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Medicare Part D

Latest Headlines

Latest Headlines

MedPAC considers replacing SGR

The Medicare Payment Advisory Commission (MedPAC) is considering recommendations that would eliminate the sustainable growth rate (SGR) formula for physician payments and replace it with regularly

Part D enrollment curtailed by suspensions

Part D enrollments were up about 4 percent for the last quarter, but plans that have recently been hit with sanctions by the Centers of Medicare and Medicaid Services suffered significant enrollment

OIG says Medicare Part D paying for invalid, illegal prescriptions

The Office of the Inspector General says criminals are exploiting weaknesses in the Medicare Part D program to obtain false prescriptions for schedule II medications, the Associated Press reports.

Medicare Part D coverage linked to increased use of antibiotics

The use of antibiotics increased in response to cuts in out-of-pocket prices after Medicare Part D went into effect, according to a study published in the latest edition of the Archives of Internal

Part D drugs: Are docs doing the prescribing?

The Centers for Medicare and Medicaid Services (CMS) and its prescription drug plan sponsors "have not adequately performed one of the most basic oversight checks in Medicare Part D--ensuring that a

Part D donut-hole: CMS revises plan guidance

The Centers for Medicare and Medicaid Services (CMS) has released a memorandum providing Medicare Part D (prescription drug) sponsors with revised guidance for the Medicare Coverage Gap Discount

CMS cuts ties with Part D drug insurer

Less than two weeks after the Centers for Medicare and Medicaid Services (CMS) directed Fox Insurance Company of New York to suspend marketing and enrollment, CMS has ended its contract with the

States receive $4.3B to offset payments to Medicare for Part D costs

In an attempt to help states cope with paying the federal government to offset Medicare coverage costs for prescription drugs commonly referred to as "clawback payments," HHS Secretary Kathleen

WellPoint gets Medicare Advantage, Part D back

CMS has given WellPoint back permission to market Medicare Advantage and Medicare Part D plans after a nine-month ban on accepting new enrollments. CMS had imposed the ban in January after receiving

Extending Medicare drug payments pays

Extending prescription coverage for Medicare enrollees sounds like an expensive boondoggle to some. However, a new study suggests that the extra cost of such coverage was substantially offset on