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Initially obamacare rules denied ALL meds to those in hospices, now they revised their guidelines and are “only” denying pain medications

Related article on FR:

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 5:36:26 AM PDT by Innovative ("Winning isn't everything, it's the only thing." -- Vince Lombardi)
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To: Innovative

A few more to add to your collection.

DOD MANDATE is forcing us to use either Base whose drugs are limited by size of base and is not wheel chair or handicap friendly or Express Scripts MANDATED Tricare Life. 4/14/14. Express Scripts is a sorry excuse of a provider. You never know if your order is right, what generic, what manufacture, they will over ride a DAW script at their whim or what country. All stuffed into your mail box UN PHOTO ID SIGNED FOR making them available to thieves and meth makers to steal. Or Neighborhood kids to access.
READ THE COMMENTS BEFORE YOU DECIDE TO ALLOW THEM ACCESS TO YOUR BANK OR CREDIT CARD INFO.

BECAUSE OF FED MAIL LAWS NARCOTICS CAN’T BE MAILED. I’d suggest Base use if at all possible. COUNT your pills too. Make SURE YOUR DAW is DAW, ES over rides doctor’s orders. Even if you use base dispensary CHECK before accepting, IF you must have a DAW drug.

Pentagon Outlines Increased Tricare Fee Proposal
http://www.military.com/daily-news/2014/03/05/pentagon-outlines-increased-tricare-fee-proposal.html?comp=7000023317828&rank=1

0bama to Force Military Families Away From Tricare ...By Tripling Their Fees. Patient Protection and Affordable Care Act, aka Obamacare.”

State Side Tricare Service Centers Closing April 1
http://m.military.com/daily-news/2014/01/14/stateside-tricare-service-centers-closing-april-1.html

Tricare PRIME
http://www.armytimes.com/article/20130802/BENEFITS06/308020011/DoD-silent-major-changes-Tricare-Prime
2 links
Starting Oct. 1, the Pentagon plans to reduce Tricare Prime service areas to within a 40-mile radius of active or former military installations, forcing 173,000 retirees and their family members to switch to Tricare Standard or seek a waiver if they live within 100 miles of an existing network.

The decision will affect retirees and their dependents in Prime, and those on Tricare Young Adult Prime. That totals 98,771 people in the Tricare South

Air Force MiCare
http://www.military.com/military-report/air-force-micare?ESRC=miltrep.nl

DoD silent on major changes to Tricare Prime
http://www.armytimes.com/article/20130802/BENEFITS06/308020011/DoD-silent-major-changes-Tricare-Prime

Proposed TRICARE FEE CHANGES
http://www.military.com/benefits/tricare/retiree/proposed-tricare-fee-changes.html

CBO: The military is getting squeezed for domestic spending cash
http://www.humanevents.com/2014/02/26/cbo-the-military-is-getting-squeezed-for-domestic-spending-cash/

Express Scripts Accused Of Defrauding State And Consumers Out Of Millions Of Dollars
http://www.ag.ny.gov/press-release/express-scripts-accused-defrauding-state-and-consumers-out-millions-dollars

NY attorney general sues Express Scripts, Benefits firm accused of inflating prices, keeping up to $100 Million
http://www.nbcnews.com/id/5601076/ns/business-corporate_scandals/t/ny-attorney-general-sues-express-scripts/#.U381ECh7SMQ

Express Scripts Extortion Scheme Widens
http://www.consumeraffairs.com/news04/2009/09/express_scripts_breach.html

Express Scripts complaints
http://www.consumeraffairs.com/rx/express_scripts.html

ES Customer Service ranking
http://www.customerservicescoreboard.com/Express+Scripts

Express Scripts RIP OFF
https://www.ripoffreport.com/reports/directory/express-scripts

ES buys out Medco
29 Billion
http://www.modernhealthcare.com/article/20120402/NEWS/304029961

Senior Vets should be shot
http://www.redflagnews.com/headlines/va-supervisor-older-veterans-should-be-shot-in-the-head-to-save-money


13 posted on 07/19/2014 5:53:51 AM PDT by GailA (IF you fail to keep your promises to the Military, you won't keep them to Citizens!)
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