AcuPartD

Keeping you updated on the latest Medicare and Part D news

Update: CMS Modifies Hospice Drug Rule

Leave a comment

As discussed in a previous blog post, CMS released guidance to prevent duplicate payments for drugs that Part D beneficiaries receive while in hospice. The new rule, which required Part D plans to place prior authorizations on all drugs for beneficiaries in hospice, received strong criticism. Those against the rule argued that prior authorizations would delay and reduce access to necessary drugs for beneficiaries in hospice care.

Last week, CMS revised the rule so that prior authorization is only required for pain relievers, anti-nauseants, laxatives, and anti-anxiety drugs. These drugs are generally associated with hospice treatment and should be covered by the fixed rate payments made to hospices. Part D plans will cover other drugs without additional prior authorization so that beneficiaries can have access to their medications.

Article

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s