Fwd: OIG posts report and news about enforcement actions - 6/23

---------- Forwarded message ----------
From: HHS Office of Inspector General <donotreply@subscriptions.hhs.gov>
Date: Mon, Jun 23, 2014 at 6:57 AM
Subject: OIG posts report and news about enforcement actions - 6/23
To: iammejtm@gmail.com

Good morning from Washington, DC. Today OIG posts a report and news about enforcement actions. As always, you can use the links provided to go directly to the new material.   ------------------------------------------------------------------------------   Medicare Market Shares of Mail Order Diabetes Test Strips Immediately Prior to the National Mail Order Program (OEI 04 13 00681) http://go.usa.gov/99Rm   WHY WE DID THIS STUDY   Medicare covers diabetes test strips provided by mail order suppliers and local pharmacies or supplier storefronts. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 requires CMS to phase in, with several rounds of bidding, a Competitive Bidding Program for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Under this program, suppliers compete to become Medicare contract suppliers for selected DMEPOS items. The payment amounts resulting from the competition replace the Medicare fee-schedule amounts for these items.   CMS asked OIG to conduct a study to determine market shares of diabetes test strips for the 3 month period immediately prior to the start of a national program for mail order diabetes testing supplies on July 1, 2013. CMS may choose to use the results of this report for program analysis purposes and to evaluate the effect of the Competitive Bidding Program on brand choice.   HOW WE DID THIS STUDY   We determined the Medicare market shares for diabetes test strip types associated with a random sample of Medicare claims for the 3-month period of April to June 2013. Our sample of 1,210 claims was drawn from a population of approximately 1.36 million claims for mail order diabetes test strips provided to beneficiaries during this period. To estimate the Medicare market shares, we surveyed suppliers and projected our sample data to the population of mail order diabetes test strips.   WHAT WE CONCLUDED   One hundred fifty-two suppliers submitted at least 62 types of mail order diabetes test strips for the 3 month period of April to June 2013. Two types of diabetes test strips accounted for approximately 34 percent of the Medicare mail order market share. Four types of diabetes test strips accounted for 51 percent of the Medicare mail order market share, and 10 types accounted for 75 percent. CMS may choose to use the results of this report for program analysis purposes and to evaluate the effect of the Competitive Bidding Program on brand choice.   ------------------------------------------------------------------------------     June 19, 2014; U.S. Attorney; District of South Dakota Rosebud Woman Sentenced for Acquiring Controlled Substances by Fraud http://go.usa.gov/8d3Q   ------------------------------------------------------------------------------   State Enforcement Actions Updated http://go.usa.gov/8d3e   ------------------------------------------------------------------------------   That's all we have for today. If we can be of any further assistance, please send an Email to public.affairs@oig.hhs.gov   I hope your week has started well.   Marc Wolfson – Office of External Affairs   OIG's privacy policy can be found at http://oig.hhs.gov/notices/privacy-notice.asp Follow us on Twitter: http://twitter.com/OIGatHHS Inquiries? Contact us: Public.Affairs@oig.hhs.gov Manage your OIG subscriptions: update your preferences or unsubscribe Questions about this service? Visit subscriberhelp.govdelivery.com This email was sent to iammejtm@gmail.com using GovDelivery, on behalf of the U.S. Dept. of Health & Human Services · 200 Independence Avenue SW · Washington DC 20201 · 1-877-696-6775

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Jeremy Tobias Matthews