Based on recent government reports, Medicare overpaid an estimated $529 million for anti-anemia drugs used in kidney dialysis treatement for years. As a result, kidney dialysis centers could see a 9.4% reduction in Medicare payments starting in 2014. The Wall Street Journal reports:
Kidney dialysis centers owned by DaVita Healthcare Partners Inc. (DVA) and Fresenius Medical Care AG (FMS, FME.XE) could receive 9.4% less in Medicare payments, starting in 2014, based on new rates proposed by the federal government.
News of the possible rate cuts, which came late Monday, sent shares of DaVita falling 8.4% to $111 in after-hours trading and shares of Fresenius down 3 cents to $35.47. While lower rates were expected from the Centers for Medicare and Medicaid Services, the proposed reductions were higher than some expected.
The proposed rates are open to public comment until Aug. 30, with a final ruling expected later this year.
Based on government reports, Medicare for years has overpaid for the anti-anemia drugs used in the treatment of kidney dialysis patients. One recent estimate said Medicare paid $529 million more than it should have in 2011 for the drugs made by Amgen Inc. (AMGN) and others.
Read the full story here: http://on.wsj.com/1ayEc5m
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
Read More
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
Listen
Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
Read More