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To: Innovative

Also see these articles which discuss that another new rule denied ALL Medicare drug payment to patients in hospices, then after an outcry, now they are “only” denying it for pain medications, expecting hospices to pick up the tab.

U.S. Medicare program scales back hospice drugs restrictions

http://www.freerepublic.com/focus/f-news/3182342/posts

Medicare Modifies Controversial Hospice Drug Rule (won’t pay for pain relief pills)

http://www.freerepublic.com/focus/f-news/3182318/posts

See also:

Medicare Seeks To Stop Overpayments For Hospice Patients’ Drugs

May 1, 2014

http://www.kaiserhealthnews.org/stories/2014/may/01/new-medicare-procedures-seek-to-stop-overpayment-of-drugs-for-hospice-patients.aspx

“”Instead of leaving it to insurers and hospice providers to identify the drugs they are responsible for, the new rule sets up a process that requires Part D plans to reject initially any prescription from a hospice patient. The patient or doctor, with the hospice provider’s agreement, must explain to the insurer why the drug is not related to end-of-life care. The insurer may deny coverage for a number of reasons, including if the doctor or hospice did not explain sufficiently why the drug was unrelated to the terminal illness, Medicare officials told hospice organizations and insurers” “


2 posted on 07/19/2014 6:47:12 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: Innovative

WTH is that? Pain relief is what hospice DOES. Morphine is their stock & trade in helping the dying.


4 posted on 07/19/2014 6:56:40 AM PDT by nuconvert ( Khomeini promised change too // Hail, Chairman O)
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