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| Sample Newsletters | MarketPlace AIS Products & Services |
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The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 is expected to have a huge, highly favorable impact on health plans, PBMs, providers and other health care organizations. It contains numerous enticements, including much higher reimbursement rates and an authorization for regional PPOs. It also creates terrific new revenue opportunities for PBMs and pharmaceutical producers. The Act is long and complicated, but its provisions have a major impact on every type of provider. From the new prescription drug benefit provisions, to significant changes in the payment for drugs and biologicals under OPPS, to revision of how to appeal a Medicare claim denial — all of these issues and much more is contained in the 678-page Medicare legislation and explained in the 403-page Conference report from the House and Senate conference committee. Those 1,000+ pages are intimidating, but the Guide to Medicare Reform Law: Overview and Highlights for Health Plans, Hospitals and Providers has done the work for you. AIS reporters and editors have combed all the pages and extracted summaries and explanations of the present law and the legislative changes. We've organized the information into an easy-to-read format and added a detailed table of contents for each of the 12 titles of the Act, which will get you to where you want to go — quickly.
(Highlights from the detailed Table of Contents in the printed report.) TITLE I: Medicare Prescription Drug Benefit
TITLE
II: Medicare Advantage
TITLE III: Combatting Waste, Fraud and Abuse TITLE IV: Rural Provisions
TITLE V: Provisions Relating to Part A
TITLE VI: Provisions Relating to Part B
TITLE VII: Provisions Relating to Parts A and B
TITLE VIII: Cost Containment
TITLE IX: Administrative Improvements, Regulatory Reduction and Contracting Reform
TITLE X: Medicaid and Miscellaneous Provisions
TITLE XI: Access to Affordable Pharmaceuticals
TITLE XII: Tax Incentives for Health and Retirement Security
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Managed
Medicare and Medicaid Factbook
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