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Oversight Challenges In The Medicare Prescription Drug Program
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Book Synopsis Oversight Challenges in the Medicare Prescription Drug Program by : United States Senate
Download or read book Oversight Challenges in the Medicare Prescription Drug Program written by United States Senate and published by . This book was released on 2019-10-07 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oversight challenges in the Medicare prescription drug program: hearing before the Federal Financial Management, Government Information, Federal Services, and International Security Subcommittee of the Committee on Homeland Security and Governmental Affairs, United States Senate of the One Hundred Eleventh Congress, second session, March 3, 2010.
Author :United States. Congress Publisher :Createspace Independent Publishing Platform ISBN 13 :9781983412561 Total Pages :152 pages Book Rating :4.4/5 (125 download)
Book Synopsis Oversight Challenges in the Medicare Prescription Drug Program by : United States. Congress
Download or read book Oversight Challenges in the Medicare Prescription Drug Program written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-12-30 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oversight challenges in the Medicare prescription drug program : hearing before the Federal Financial Management, Government Information, Federal Services, and International Security Subcommittee of the Committee on Homeland Security and Governmental Affairs, United States Senate of the One Hundred Eleventh Congress, second session, March 3, 2010.
Author :United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security Publisher : ISBN 13 : Total Pages : pages Book Rating :4.:/5 (123 download)
Book Synopsis Oversight Challenges in the Medicare Prescription Drug Program :. by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Download or read book Oversight Challenges in the Medicare Prescription Drug Program :. written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security Publisher : ISBN 13 : Total Pages :152 pages Book Rating :4.:/5 (318 download)
Book Synopsis Oversight Challenges in the Medicare Prescription Drug Program by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security
Download or read book Oversight Challenges in the Medicare Prescription Drug Program written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security and published by . This book was released on 2010 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Oversight Challenges in the Medicare Prescription Drug Program, S. Hrg. 111-727, March 3, 2010, 111-2 Hearing, * by : United States. Congress. Senate. Committee on Governmental Affairs
Download or read book Oversight Challenges in the Medicare Prescription Drug Program, S. Hrg. 111-727, March 3, 2010, 111-2 Hearing, * written by United States. Congress. Senate. Committee on Governmental Affairs and published by . This book was released on 2011* with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Congress. Senate. Committee on Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia Publisher : ISBN 13 : Total Pages :196 pages Book Rating :4.0/5 (13 download)
Book Synopsis Does CMS Have the Right Prescription? by : United States. Congress. Senate. Committee on Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia
Download or read book Does CMS Have the Right Prescription? written by United States. Congress. Senate. Committee on Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia and published by . This book was released on 2004 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Part D Prescription Drug Coverage by : Jennifer R. Luong
Download or read book Medicare Part D Prescription Drug Coverage written by Jennifer R. Luong and published by DIANE Publishing. This book was released on 2010-03 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt: The outpatient prescription drug benefit known as Medicare Part D was first available in Jan. 2006, and that year it provided federally subsidized prescription drug coverage for nearly 28 million beneficiaries at a cost of $47.4 billion -- almost 12% of total Medicare spending. Part D sponsors -- entities that enter into contracts with Medicare -- administer the benefit and compete for beneficiary enrollment. To provide coverage, the sponsors enter into contractual relationships with pharmacy benefit managers, drug manufacturers, and retail pharmacies. The Part D program relies on sponsors to generate prescription drug savings, in part through their ability to negotiate price concessions, such as rebates and discounts, with these entities.
Author :United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia Publisher : ISBN 13 : Total Pages :122 pages Book Rating :4.0/5 (17 download)
Book Synopsis Monitoring CMS' Vital Signs by : United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia
Download or read book Monitoring CMS' Vital Signs written by United States. Congress. Senate. Committee on Homeland Security and Governmental Affairs. Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia and published by . This book was released on 2006 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Printed for the use of the Committee on Homeland Security and Governmental Affairs."
Book Synopsis Medicare Part D by : Kathleen M. King
Download or read book Medicare Part D written by Kathleen M. King and published by DIANE Publishing. This book was released on 2009-02 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare Part I coverage is provided through plan sponsors that contract with CMS. As of April 2008, 26 million beneficiaries were enrolled in Part D. When beneficiaries encounter problems with Part D, they can either file a complaint with CMS or a grievance with their plan sponsors. CMS tracks complaints data and plan sponsors report data on grievances. This report provides info. on: (1) complaints and what they indicate about beneficiaries¿ experiences with Part D; (2) whether grievances data provide additional insight about beneficiaries¿ experiences; and (3) CMS¿s oversight of the complaints and grievances processes. Illus. (This report was changed as of 7/1/08 to add Appendix II, which is the agency comment letter that was left out of the report.)
