August 15, 2018 Legislation

Healthcare

Physicians

Healthcare

Medicare Advantage insurers have been the first to get the green light to negotiate with drugmakers on price.  This is the first step in the reduction of cost to the fed med programs.  This will increase competition but will have some rules attached.  Patients will have to do step therapy; use a cheaper drug first and then the more expensive one.   If drug companies do not want people to try the new cheaper drugs of other manufacturers they will need to reduce their own cost to purchase the meds.    This will only be for new prescriptions not for people who already use the drug.  Plans will be required to pass on at least half the savings to the patients by the use of gift cars or other rewards.

It is about time!!! CMS will require security risk analysis in order for practices to get interoperability performance under HIPAA.

China has ordered the recall of of the defective vaccines from overseas markets.  The drug manufacturer had mixed old expired fluids in its vaccines and falsified records.        Top

Physicians

The California Medical Board has begun an investigation of Dr. Carolyn Rose of Mariposa for over-prescribing controlled drugs.  The new CURES data base had raised concerns about her prescribing.          Top

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DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented.