Medicare Part D

How Many Medicare Part D Claims Are Subject to 340B Discounts?

November 27, 2023 - The share of Medicare Part D claims eligible for discounts in the 340B drug pricing program increased from 1.7 percent to 9.6 percent between 2013 and 2020, a study published in JAMA Health Forum indicated. The 340B program allows certain healthcare entities to acquire outpatient prescription drugs at a discounted price. These entities often...

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CMS Seeks Electronic Prior Authorization for Medicare Part D Drugs

by Jacqueline LaPointe

CMS recently issued a proposed rule that aims to significantly reduce provider burden by implementing electronic prior authorization for medications prescribed through Medicare Part D. Specifically,...

How Part B Drug Changes Could Impact Provider Reimbursement

by Jacqueline LaPointe

Healthcare industry experts are warning the Trump Administration that its proposal to transfer some drugs covered by Medicare Part B to Part D would have a negative impact on provider reimbursement and...

$17B Increase in Medicare Part D Prescription Drug Spending

by Jacqueline LaPointe

Prescription drug spending under the Medicare Part D program increased by $17 billion between 2013 and 2014, representing a 17-percent increase, according to new CMS data. While the federal reported a...

Affordable Care Act Saved Medicare Beneficiaries $20 Billion

by Jacqueline DiChiara

The Affordable Care Act (ACA) has saved over 10 million Medicare beneficiaries upwards of $20 billion on prescription drugs over the past six years, according to new information from the Centers for...

CMS’s Medicare Drug Spending Dashboard Notes Spending Spike

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released a Medicare Drug Spending dashboard to address prescription drugs’ affordability. CMS aims to make drug spending trends more...

Higher Premiums, Deductibles in 2016 Medicare Part D Plan

by Jacqueline DiChiara

Many Medicare beneficiaries may soon experience increased premiums and deductibles if they fail to change plans, confirms yesterday’s issue brief from the Henry J. Kaiser Family Foundation...

70 Healthcare Groups Pen Medicare Part B Letter to Congress

by Jacqueline DiChiara

Medicare Part B, which helps pay for the majority of outpatient services, is in the midst of heated Congressional conversation. As RevCycleIntelligence.com reported last week, according...

CMS Releases New Medicaid Enrollment, Medicare Coverage Data

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released updated Medicare state-by-state enrollment numbers. Over 55 million individuals are covered via Medicare, says CMS. This number is 36...

Medicare Part D Payments Made to Deceased Beneficiaries

by Ryan Mcaskill

An OIG report found that Medicare Part D paid HIV drugs for over 150 deceased beneficiaries in 2012. The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released a...

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