United Spinal Association recently launched the Urology Coalition to help achieve high quality healthcare for people with disabilities that will lead to improved health outcomes and increased independence.
The mission of the Urology Coalition––which consists of urological medical technology suppliers and manufacturers, as well as consumer and disability advocates, clinician and physician groups––is to counter restricted consumer access to medical supplies under Medicare, Medicaid and private insurance. It will also closely monitor the Centers for Medicare and Medicaid Services’ DMEPOS Competitive Bidding Program and lobby against expansion of the program to include urological supplies.
The Urology Coalition will act only on health policy matters that:
• are in the best interests of high quality care that maximize function and independent living for people with disabilities;
• and can provide people with disabilities with their choice of, and access to, the prescribed and medically appropriate urological medical technology and supplies ensure appropriate coding, coverage and payment.
The Coalition is concerned about the negative impact on people with disabilities’ access to medically necessary products and supplies that are currently included in the Competitive Bidding Program and future expansion of the program to prosthetic supplies categories such as urologicals.
Working closely with consumer and disability advocates, providers and manufacturers of continence care products and the physician and clinical communities, the Coalition has agreed to work within the regulatory and/or legislative framework to address coverage, coding and payment policy changes as they relate to urological medical technology and supplies, medical documentation improvements and standards of care.
In order to develop a set of principles about urological medical technology and supplies that can provide consumers with disabilities with their choice of and access to the medically appropriate urological medical technology and supplies, the Coalition will promote reform in the following areas:
• Expansion of coverage for urological medical technology and supplies
• Expansion of the Healthcare Common Procedure Coding System (HCPCS) code set to provide more granular HCPCS coding descriptions of specific urological medical technology and supplies
• Measurement of clinical and financial outcomes resulting from the use of prescribed urological medical technology and supplies versus the clinical and financial impact of non-use
• Reasonable reimbursement by payers for urological medical technology and supplies and related services
Some of the Urology Coalition’s objectives for 2014, include creating a clinical consensus statement on the issues of self-management protocols and improved documentation and standards of care; crafting an issue paper and education materials for use on Capitol Hill and with the Centers for Medicare and Medicaid Services by coalition members and consumer and disability advocates; and developing an educational campaign for the consumer and disability, clinician and physician communities through webinar presentations, articles posted in medical trade and consumer publications as well as national and local media.
Urology Coalition Members
ABC Home Medical
Simon Foundation for Continence
United Spinal Association