GAO Study Looks at How Medicare Part D Sponsors and CMS Handle Drug Coverage Requests
"Medicare Part D: Plan Sponsors' Processing and CMS Monitoring of Drug Coverage Requests Could Be Improved," Government Accountability Office: The report reviews the processes and criteria that Medicare prescription drug benefit plans use to make coverage decisions, as well as the processes for appealing coverage denials and the approval rates of those appeals. In addition, GAO examines CMS' efforts to inform the public about plans' performance and oversee plans' processes (GAO study highlights, January 2008).
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