[Guidance Overview] CMS Requests Comments on Proposed Changes to RDS Subsidy Calculation

[Guidance Overview] CMS Requests Comments on Proposed Changes to RDS Subsidy Calculation
Excerpt: “The Centers for Medicare & Medicaid Services (CMS) is concerned that certain new requirements it has established for Medicare Part D plans (i.e., reporting the pass-through prices instead of lock-in prices, and treating amounts retained by the pharmacy benefit manager or other intermediary contracting organization as administrative costs) will, if applied to the retiree drug subsidy program, induce employers to terminate their programs or place their retirees in a Part D plan because of the reduced subsidy. As a result, CMS has postponed applying these changes to the retiree drug subsidy program and is requesting further comments. 74 Federal Register 1494 & 1550 (January 26, 2009).” (Deloitte LLP via BenefitsLink.com)
Source: benefitslink.com

Medicaid under review – Baton Rouge Advocate
Private health-care providers who treat Louisiana’s poor are facing a $180 million cut in the government health insurance program that pays them. The amount is far less than originally expected. But the cut’s impact will be hard to measure until …
Source: www.2theadvocate.com

CMS Issues Retiree Drug Subsidy User Guide and New FAQs
Excerpt: “Employers applying for the Medicare Part D retiree drug subsidy (RDS) now have additional resources on the RDS application and reconciliation process. CMS has issued a new RDS User Guide, which includes information from many how-to documents on its website. The agency also has released eight frequently asked questions addressing how to correct submitted drug costs, payment requests or retiree lists after an application has completed reconciliation.” (Mercer LLC)
Source: us.select.mercer.com

Some kids hit with Medicaid cut – Omaha World-Herald
Some Nebraska children are losing Medicaid funding for a specialized level of behavioral health care even though the state will continue paying for the same treatment for children who are state wards. State officials expect the loss in funding …
Source: www.omaha.com

Drug deal may be bad trip for Democrats – Politico.com
A Senate-side deal last month with drug manufacturers is coming back to bite House Democrats looking for savings to pay for their own health care reform bill this summer. Having struck a bargain with Senate Finance Committee Chairman Max Baucus (D …
Source: www.politico.com

Federal government to pay good share of state’s Medicaid’s costs (Arkansas News Bureau)
LITTLE ROCK — The federal government will pay a larger share of the cost of Medicaid in Arkansas, thanks to increased funding in the economic stimulus package.
Source: arkansasnews.com

Walgreens extends Medicaid deadline by 30 days in effort to resolve impasse with state (The Delaware Business Ledger)
Delaware’s Medicaid participants who get their prescriptions filled at Walgreens now have an additional 30 days to do so, if they choose.
Source: www.ledgerdelaware.com

Proposed care cuts prompt fight – Raleigh News & Observer
Two distinct narratives are at war in a controversy over whether North Carolina should cut as much as $100 million over two years from in-home care for older and disabled people. Called personal care services, the program cost the state more than …
Source: www.newsobserver.com

[Guidance Overview] Recent Legislation Requires Numerous Changes to Group Health Plans
Material covered includes coordination with SCHIP and Medicaid and New Privacy Restrictions in the Stimulus Package. (Troutman Sanders LLP)
Source: www.troutmansanders.com

Medicaid: Problem after problem (Northeast Mississippi Daily Journal)
JACKSON – Mississippi’s more than 600,000 Medicaid recipients were carried to the brink Tuesday by the Legislature and Gov. Haley Barbour.
Source: nems360.com

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