AADE e-Advocacy Newsletter

October through December 2011

2012 State Legislative Coordinator (SLC)

As many of you are aware advocacy is an integral part of the AADE mission and our members are on the front line advocating for better care for all people with diabetes both at the federal and state levels. So it is important that we identify the 2012 state legislative coordinators. A complete job description can be viewed here.

Each coordinating body (CB) should have, or are in the process of, identifying one person that is passionate about advocacy as well as has a basic understanding of grassroots efforts to be a part of that states leadership. This person will serve as the state legislative coordinator (SLC) and will be trained by AADE staff and industry partners to be able communicate legislative issues to their coordinating body, their diabetes community, fellow constituents and state and federal representatives.

As we look toward the future of advocating for diabetes educators and diabetes education we are excited to have this SLC designation and look forward to an information-packed training in 2012.

All coordinating body leaders should send the name and contact information of their state legislative coordinator, as soon as possible, to James Specker, AADE Advocacy Manager at jspecker@aadenet.org.

Any questions? Please contact James at 312.601.4873 or by email.

AADE Survey Finds Issues With Competitive Bidding Program For Mail-Order Testing Supplies

A recent survey conducted by AADE finds that contract suppliers do not offer 60 percent of the products promised on the center for medicare and medicaid services (CMS) website.

A survey conducted by the American Association of Diabetes Educators has found that nearly one year after its implementation, a competitive bidding program for diabetes testing supplies is failing to provide Medicare beneficiaries with diabetes access to the specific kinds of supplies promised by Medicare.

The competitive bidding program for mail-order suppliers of diabetes testing equipment was established in January 2011 for mail-order services in 9 markets throughout the US. Soon after, widespread anecdotal reports suggested that the suppliers were denying access to the specific brands and types of equipment that had been promised would be available on www.medicare.gov.   

To determine the veracity of these reports, the American Association of Diabetes Educators surveyed contract suppliers in the nine markets via telephone in August 2011. Surveyors were furnished with a list of contract suppliers and all 20 of the unique suppliers listed were contacted.

The survey found that the contract suppliers, on average, offered only 38 percent of the products that are listed on www.medicare.gov. In some cases, suppliers offered products that were not listed on www.medicare.gov. The results also demonstrated that beneficiaries in competitive bidding areas do not have access to most brands available in the market, or to brands most commonly prescribed by physicians and selected by beneficiaries. Of the 9 brands identified in a December 2010 report as the top mail order diabetes testing supply brands by percent of market share, contract suppliers offered an average of 1.44 brands (16%).

Testing systems are not interchangeable, and physicians often prescribe, and patients often choose, particular meters for important clinical reasons. When a beneficiary is forced to use a testing system that is unknown, difficult confusing or unreliable, their adherence to testing may diminish, increasing the risk of complications which can be costly for Medicare and its beneficiaries.

“Under the Competitive Bidding Program, contract suppliers have powerful incentives to maximize profit margins by purchasing and offering a limited range of products, and only the lowest cost products available,” said Martha Rinker, Chief Advocacy Officer of the AADE. “We believe this is a violation of the intent of the program. And, while offering limited supplies may achieve short-term Medicare program savings, the long-term reality is quite different for beneficiaries of the program and for the overall health care system. Significant additional complications and resulting health care expenditures will result if the quality of blood glucose management deteriorates.”


David Harrison, 410.843.3869, david@harrisoncommunications.net

Diana Pihos, 312.601.4864, dpihos@aadenet.org

© 2011 AADE


AADE Advocacy in 2011!

As we near the end of year we wanted to take a look back and recap all of our initiatives, efforts and accomplishments in 2011.

The most significant accomplishment of 2011 was the passage of licensure for diabetes educators in the state of Kentucky. State licensure ensures that all healthcare providers who deliver diabetes education will have sufficient knowledge to provide safe, effective care to persons with or at risk for diabetes. In addition, it increases recognition for the profession and reinforces the highest standards of care. We look forward to working with our members as they seek licensure in additional states.

On August 1st, H.R. 2787 was introduced by the Representative Ed Whitfield (R-KY-1) and original co-sponsor Representative Diana DeGette (D-CO-1). On August 2nd, S. 1468 was introduced by Senator Jeanne Shaheen (D-NH) and original co-sponsor Senator John Tester (D-MT). The legislation stands to Amend title XVIII of the Social Security Act to improve access to diabetes self-management training by authorizing credentialed diabetes educators to provide diabetes self-management training services, including tele-health services, under part B of the Medicare program. There is still time to take ACTION!

During the annual meeting in August we announced the selection of 16-year-old Logan Nicole Gregory for our 2011 Advocacy Award. The award recognizes an AADE member, volunteer or other person that has made significant contributions to AADE advocacy and legislative efforts. The award was presented by Paul Madden (pictured below), chair of the AADE Foundation Board of Directors. Logan was singled out for her contributions to the licensure of diabetes educators in the state of Kentucky, her commitment to advocate on behalf of people with diabetes at the state and federal level, and her support of diabetes educators and AADE’s advocacy mission. Logan was also the first non-diabetes educator to win this award and his since been selected as the 2012 youth advocate for the American Diabetes Association (ADA).

In November we began building a relationship with diabetes patient advocate groups and the diabetes on-line community (DOC) to strategize ways we can help support one another’s advocacy agendas and strengthen the foundation of our advocacy networks. We are excited about this opportunity and anticipate great things to come out of this effort in 2012.

Last but not least we would like to thank our industry partners, Lifescan, Inc., Novo Nordisk, Eli Lilly and Company and Roche Diagnostics, for supporting the AADE advocacy mission in 2011 through 2012. With their support we have been able to take the advocacy message on the road, building our advocacy network and educating AADE member advocates!

From AADE Advocacy we would like to wish you all a safe and warm holiday season.

Advocacy Education and Awareness Meetings

In 2012 AADE Advocacy will continue to take the message out to the membership thanks to grants from our industry partners.

AADE is hosting (sponsored by Lifescan, Inc. and Novo Nordisk) an advocacy day in Atlanta, GA on January 26th to train and educate our member advocates and key folks in the southern region (TX, OK, LA, AR, MS, AL, TN, GA, FL, SC, NC, VA, WVA, MD, and DE) on the licensure effort and advocating at the state level. If you live in one of these states and have a strong interest in grassroots advocacy please contact us @ advocacy@aadenet.org by January 11, 2012. There is no charge for this meeting but space is limited, by state and total attendance, so please inquire as soon as possible.

We will also hold an all-inclusive two-day advocacy training for AADEs state legislative coordinators (SLCs). This two-day training is designed to build a network of leaders for diabetes advocacy on the federal and state level through training, workshops and personal visits with Members of Congress. The event will be held on April 16th and 17th in Washington, DC. If you are your states SLC or need to know the guidelines please contact James Specker, AADE Advocacy Manager @ jspecker@aadenet.org. Complete sponsor list will be announced early 2012.

Be on the lookout for more news of where AADE advocacy will be holding meetings, trainings and workshops.