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Supplier Acquisition Costs for Urinary Supplies

We will compare current Medicare reimbursement rates to supplier acquisition costs for selected urinary supplies to determine whether Medicare may be paying too much for these items. Medicare Part B payments for urinary supplies, including intermittent urinary catheter tips and intermittent urinary catheters with insertion supplies, has increased from $125 million in 2010 to $298 million in 2019. CMS could reduce payment rates for urinary supplies through two methods: CMS can adjust the fee schedule price, or it may introduce an item into the Competitive Bidding Program (CBP). To facilitate CMS decision making, we will provide cost information and additional context regarding the extent that urinary supplies are a good fit for potential introduction into the CBP.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
December 2020 Centers for Medicare and Medicaid Services Supplier Acquisition Costs for Urinary Supplies Office of Evaluation and Inspections OEI-04-20-00620 2022