tci Medicare Compliance & Reimbursement - 2005 Issue 24

PHARMACEUTICALS: E-Benefit Coordinaton To Coincide With New Rx Plan

NDCHealth to construct pharmacy-like electronic system for benes.The Centers for Medicare and Medicaid Services wants to start a new coordination of benefits system to help Medicare patients lower out-of-pocket drug expenses under the Medicare prescription drug benefit effective Jan. 1, 2006.CMS will contract with Atlanta-based NDCHealth to provide electronic services for the coordination of drug benefits system, according to a May 23 press release. The company will also route claims for non-Medicare drug payments back to the prescription drug plans. This new system will "combine drug payments from Medicare with payments from other sources without the...

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