New Four Part Standards
[By Staff Writers]
The Centers for Medicare & Medicaid Services [CMS] finally published regulations which establish Part D electronic prescribing standards for four types of information:
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formulary and benefits,
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medication history,
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fill status notification, and
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identification of individual health care providers.
All Need Not Comply
Drug prescribers, dispensers and plan sponsors are not required to implement e-prescribing under Part D.
But, those who do must comply with the new Medicare standards when using e-prescribing to send prescriptions and prescription related information for covered drugs prescribed for Part D eligible individuals.
Assessment
These new standards supplement the 2006 “foundation” standards that first addressed the exchange of Part D information related to eligibility inquiries and responses; new prescriptions; and changes, renewals, and cancellations of existing prescriptions; according to the Health Industry Watch, in Washington, DC.
Conclusion
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Filed under: Information Technology |
EMRs at Kaiser
Did you know that the medical charts of nearly 9 million Kaiser Permanente patients, in nine states, are now electronically archived?
The plan’s HealthConnect electronic medical record system (EMRS) just completed a four-year launch. Installation cost $4 billion, including $1 billion for maintenance.
Staff Reporters
Medical Executive-Post
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Distribution of Payer Rejection of Retail Prescriptions by Reasons
-Quantity Limits – 5.3 %
-Prior Authorization Required – 11.7 %
-Not Covered – 12.0 %
-Step Edits – 20.4 %
-Re fill Too Soon – 30.8 %
-All Other – 19.9 %
Source: IMS Institute for Healthcare Informatics
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Medicare Modernization Act Six Classes of Drugs Required to be Included in Medicare Part D
1. Immunosuppressants
2. Anticonvulsants
3. Antineoplastics
4. Antidepressants
5. Antipsychotics
6. Antiretrovirals
Source: Mondaq
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Medicare Part D adherence gains eroding
Ann – After improvements in affordability, more beneficiaries are having trouble paying for their medications.
http://medicaleconomics.modernmedicine.com/medical-economics/news/medicare-part-d-adherence-gains-eroding-study
Scott
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Biggest Price Increases: Medicare Part D (drugs patients administer themselves)
1. Cozaar, high blood pressure, 491 percent increase, to $3.22 per unit, total spending of $6.7 million
2. Epitol, used to prevent seizures, 451 percent increase, $0.52 cents per unit, total spending of $6.6 million
3. Zestril, high blood pressure, 405 percent increase, $7.44 cost per unit, total spending of $4.9 million
Source: CMS via STAT
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