CB01: Overview of the Final Rule Competitive Bidding Changes
The Medicare Competitive Bidding program (“CBP”) was a disaster when it was rolled out years ago. And then it went dormant for several years. Now it is back. In late 2025, CMS brought the CBP back to life with a final rule that makes negative changes to an already flawed program. This new version appears to be solely designed to (i) reduce Medicare payment amounts and (ii) reduce the number of suppliers that can serve Medicare beneficiaries. CMS is changing the next round of bidding to include product categories never previously included, only move forward in the next round with national “remote item delivery” items, and change many other aspects of the program.
This program will (i) provide the information DME suppliers need to know about the restructured program, (ii) discuss the more challenging aspects of the program, (iii) suggest steps suppliers should take to navigate the CBP, and (iv) predict the future of the CB program.
Learning Objectives: Understanding requirements as set forth in the Final Rule Published November 2025, including:
- Lead item bidding
- Contract awards
- Bid ceiling
- Capacity and demand
- CGM/Insulin Pumps
- Medical supplies inclusion
- RID CBPs
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