Medicare Part D: Some Plan Sponsors Have Not Completely Implemented Fraud and Abuse Programs, and CMS Oversight Has Been Limited

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DIANE Publishing, 2009 - 38 pages
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The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit, known as Medicare Part D. The Centers for Medicare and Medicaid Services (CMS) contracts with private companies to serve as Part D sponsors and administer the Part D prescription drug benefit plans. The MMA requires Part D sponsors to implement programs to control for fraud and abuse. This report examines: (1) the extent to which certain Part D sponsors have implemented programs to control fraud, waste, and abuse; and (2) the extent of CMS¿s oversight of Part D sponsors¿ programs to control fraud, waste, and abuse. Includes recommendations. Charts and tables.

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