Download or read book Audits of Medicare Prescription Drug Plan Sponsors written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-03 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Audits of Medicare prescription drug plan sponsors.
Download or read book Audits of Medicare Prescription Drug Plan Sponsors written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2011 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Part D written by Kathleen M. King and published by DIANE Publishing. This book was released on 2009-02 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit, known as Medicare Part D. The Centers for Medicare and Medicaid Services (CMS) contracts with private companies to serve as Part D sponsors and administer the Part D prescription drug benefit plans. The MMA requires Part D sponsors to implement programs to control for fraud and abuse. This report examines: (1) the extent to which certain Part D sponsors have implemented programs to control fraud, waste, and abuse; and (2) the extent of CMS¿s oversight of Part D sponsors¿ programs to control fraud, waste, and abuse. Includes recommendations. Charts and tables.
Download or read book Medicare Part D Prescription Drug Coverage written by Jennifer R. Luong and published by DIANE Publishing. This book was released on 2010-03 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The outpatient prescription drug benefit known as Medicare Part D was first available in Jan. 2006, and that year it provided federally subsidized prescription drug coverage for nearly 28 million beneficiaries at a cost of $47.4 billion -- almost 12% of total Medicare spending. Part D sponsors -- entities that enter into contracts with Medicare -- administer the benefit and compete for beneficiary enrollment. To provide coverage, the sponsors enter into contractual relationships with pharmacy benefit managers, drug manufacturers, and retail pharmacies. The Part D program relies on sponsors to generate prescription drug savings, in part through their ability to negotiate price concessions, such as rebates and discounts, with these entities.
Download or read book Oversight Challenges in the Medicare Prescription Drug Program written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2010 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Oversight of Prescription Drug Plan Sponsors Compliance Plans written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2008 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Advantage Required Audits of Limited Value written by and published by DIANE Publishing. This book was released on 2007 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Part D written by Kathleen Marie King and published by . This book was released on 2010 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Part D, the voluntary, outpatient prescription drug benefit for eligible individuals 65 years and older and certain individuals with disabilities, is at risk for fraud, waste, and abuse. Part D is administered by the Centers for Medicare & Medicaid Services (CMS). All Part D sponsors--private companies that operate Part D benefit plans--are required to have programs to safeguard the Part D program from fraud, waste, and abuse. GAO refers to these programs as fraud and abuse programs. This statement discusses CMS's oversight of Part D sponsors' fraud and abuse programs, including its past efforts and planned oversight activities. It is primarily based on the GAO report, Medicare Part D: Some Plan Sponsors Have Not Completely Implemented Fraud and Abuse Programs, and CMS Oversight Has Been Limited (GAO-08-760). The five Part D sponsors GAO reviewed for that report had not completely implemented all of CMS's elements for Part D fraud and abuse programs at that time. CMS agreed with GAO's recommendation in the report that it conduct timely audits of Part D sponsors' fraud and abuse programs. For the 2008 report, GAO reviewed laws, regulation, and CMS documents, including fraud and abuse program guidance. GAO also interviewed CMS officials. For this statement, GAO updated selected information on CMS's oversight by interviewing CMS officials and reviewing agency documents.
Download or read book Medicare Part D written by Kathleen M. King and published by DIANE Publishing. This book was released on 2009-02 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Part I coverage is provided through plan sponsors that contract with CMS. As of April 2008, 26 million beneficiaries were enrolled in Part D. When beneficiaries encounter problems with Part D, they can either file a complaint with CMS or a grievance with their plan sponsors. CMS tracks complaints data and plan sponsors report data on grievances. This report provides info. on: (1) complaints and what they indicate about beneficiaries¿ experiences with Part D; (2) whether grievances data provide additional insight about beneficiaries¿ experiences; and (3) CMS¿s oversight of the complaints and grievances processes. Illus. (This report was changed as of 7/1/08 to add Appendix II, which is the agency comment letter that was left out of the report.)
Download or read book Prescription Drug Plan Sponsors Compliance Plans written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2006 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Memorandum Report written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2007 with total page 13 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Part D written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-21 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Part D: Plan Sponsors' Processing and CMS Monitoring of Drug Coverage Requests Could Be Improved
Download or read book Making Medicines Affordable written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-01 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.
Download or read book Medicare Primer written by Patricia A. Davis and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides a general overview of the Medicare program including descriptions of the program's history, eligibility criteria, covered services, provider payment systems, and program administration and financing.
Download or read book Gao 06 710 Medicare Part D written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-28 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: GAO-06-710 Medicare Part D: Prescription Drug Plan Sponsor Call Center Responses Were Prompt, but Not Always Accurate
Download or read book Medical and Dental Expenses written by and published by . This book was released on 1990 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Medicare Part D written by United States. Government Accountability Office and published by . This book was released on 2006 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
