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OIG Market Shares Report for DTS

Last week, the Department of Health & Human Services’ Office of Inspector General (OIG) published a report titled, “Medicare Market Shares of Diabetes Test Strips From April Through June 2019.” This report is intended to assist CMS with their requirements to:

1. award contracts to diabetes testing strips (DTS) suppliers who cover at least 50% (by volume) of the DTS types provided under Medicare; and

2. to use multiple market share data sources from both mail-order and non-mail-order Medicare markets.

For this report, the OIG selected 600 random claims and found that non-mail-order claims consisted of 85% of total Medicare market. DTS suppliers provided 25 types of DTS under non-mail order; 21 types under the National Mail-Order Program; and eight types in both markets.
The National Mail-Order Program has been put on hold since January 2019, and CMS has not announced yet whether the program will be included in competitive bidding Round 2021.
You can find the report here.