tci Part B Insider - 2003 Issue 31

Drug Reimbursement: If Medicare Bill Falls, AWP Rule Will Emerge Quickly

Medicare reform bill appears stalled, negotiators "agree to disagree" If a Medicare prescription-drug bill doesn't emerge from Congress this year, the Centers for Medicare & Medicaid Services will be "pretty quick" to issue a new rule dumping the so-called Average Wholesale Price system of paying for outpatient drugs, CMS Administrator Tom Scully told reporters Nov. 5.  "There's no substantive reason not to do it" - patients won't be hurt - he said. "The only question is how much money to put back into practice expense" to compensate physicians for administering the drugs. Congressional Medicare negotiators aren't giving...

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