tci Part B Insider - 2003 Issue 20

CMS Threatens 4 Ways for Oncologists to Suffer - Drugs Could Drop 15 Percent per Year

Choose your poison. The Centers for Medicare & Medicaid Services laid out four different ways that it could slash physician payments for drugs they dispense, and each of four recipes adds up to doom. Medicare now pays physicians 95 percent of the average wholesale price for drugs. Since drugmakers can claim any price they like for their drugs and Medicare will use it to set payments, allegations of price-fixing have led to lawsuits and calls for steep cuts. So CMS proposed four plans in the Aug. 20 Federal Register:1. Insurance comparison. Under this method, CMS would set Medicare drug...

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