Cost, utilization, and policy of provision of assistive technology devices to veterans poststroke by medicare and VA

Medical Care

Volumn 48, Issue 6, 2010, Pages 558-562

  Winkler, Sandra L Hubbard ^a,b   Vogel, Bruce ^a,c   Hoenig, Helen ^d,e   Ripley, Diane C Cowper ^a,c   Wu, Samuel ^a,c   Fitzgerald, Shirley G ^a   Mann, William C ^b   Reker, Dean M ^a,f  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF FLORIDA   (United States)

^c UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

^d DURHAM VA MEDICAL CENTER   (United States)

^e DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^f UNIVERSITY OF KANSAS MEDICAL CENTER   (United States)

Author keywords

Activities of daily living; Assistive technology; Durable medical equipment; Wheelchair

Indexed keywords

AGED; ARTICLE; ASSISTIVE TECHNOLOGY DEVICE; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DATA BASE; FEMALE; GOVERNMENT; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICARE; POPULATION RESEARCH; PRIORITY JOURNAL; REIMBURSEMENT; STROKE; VETERAN; WHEELCHAIR;

ADULT; AGED; EQUIPMENT AND SUPPLIES; FEMALE; HEALTH CARE COSTS; HOSPITALS, VETERANS; HUMANS; MALE; MEDICARE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PRIVATE SECTOR; RETROSPECTIVE STUDIES; SELF-HELP DEVICES; STROKE; UNITED STATES; UNITED STATES DEPARTMENT OF VETERANS AFFAIRS; VETERANS;

EID: 77952792584     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181bd4a11     Document Type: Article

References (35)

1. Hoerger TJ, Finkelstein EA, Bernard SL. Medicare beneficiary satisfaction with durable medical equipment suppliers. Health Care Financ Rev. 2001;23:123-135.
2. Hunt GG, Ginzler E, Barrett L. Caregiving in the US 2004. Washington, DC: National Alliance for Caregiving (NAC), AARP; 2004.
3. Mann WC, Ottenbacher KJ, Fraas L, et al. Effectiveness of assistive technology and environmental interventions in maintaining independence and reducing home care costs for the frail elderly: a randomized controlled trial. Arch Fam Med. 1999;8:210-217.
4. Cutler DM. Declining disability among the elderly. Health Aff (Millwood). 2001;20:11-27.
5. Wolff JL, Agree EM, Kasper JD. Wheelchairs, walkers, and canes: what does Medicare pay for, and who benefits. Health Aff (Millwood). 2005;24:1140-1149.
6. Batavia A. Of wheelchairs and managed care. Health Aff (Millwood). 1999;18:117.
7. Rakatansky H. Doctor's fear of fraud. Health Aff (Millwood). 1999;19: 276-277.
8. Kuhn H. Testimony. 2004. Available at: http://www.hhs.gov/asl/testify/ t040428.html. Accessed March 16, 2009.
9. ITEM Coalition. Letter to Thompson regarding Medicare coverage policy clarification on power mobility. 2004. Available at: http://itemcoalition.org/ press/thompsonltr.html. Accessed March 16, 2009.
10. Russell JN, Hendershot GE, LeClere F, et al. Trends and differential use of assistive technology devices: United States, 1994. Adv Data. 1997; 13:1-9.
11. Manton K, Corder L, Stallard E. Changes in the use of personal assistance and special equipment from 1982 to 1989: results from the 1982 and 1989 NLTCS. Gerontologist. 1993;33:168-175.
12. New efforts aimed at stopping abuse of the power wheelchair benefit in the Medicare program [CMS news release]. The Centers for Medicare and Medicaid Services; September 9.2003. Medicare News, OIG News.
13. Leavitt M. Remarks as Delivered at the Durable Medical Equipment (DME) Fraud Press Conference [news release]. Washington, DC: US Department of Health and Human Services; May 9, 2007.
14. CMS HHS. Medicare program; competitive acquisition for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) and other issues. Final rule. Fed Regist. 2007;72:17991-18090
15. SSA. Competitive acquisition of certain items and services. Social Security Office. 2008.
16. Medicare Rights Center. Forcing isolation: Medicare's "in the home" coverage standard for wheelchairs. Care Manag J. 2005;6:29-37.
17. CMS. Clinical criteria for MAE coverage. http://www.cms.hhs.gov/ CoverageGenInfo/06-wheelchair.asp#TopOfPage, accessed July 27, 2006.
18. CMS. Durable medical equipment (DME) background information for CMS-1304-P. Changes to Medicare Payment for Oxygen Equipment, Oxygen Contents, and Capped Rental Durable Medical Equipment: Proposed Rule (CMS-1304-P). July 27. 2006. Available at: http://www.cms.hhs.gov/DMEPOSFeeSched/. Accessed June 23,2008.
19. Hubbard SL, Fitzgerald SG, Reker DM, et al. Demographic characteristics of veterans receiving wheelchairs and scooters from the Veterans Health Administration. J Rehabil Res Dev. 2006;43:831-844.
20. VA. VHA Handbook. 2005. Available at: http://www.va.gov/publ/direc/ health/handbook/. Accessed December 14, 2002.
21. VIReC. VA Resource Information Center. Available at: http://www. virec.research.va.gov/index.htm. Accessed March 27, 2008.
22. Render ML, Taylor P, Plunkett J, et al. Methods to estimate and compare VA expenditures for assistive devices to Medicare payments. Med Care. 2003;41:II70-II79.
23. Nugent GN, Hendricks A, Nugent L. Value for taxpayers' dollars: what VA care would cost at Medicare prices. Med Care Res Rev. 2004;61: 495-508.
24. Iwashyna T, Christie JD. Low use of durable medical equipment by chronically disabled elderly. J Pain Symptom Manage. 2007;33:324-330.
25. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med. 1997;13:421-436.
26. Carr D, Benoit R. The role of interventional patient hygiene in improving clinical and economic outcomes. Adv Skin Wound Care. 2009;22: 74-78.
27. Rosen AK, Gardner J, Montez M, et al. Dual system use: are there implications for risk adjustment and quality assessment. Am J Med Qual. 2005;20:182.
28. Byrne MM, Kuebeler M, Pietz K, et al. Effect of using information from only one system for dually eligible health care users. Med Care. 2006;44:768-773.
29. Hynes DM, Koelling K, Stroupe K, et al. Veteran's access to and use of Medicare and Veterans Affairs Health Care. Med Care. 2007;45:214-223.
30. Wolinsky FD, An H, Liu L, et al. Dual use of Medicare and the Veterans Health Administration: are there adverse health outcomes. BMC Health Serv Res. 2006;6:131.
31. Sahyoun NR, Pratt LA, Lentzner H, et al. The changing profile of nursing home residents: 1985-1997. In: Aging Trends. Hyattsville, MD: National Center for Health Statistics; 2001.
32. Allaire SH, LaValley MP, Evans SR, et al. Evidence for decline in disability and improved health among persons aged 55 to 70 years: the Framingham Heart Study. Am J Public Health. 1999;89:1678-1683.
33. Kazis LE, Miller DR, Clark JD, et al. Health-related quality of life in patients served by the Department of Veteran Affairs. Arch Intern Med. 1998;158:626-632.
34. Fitzgerald SG, Reker DM, Cowper DC, et al. Assessment of the National Prosthetics Database: preliminary studies of validity. Pittsburgh, PA: VA Healthcare System; 2003.
35. Hubbard SL, Fitzgerald SG, Vogel WB, et al. Distribution and cost of wheel chairs and scooters provided by the Veteran Health Administration. J Rehabil Res Dev. 2007;44:581-592.