tci Medicare Compliance & Reimbursement - 2004 Issue 38

Senators Push For Oral Cancer Coverage Sooner Than 2006

The Senate report also urged CMS to address the "unintended consequences" of current reimbursement policies that don't cover oral anti-cancer therapies under Medicare Part B. Medicare only covers cancer drugs that a physician administers, which bars access to some potent therapies.But cancer providers and oncology societies express puzzlement about this language in the Senate report, because the Medicare Part D prescription drug program that takes effect next year will cover oral medications. ...

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