Book Synopsis Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments by : Kathleen M. King
Download or read book Medicare Fraud, Waste, and Abuse: Challenges and Strategies for Preventing Improper Payments written by Kathleen M. King and published by DIANE Publishing. This book was released on 2010-10 with total page 15 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicare¿s size and complexity make it vulnerable to fraud, waste, and abuse. Fraud represents intentional acts of deception with knowledge that the action or representation could result in an inappropriate gain, while abuse represents actions inconsistent with acceptable bus. or med. practices. Waste, which includes inaccurate payments for services, also occurs in the Medicare program. In 2009, the Centers for Medicare and Medicaid Services (CMS) estimated billions of dollars in improper payments in the Medicare program. This statement focuses on challenges facing CMS and selected key strategies that are particularly important to helping prevent fraud, waste, and abuse, and ultimately to reducing improper payments. Illustrations.
Author :United States Government Accountability Office Publisher :Createspace Independent Publishing Platform ISBN 13 :9781977954459 Total Pages :38 pages Book Rating :4.9/5 (544 download)
Book Synopsis Medicare Part D by : United States Government Accountability Office
Download or read book Medicare Part D written by United States Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-10-05 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2014, the federal government spent $58 billion on Medicare Part D, the voluntary, outpatient prescription drug coverage program. An estimated $1.9 billion of this total was improper payments-including overpayments or underpayments that may be due to errors, such as the submission of duplicate claims for the same service. In January 2011, CMS began a RAC program in Part D that was intended in part to identify and recoup improper payments, as required under the Patient Protection and Affordable Care Act. The RAC is paid a contingency fee from amounts recovered. GAO was asked to review CMS's Part D RAC program implementation, oversight, and results. GAO examined (1) how CMS has implemented the Part D RAC program and any challenges it faced during implementation; (2) the extent to which CMS has overseen the RAC's audit activities; and (3) the results of the RAC's work to date and any challenges CMS and the RAC faced in identifying and collecting improper payments. To do this, GAO analyzed the RAC contract and audit documents, and federal statutes and regulations on Part D and federal contracting. GAO also interviewed CMS and RAC officials.
Book Synopsis Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions. by : CreateSpace Independent Publishing Platform
Download or read book Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions. written by CreateSpace Independent Publishing Platform and published by Createspace Independent Publishing Platform. This book was released on 2018-07-03 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gaps in oversight of conflicts of interest in Medicare prescription drug decisions.
Book Synopsis Medicare Part D Prescription Drug Coverage by : John E. Dicken
Download or read book Medicare Part D Prescription Drug Coverage written by John E. Dicken and published by . This book was released on 2008 with total page 14 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :United States. Department of Health and Human Services. Office of Inspector General Publisher : ISBN 13 : Total Pages :32 pages Book Rating :4.:/5 (951 download)
Book Synopsis Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions by : United States. Department of Health and Human Services. Office of Inspector General
Download or read book Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions written by United States. Department of Health and Human Services. Office of Inspector General and published by . This book was released on 2013 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Program Integrity, CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse by : U.s. Government Accountability Office
Download or read book Medicare Program Integrity, CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse written by U.s. Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-07-28 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: " Recent media reports and law enforcement actions have highlighted the problem of prescription drug fraud, waste, and abuse in the United States. Medicare, and the Part D prescription drug benefit, are susceptible to such fraud-a risk made greater by Medicare's size, scope, and complexity. GAO and others have raised questions about CMS's oversight of its activities to address fraud, waste, and abuse in Part D, as well as oversight of the contractors tasked with this work. GAO examined (1) practices for promoting prescription drug program integrity, and (2) the extent that CMS's oversight of Medicare Part D program integrity, including the program integrity contractors, reflects these practices. To develop a list of practices, GAO interviewed 14 stakeholder groups involved in various aspects of prescription drug program integrity, including provider, beneficiary, and anti-fraud groups; identified and reviewed related documents; and conducted a search of eight bibliographic databases that included peer-reviewed articles and government documents. GAO organized the practices based on the three categories of GAO's Fraud Prevention Framework. To determine how CMS's oversight reflects these practices, GAO analyzed agency documents, such as contracts, manuals, work products, and CMS audits of contractors; and interviewed"
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309468086 Total Pages :235 pages Book Rating :4.3/5 (94 download)
Book Synopsis Making Medicines Affordable by : National Academies of Sciences, Engineering, and Medicine
Download or read book Making Medicines Affordable written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-01 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.
Book Synopsis Medicare Program Integrity by : Kathleen M. King
Download or read book Medicare Program Integrity written by Kathleen M. King and published by . This book was released on 2015-01-01 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent media reports and law enforcement actions have highlighted the problem of prescription drug fraud, waste, and abuse in the U.S. Medicare, and the Part D prescription drug benefit, are susceptible to such fraud -- a risk made greater by Medicare's size, scope, and complexity. Questions have been raised about the Department of Health and Human Services' (HHS) Centers for Medicare & Medicaid Services' (CMS's) oversight of its activities to address fraud, waste, and abuse in Part D, as well as oversight of the contractors tasked with this work. This report examined: (1) practices for promoting prescription drug program integrity; and (2) the extent that CMS's oversight of Medicare Part D program integrity, including the program integrity contractors, reflects these practices. Tables and figures. This is a print on demand report.
