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HFMA News - Complaints About Medicare Prescription Drug Benefit Declined by About 74 Percent Between 2006, October 2007: GAO Report

HFMA NEWS


Wednesday, July 30, 2008
Complaints About Medicare Prescription Drug Benefit Declined by About 74 Percent Between 2006, October 2007: GAO Report

The monthly rate of complaints from Medicare beneficiaries about the prescription drug benefit decreased by 74 percent during the 18-month period that ended on Oct. 31, 2007, according to a report recently released by the Government Accountability Office (GAO). For the report, GAO examined almost 630,000 complaints filed with the Centers for Medicare and Medicaid Services (CMS) during the review period. The monthly rate of complaints decreased from a peak of 2.86 complaints per 1,000 Medicare beneficiaries in May 2006 to 0.73 in October 2007, and the time needed to resolve complaints decreased from 33 days to nine days, the report found.

However, the report found that CMS did not resolve many of the most important complaints--those that involve Medicare beneficiaries who might exhaust their supplies of necessary medications--in an adequate amount of time. According to the report, CMS should resolve complaints that involve Medicare beneficiaries who have less than a two-day supply of necessary medications within two calendar days, but the agency on average took 12 days to resolve such complaints. Read the report.

posted on 7/30/2008 7:22:17 AM (CST)  Permalink