tci Medicare Compliance & Reimbursement - 2016 Issue 7

Part D: Are You Part of the 'Opioid Epidemic?' Get Ready for Big Changes

Stakeholders also dislike PDMP review requirement in another proposed rule. The Centers for Medicare & Medicaid Services (CMS) is cracking down on overprescribing of opioids, and Medicare Part D plans may soon implement logjams at the point-of-sale (POS) for these controlled drugs. Here’s how prescribing, dispensing, and paying for opioids could change by next year. CMS has been working hard at tackling the “growing opioid epidemic.” On Feb. 19, CMS released proposed updates to the Medicare Advantage (MA) and Part D programs through the 2017 Advance Notice and Draft Call Letter. Among the many updates in...

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