tci Part B Insider - 2004 Issue 42

Providers: Drug Payments Aren't As Bad As Docs Expected... They're Worse

Physicians backed up against the wall by rock bottom rates Now that providers have seen the complete pricing data for Medicare drugs, the picture has gotten even worse than they'd imagined, some physicians claim.   The physician fee schedule final rule included second quarter Average Sales Price data for almost all drugs, instead of the very limited data included in the proposed rule. Starting in January, Medicare will pay for drugs based on ASP plus 6 percent, using third quarter data that hasn't been released yet.   Providers complained in the Nov. 15 physician Open Door Forum that they...

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