tci Medicare Compliance & Reimbursement - 2007 Issue 32

INDUSTRY NOTES: Bill Could Clip Wings Of Drug Plan Marketers

The states should be the watchdogs, lawmakers say.Proposed limits on how Part D prescription drugs plans (PDPs) can market their wares to seniors could mean fewer denied claims for you next year.Provisions in the Children's Health and Medicare Protection Act of 2007 (H.R. 3162) address the need for better controls on how the PDPs, as well as managed care plans, can market themselves to seniors.Background: Though the bill's primary aim is to reauthorize the State Children's Health Insurance Program (SCHIP), the legislation includes a number of Medicare policy and payment issues. The U.S. House...

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