The Obama administration’s proposal to change how doctors are reimbursed for administering some prescription medications might cover only a relatively small portion of Medicare spending on prescription medication, but that has not stopped the battle over it from growing heated.
Prescription medication costs Medicare too much money. That statement is something on which many interest groups can generally agree. Politicians on both sides of the aisle in Washington also generally agree on the issue.
However, forming a consensus on how to lower the costs has been difficult as the Obama administration is again discovering with its latest proposal to change how doctors are reimbursed for administering certain prescriptions to patients.
Currently, doctors are paid the cost of the medication plus a percentage of that cost. This gives them a financial incentive to prescribe more costly medications even when a cheaper drug is just as effective. The administration proposes an experiment to see if changing how doctors are reimbursed to lessen that financial incentive will lead to lower costs for Medicare.
As KRQE News 13 points out in “Medicare plan on payment for cancer drugs stirs battle” this proposal has sparked a heated dispute between interest groups, including different groups of doctors.
For example, cancer doctors say the proposal will harm patients as smaller, often rural, clinics will not be able to afford to administer the drugs and could even close. On the other hand, primary care physicians are in favor of the proposal and accuse the other side of using scare tactics to turn patients against it.
The experiment has not begun yet, but it appears unlikely that the Obama administration will change its mind about it.
Reference: KRQE News 13 (April 16, 2016) “Medicare plan on payment for cancer drugs stirs battle”
I heard Cindy’s presentation at a Senior Luncheon at my church, and was very impressed. She helped my daughter and me understand many aspects of elder law. Josh has also been very helpful in my planning to enter an independent living situation . I have told many friends about them.
The very best elder law attorney and staff anyone could ever ask for! I have referred a number of clients to Cindy and she never disappoints. She is kind, caring, and extremely thorough in making sure everything is completed as it should be. I highly recommend Cindy for anyone needing lawyer services; she truly goes above and beyond for every client she helps and has had a huge impact in so many peoples’ lives. Thank you, Cindy and staff, for everything that you do- I’m so glad to know you!
Cindy and the Nelson Elder Care Law team are trustworthy and helpful. They are the experts in elder care law. At Leaf Cremation, we entrust our families to the care of the Nelson team when their services are needed.
Josh Nelson, and his staff, have been amazingly helpful to our family. The ins and outs of nursing homes, the rules and regulations that govern Medicare and Medicaid are daunting and the folks at Nelson Elder Care Law have been informative, responsive, and above all, empathetic. I cannot emphasize enough how their service has taken a weight off of our shoulders especially during a world pandemic that has targeted nursing homes across our country. I highly recommend retaining Josh and his firm!
I had a simple legal question to them that I needed answered and they very helpful in giving me the information I needed. I highly recommend them and will reach out to them if I need more advice or assistance. Thank you for taking your time to just answer a couple of questions I had!