12.17.09
Senate to Propose Closure of Part-D “Doughnut Hole”
Senate health reform efforts will include a proposal to close Medicare Part-D’s “doughnut hole,” providing better prescription drug coverage to seniors.
11.23.09
Protocols Case Management: The Beers List and How Certain Drugs May be Inappropriate for Seniors
Protocols Case Management: The Beers List and How Certain Drugs May be Inappropriate for Seniors
This blog is for informational purposes only. This information contained in his blog should not be used on specific files absent the appropriate consultations with treating physicians or other qualified individuals.
The medical community has been aware for many years that certain drugs are inappropriate for seniors (age 65+). As the body ages, it becomes less effective at breaking down drugs, and an accumulation may develop and result in adverse effects. Further, seniors often consume more medications than younger persons, and with each additional drug the potential for adverse reaction increases. Despite this well-documented issue, up to 25% of Medicare managed care patients are estimated to use at least one inappropriate medication (source: NCQA). Seniors who use these drugs incur more hospital visits and higher medical costs than seniors who don’t use the drugs. Read the rest of this entry »
06.11.09
Medicare Part D — More Options Lead to More Confusion For Seniors
A recent study by the Robert Wood Johnson Foundation found that many seniors are not choosing the lowest-cost plan appropriate for their situation. The study, to be published in August 2009, finds that the abundance of decisions becomes too complex to navigate.
04.06.09
CMS Changes Coverage Rules for PET Scans
On 4/3/09, CMS issued a decision that expanded coverage for PET (positron emission tomography) scans in the treatment of cancer patients. Under the new rule, Medicare will cover at least one PET scan for the following eleven types of cancer:
03.31.09
Organizations Support Legislation to Eliminate Two-Year Medicare Waiting Period
More than 120 organizations, who collectively form the Coalition to End the Two-Year Wait for Medicare, are strongly supporting the Ending the Medicare Disability Waiting Period Act of 2009 (H.R. 1708). The act would eliminate the two-year delay for disabled people who are waiting for Medicare coverage.
