As of January 1, 2016 the Competitive Bidding Program for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies has severely cut reimbursement to providers in areas outside of the Competitively Bid Areas (CBAs), including rural communities (Maui and Kauai included). When these cuts were fully implemented on July 1, 2016, the majority of products had an average cut of approximately 42% and some products will suffer cuts as high as 50%. These cuts have been implemented without regard for the significant cost differences that rural providers face relative to their urban counterparts in Honolulu and even more so on the mainland.
The cuts this time around are so severe, that the communities in which we serve now have extremely limited or no access to these benefits. While we have few providers of this type of service in our community to begin with, most providers have reduced the amount of services they provide and now have limited providers accepting the Medicare reimbursement for these products and/or services in our community.
What Can I do?
If you or a loved one has been negatively impacted by the inability to have access to product and/or services in the area in which you reside, we encourage you to Speak UP and let your voice be heard by our Congressional delegation. Here are some options for you to express your concern:
1) Download a sample letter that you can submit via mail to the Congressional Delegation. Click here.
2) Click on the following link to share your story of how you’ve been affected by these drastic cuts by Medicare since 2016.
This video was created in 2016. The statements made in this video are subject to change based on the current state of Medicare reimbursements and solely reflect Gammie HomeCare’s policies at the time this video was created. For questions regarding Medicare reimbursement cuts, please contact your equipment provider(s).