TITLE

Spending, Beneficiary Cost Sharing, and Cost-Containment Efforts for High-Cost Drugs Eligible for a Specialty Tier

PUB. DATE
March 2010
SOURCE
GAO Reports;3/1/2010, preceding p1
SOURCE TYPE
Government Document
DOC. TYPE
Article
ABSTRACT
The article focuses on a study conducted by the U.S. Government Accountability Office (GAO) which explored the spending and the levels of beneficiary cost sharing for high-cost drugs eligible for a specialty tier. In order to achieve the desired results of the study, GAO examined data and interviewed officials from the Centers for Medicare & Medicaid Services (CMS). GAO found that immunosuppressant and antiviral drugs are the most common specialty tier-eligible drugs.
ACCESSION #
48809354

 

Related Articles

  • MEDICAID: State and Federal Actions Have Been Taken to Improve Children's Access to Dental Services, but Gaps Remain.  // GAO Reports;10/7/2009, preceding p1 

    The article presents a report by the U.S. Government Accountability Office (GAO) which examines the state strategies and Centers for Medicare and Medicaid Services (CMS) actions since 2007 to improve access to dental care for children in Medicaid and surveyed all state Medicaid programs. These...

  • Fraud, CMS cost Medicaid: GAO. Taylor, Mark // Modern Healthcare;8/23/2004, Vol. 34 Issue 34, p14 

    Reports that state Medicaid programs lost substantial amount of money to fraud and abuse and the U.S. Center for Medicare and Medicaid Services' (CMS) oversight of state program integrity efforts may be insufficient, according to the Government Accountability Office (GAO). Description of...

  • CMS oversight on care contracts faulted in report. Pecquet, Julian // Hill;8/5/2010, Vol. 17 Issue 94, p13 

    The article offers information on a report by the U.S. Government Accountability Office (GAO) which discovered the Centers for Medicare and Medicaid Services (CMS) that oversees Medicaid approved managed-care contracts that might not have met federal requirements.

  • IMPROPER PAYMENTS TOTAL $48 BILLION.  // Medical Economics;9/25/2011, Vol. 88 Issue 18, p10 

    The article reports on the percentage of improper Medicare payments in the U.S. in 2011, according to the data from the Centers for Medicare and Medicaid Services (CMS) and Government Accountability Office (GAO).

  • CMS Urged to Make Changes to Improve Medicare Physician Feedback Program.  // American Family Physician;9/15/2011, Vol. 84 Issue 6, p608 

    The article discusses the recommendations of the Government Accountability Office (GAO) to the Centers for Medicare and Medicaid Services (CMS) for the improvement of the program of Medicare physician feedback including the use of methodological approaches for increasing physician eligibility.

  • Expanded Federal Role Presents Challenges to and Opportunities for Assisting States.  // GAO Reports;12/8/2011, Special section p1 

    The article presents the U.S. Government Accountability Office (GAO) testimony on how the Centers for Medicare and Medicaid Services' (CMS) expanded role poses challenges and opportunities for supporting states. It is discussed that the major difficulty CMS faces is ensuring effective...

  • MEDICARE SECONDARY PAYER. King, Kathleen M. // GAO Reports;4/3/2012, preceding p1 

    The article presents information on a study conducted by the U.S. Government Accountability Office regarding the lapses on part of the U.S. Centers for Medicare and Medicaid Services (CMS) in making payments in Medicare Secondary Payer (MSP) situations to insurers including non-group health...

  • MEDICARE PROGRAM INTEGRITY: Increasing Consistency of Contractor Requirements May Improve Administrative Efficiency.  // GAO Reports;8/22/2013, preceding pi 

    The article focuses on a study conducted by the U.S. Congress investigative arm the Government Accountability Office (GAO), to determine the efficiency of contractors used by the Centers for Medicare & Medicaid Services of the U.S., to conduct postpayment claims reviews. The study found that...

  • GAO urges CMS to change Medicare, Medicaid audits.  // AHA News;12/14/2012, Vol. 48 Issue 25, p3 

    The article informs on a report released by the U.S. Government Accountability Office that the Centers for Medicare and Medicaid Services should avoid incorrect payments in Medicare program by strengthening use of prepayment edits and efficiencies in the National Medicaid Audit Program.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics