On a January 24, 2006 conference call Craig Miner and Lawrence Kocot issued guidance on how plans should and should not be determining drug coverage under Parts B and D. “Part D plans should not be requiring a Part B rejection as their first step before they’ll start thinking about covering it under Part...
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P4P is already on its way and most organizations that manage Medicare lines of businesses are not preparing for the changes in data collection and reporting. Here is a good article outlining the P4P programs already in demonstration with CMS and where they are headed. Now is the time for us to pay attention...
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According to a December 30, 2005 CMS press release, The delay in the implementation of the Deficit Reduction Act of 2005 will delay the following changes among many others: As required under current law, claims for physicians’ services on or after January 1 will be paid with the -4.4 percent reduction from 2005 levels....
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