Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG report suggests

Share this article:
Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG repor
Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG repor
Medicare appears to have paid pharmacies twice for medications taken by hospice beneficiaries, a government report found.

Medicare Part D, the Medicare program's prescription drug benefit,  paid for medications used in hospice settings — treatments that are already covered by per diem payments by Medicare Part A. Medicare Part A is the program that pays for hospice care. These payments were identified in an investigation by the Department of Health and Human Services Office of the Inspector General.

According to the report, “198,543 hospice beneficiaries received 677,022 prescription drugs through the Medicare Part D program that potentially should have been covered under the per diem payments made to hospice organizations. Part D paid pharmacies $33,638,137 for these prescription drugs, and beneficiaries paid $3,835,557 in copayments.”

The OIG recommended that the Centers for Medicare & Medicaid Services: conduct additional education efforts to hospices and pharmacies about Medicare Part D's role in paying for end-of-life care; perform more oversight operations; require sponsors to develop controls that prevent Part D from paying for drugs that are already covered under the per diem payments.

Click here to read the full OIG report.

Share this article:

More in News

ACO bill in House would waive 3-midnight requirement for skilled nursing care

Certain Accountable Care Organizations would be able to send Medicare beneficiaries to a skilled nursing facility without a prior hospital stay under a bipartisan bill recently introduced in the House of Representatives.

Increasing staff-to-patient ratios improves nurse safety, researchers find

A law setting mandatory nurse-to-patient staffing ratios has reduced the number of workplace injuries for registered nurses and licensed practical nurses in California, according to recently published findings.

Life Care Centers takes Gold in Transitions category

Life Care Centers takes Gold in Transitions category

Life Care Centers of America has won the Gold Award in the McKnight's Excellence in Technology Awards in the Transitions category.