tci Medicare Compliance & Reimbursement - 2004 Issue 35

Oncology: Oncologists Lack Info To Prepare For The Worst

Docs won't know details of looming treatment cuts until late this year.The suspense is killing oncologists. So far, the Centers for Medicare & Medicaid Services has released incomplete and out-of-date information on the fate of a thousand cuts it will to deal to cancer treatments next year. For one thing, CMS included first-quarter numbers for average sales price, according to Deborah Kamin, senior director of cancer policy and clinical affairs with the American Society for Clinical Oncology (ASCO). The actual payment rates for oncology drugs will be based on 106 percent of third-quarter ASP numbers, not first-quarter numbers...

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