PART D: Plan Formularies Fail To Provide Dual Eligibles With Access To Critical Meds
Enrollees must jump through contingency hoops to obtain non-formulary drugs.Prescription drugs that dual eligibles could once access easily through Medicaid are now hard to find together on the same Medicare drug plan. Only 18 percent of enrollees' Part D plans cover all of the drugs the dual eligible population used most in 2005, according to a report the HHS Office of Inspector General released Jan. 25.The report identifies the top 200 prescription drugs that the dual eligible population used in 2005. Statutory exclusions omit 22 of those drugs from Part D plans, and less than one in...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products: