[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/www.amorusolaw.com\/blog\/medicare-proposes-payment-changes-for-doctors-new-york-ny-white-plains-ny\/#BlogPosting","mainEntityOfPage":"https:\/\/www.amorusolaw.com\/blog\/medicare-proposes-payment-changes-for-doctors-new-york-ny-white-plains-ny\/","headline":"Medicare Proposes Payment Changes for Doctors","name":"Medicare Proposes Payment Changes for Doctors","description":"New Medicare rules will reduce the $20 billion payments to doctors for administering prescription medications. Medicare Part B reimburses doctors for administering prescription medication to a patient in a doctor’s office or hospital outpatient facility for the cost of the drug plus an additional 6%. Because the more expensive the medication the more the doctor […]","datePublished":"2016-04-06","dateModified":"2023-08-06","author":{"@type":"Person","@id":"https:\/\/www.amorusolaw.com\/blog\/author\/amorusolaw\/#Person","name":"Amoruso & Amoruso LLP","url":"https:\/\/www.amorusolaw.com\/blog\/author\/amorusolaw\/","identifier":5,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/12de032c04195e9c39a06a6d6eea182f7b4fa655c20e245f8094a244b5cdd0cb?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/12de032c04195e9c39a06a6d6eea182f7b4fa655c20e245f8094a244b5cdd0cb?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Amoruso & Amoruso LLP","logo":{"@type":"ImageObject","@id":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/amoruso-logo.svg","url":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/amoruso-logo.svg","width":0,"height":0}},"image":{"@type":"ImageObject","@id":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/04\/6a01901dd0a082970b01b8d1b76cf7.jpg","url":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/04\/6a01901dd0a082970b01b8d1b76cf7.jpg","height":565,"width":850},"url":"https:\/\/www.amorusolaw.com\/blog\/medicare-proposes-payment-changes-for-doctors-new-york-ny-white-plains-ny\/","about":["Elder Care","Elder Law","Medicare","Prescription Drugs"],"wordCount":252,"keywords":["Elder Care","Elder Law","Medicare","Prescription Drugs"],"articleBody":"New Medicare rules will reduce the $20 billion payments to doctors for administering prescription medications.Medicare Part B reimburses doctors for administering prescription medication to a patient in a doctor’s office or hospital outpatient facility for the cost of the drug plus an additional 6%.Because the more expensive the medication the more the doctor is paid, the doctors have an obvious incentive to use expensive medications even when a cheaper alternative is just as effective. This hurts patients who are required to make co-payments.To change this incentive and lower costs Bankrate reports that Medicare is proposing new rules in “Medicare prods docs to prescribe cheaper drugs.”The proposed changes include:Lowering the amount doctors are reimbursed from the current 6% to 2.5% to give less incentive to use expensive medications.Eliminate or reduce patient cost-sharing so patients are not financially hurt when doctors prescribe more expensive medications.Introduce a new payment structure that depends on the effectiveness of a medication. The more effective a medication the more doctors would be reimbursed for using it. In turn, this would give them a financial incentive to administer cheaper, better medications.It is important to note that these proposed rule changes are not yet in effect. They also do not effect Medicare Part D prescriptions that are not administered by doctors.Public comments on the proposal are being accepted through May 9, 2016.Reference: Bankrate (March 15, 2016) “Medicare prods docs to prescribe cheaper drugs.”For more information on elder law and estate planning, please visit my estate planning website."},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Blog","item":"https:\/\/www.amorusolaw.com\/blog\/#breadcrumbitem"},{"@type":"ListItem","position":2,"name":"Medicare Proposes Payment Changes for Doctors","item":"https:\/\/www.amorusolaw.com\/blog\/medicare-proposes-payment-changes-for-doctors-new-york-ny-white-plains-ny\/#breadcrumbitem"}]}]