tci Medicare Compliance & Reimbursement - 2005 Issue 6

Drug Coverage: Employer Participation Facilitated In Final Rule

CMS tries to smooth out wrinkles in retiree drug benefitsThe final edition of Medicare's rule for the 2005 prescription drug benefit went on display at the Federal Register Jan. 21. New wrinkles in the final version include a dialogue-heavy process through which plan sponsors and the Centers for Medicare and Medicaid Services will negotiate sponsors' final program bids; an expedited appeals process for beneficiaries who need to get drugs that aren't on their plan's formulary; and a set of "any willing pharmacy" standards for long term care pharmacies, to ensure that all nursing-home residents get needed drug coverage. "We...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.

Thank you for choosing Find-A-Code, please Sign In to remove ads.