tci Medicare Compliance & Reimbursement - 2004 Issue 38

Medicare Advantage: Rules On Formularies, PPOs Raise Concerns

Many questions remain before Medicare reform can be completed. As the Centers for Medicare & Medicaid Services works to finalize regulations for last year's Medicare Modernization Act, the most anxiety from lawmakers and stakeholder groups seems focused on drug-formulary issues, region size for preferred provider organizations, and employer subsidies for retiree drug coverage. Those were the top issues raised by witnesses and lawmakers from both parties at a Sept. 14 Senate Finance Committee hearing on the proposed rules, which were issued this summer. What drugs are on formularies - and how to get those that aren't - will continue...

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:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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