS Office of External Affairs
September 24, 2004
MEDICARE APPOINTS ADVISORY PANEL FOR NEW DURABLE MEDICAL EQUIPMENT
COMPETITIVE BIDDING PROCESS
The Centers for Medicare & Medicaid Services today announced the appointment
of a committee to advise the agency about the implementation of competitive
bidding for certain supplies and equipment provided to Medicare
beneficiaries, and about establishing standards for suppliers who want to
participate in the Medicare program.
Medicare anticipates that beneficiaries will have access to higher quality
at lower prices when it adopts a competitive bidding model for certain
durable medical equipment, prosthetics, orthotics, and supplies (also
referred to as DMEPOS). Because the beneficiary pays 20 percent of the
costs of these products and Medicare pays 80 percent, lower prices will help
both beneficiary and taxpayer.
We all want seniors and disabled individuals to have access to quality
health care at the best possible price, says CMS Administrator Mark B.
McClellan. This committee will help us get the process right.
The Medicare Modernization Act (MMA) requires CMS to make competitive
bidding a permanent part of Medicare. CMS demonstration projects in Florida
and Texas, involving such items as oxygen, hospital beds, manual wheelchairs
and simple orthotics, showed price reductions on average of 20 percent. The
MMA requires the new competitive bidding process to be phased in over a
period of years, beginning in 2007 in ten of the largest Metropolitan
Statistical Areas.
The advisory committee membership represents a broad range of stakeholders
in the outcome of the competitive bidding process:
beneficiary/consumer, physician/provider, manufacturer, supplier,
certification/standards, and federal and state programs. This committee
will ensure that CMS maintains an open communication process during the
implementation of this new program. Specifically, the committee will be
advising CMS on implementation of competitive bidding, beneficiary access
issues, appropriate educational strategies, and financial and quality
standards for suppliers under the program.
The committee is scheduled to hold its first meeting on Oct. 6 at CMS
headquarters in Baltimore. It will meet periodically until the end of 2009.
A list of the committee members is attached.
# # #
1. ATTACHMENT
COMPETITIVE BIDDING PROGRAM ADVISORY AND OVERSIGHT COMMITTEE MEMBERSHIP
ROSTER
1. Cara Bachenheimer - Vice President of Government Relations,
Invacare Corporation.
2. Robert Baum - Program Manager for the Prosthetic and Sensory
Aids Service, Strategic Healthcare Group, Veterans Health Administration
(VA) Central office, Washington, DC.
3. Mary Benhardus - Founder and controlling owner, Handi Medical
Supply Inc.
4. Henry Claypool - Expert adviser to Social Security
Administration's Deputy Commissioner to advise on Interim Medical Benefits
5. Asela Cuervo - Senior Vice President, American Association for
Homecare.
6. David Gray - Associate Professor of Neurology and Associate
Professor of Occupational Therapy, Washington University School of Medicine.
7. Don Hawley, D.D.S. - Program Director, Utah Department of
Health, Division of Utah Health Care Financing.
8. Lawrence Higby - President and CFO, Apria Healthcare.
9. Rita Hostak - Vice President, Home Healthcare Group of Sunrise
Medical Inc.
10. Dave Kazynski - President, Van G. Miller & Associates's
HOMELINK division.
11. Anthony Filippis - President and CEO, Wright & Filippis.
Practicing certified prosthetist/orthotist.
12. Alan McMullen - Cost Reimbursement Analyst, Medical Assistance
Administration, Department of Social & Health Services, State of Washington.
13. Jean Minkel - Founder and President, Minkel Consulting.
Specializes in Assistive technology.
14. William Popomaronis - Vice President, Long-Term/Home Health
Care Pharmacy Services, The National Community Pharmacists Association
(NCPA).
15. Maryanne Popovich - Executive Director, Joint Commission on
Accreditation of Healthcare Organizations (JCAHO).
16. John Prassas - Director, Corporate Provider Development &
Contracting, PacifiCare Health Plans.
17. Chris Reisdorf - Manager, Benefit Policy Unit - Minnesota
Health Care Programs - Medical Assistance, General Assistance Medical Care,
and Minnesota Care programs.
18. David Van Sleet - VISN 1 Prosthetics Manager, Department of
Veterans Affairs, New England Healthcare System.
19. Ken Viste, M.D. - Medical Director, Physical Rehabilitation
Unit Mercy Medical Center and Staff Physician, St. Agnes Hospital.
20. Don Vliegenthart. M.D. - Medical Director, Hoveround
Corporation.
Daniel Waldmann- Director of Federal Affairs, Johnson & Johnson, Inc.
Citation
tony barr, “Re: CMS NEWS: MEDICARE APPOINTS ADVISORY PANEL FOR NEW DURABLE MEDICAL EQUIPMENT COMPETITIVE BIDDING PROCESS,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 26, 2024, https://library.drfop.org/items/show/223608.
