Medicare AWP Reform: “Get The Doctors Out Of The Pharmacy Business”
Executive Summary
The problems with Medicare's AWP payment system for oncology products suggests that the federal government needs to "get the doctors out of the pharmacy business," Aetna CEO John Rowe declared during a March 21 Medicare Payments Advisory Commission meeting
You may also be interested in...
Medicare Rx Duel: Dual Eligibles, FEHBP, Private Employer Coverage Debated
Prescription drug costs of the dual-eligible population should be borne completely by the federal government under a new Medicare drug benefit rather than by the states under Medicaid, the National Governors Association 2003 Medicaid Reform Principles say
Medicare “Inherent Reasonableness” Standard Should Be Clarified, BIO Says
The Centers for Medicare & Medicaid Services should clarify its guidelines for applying the "inherent reasonableness" standard to coverage decisions, the Biotechnology Industry Organization says
AWP Reform Remains Priority For CMS; Agency Will Act If No Bill By May
The Centers for Medicare & Medicaid Services will address AWP reform administratively if Congress fails to act by May, CMS Administrator Tom Scully says