Regulation of Medicare Part D Plans covers all of the fundamental elements of the Part D legal and regulatory scheme as it pertains to Part D plan sponsors.
As the healthcare industry prepares to mark the program's tenth anniversary, this book addresses the fundamental elements of the Part D benefit, including:
- Part D covered drugs
- The standard vs. enhanced benefit
- Eligibility and enrollment
- The coverage gap discount program
- Appeals and grievances
- Coordination of benefits
- Employer groups
- Program integrity/fraud, oversight
The text is written by health lawyers with expertise in this field who add perspective from the plan's first nine years, noting that program participation has been high, access to prescription drugs for seniors has improved, the cost of Part D has been lower than expected, administration of the Part D benefit has stabilized, and those at CMS responsible for oversight of the program have become more experienced at coordinating to offer this unique benefit.
Regulation of Medicare Part D Plans is an essential and valuable resource for lawyers and professionals who work with Part D plans.