Current Reading & Rules

Current Recommended Reading & Rules

In this section we post current, general articles/papers you will be interested in, as well as rules (proposed and final) issued by the Centers for Medicare & Medicaid Services (CMS) that we recommend you read.

Drug Shortages

Background article on the causes of cancer drug shortages by Dr. Patrick Cobb and Ted Okon.

Article on fixing the drug shortages by Dr. Patrick Cobb and Ted Okon.

Testimony given to Congress by Ted Okon on the drug shortages crisis.

Testimony given to Congress by Dr. Patrick Cobb on the drug shortages crisis.

Cost of Cancer Care

Click here to download a copy of the Avalere study, Total Cost of Cancer Care by Site of Service: Physician Office vs Outpatient Hospital, on the cost of cancer care to patients and private payers.

Click here to download a copy of the Milliman study on the Site of Service Cost Differences for Medicare Patients Receiving Chemotherapy (Medicare) in practices versus hospital outpatient facilities.

COA Community Oncology Practice Impact Report

Click here to download a copy of the 2013 COA Community Oncology Practice Impact Report.

SGR

MedPAC's recommendation to the Congress on fixing the SGR -- Read the summary here and access the full report here.

Click here to read the Congressional Budget Office (CBO) analysis of the alternatives to fixing the Medicare sustainable growth rate (SGR) formula.

340B Program

Congress is investigating oversight and possible abuse of the 340B discount program. There were 3 letters sent to PhRMA/BIO, Apexus, and SNHPA from members.

Overview on the 340B program from OBR.

The Office of the Inspector General (OIG) issued a report on 340B drug pricing relating to state Medicaid programs. Click here to access the report.

Other Recommended Reading

Overview on the Independent Payment Advisory Board (IPAB) from an NEJM article.

The OIG has issued a report on changing Medicaid drug reimbursement policy with the phase-out of AWPs being reported by First DataBank in September 2011.

Click here to read the preliminary proposal from the Gang of 6 on debt reduction.

Click here to access the 2011 Cancer Facts & Figures published by the American Cancer Society.

Interesting review paper and suggestions regarding the Independent Payment Advisory Board.

Want to learn more about the insurance exchanges created by the health care reform law? Here is a good overview article.

Rules from CMS

Click here to access the proposed rule on the Medicare 2012 Physician Fee Schedule.

Click here to access the Medicare 2012 OPPS proposed rule.

Click here to access the HHS/CMS proposed rule on ACOs. Click here to access the final ACO rule and here to see a comparison between the two rules.

Click here to access the proposed rule releasing Medicare data to "qualified entities" to produce performance scores on individual physicians and other providers.

Click here to access the HHS/CMS proposed rule on informing patients on who has access to their medical records.

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