PDF-Medicare Part D Opioid Overutilization Strategies for 2019Implementat

Topics2019 Part C and D Regulation CARA Drug Management Programs 2019 Call Letter Updates Part D Opioid Overutilization GuidanceImpact of Part D Policy Drug Management Programs Part C D RegulationCo. Overview and Updates for 2014 .      . . Sarah Pitsoulakis. sarah.pitsoulakis@drwi.org. Kate Schilling. kate.schilling@gwaar.org. Pamela . Franke. pjf@legalaction.org. Ginger . Rogers . ginger.rogers@drwi.org. . National Coalition on Health Care. October 13, 2015. Shannon M. McMahon, MPA. Deputy Secretary, Health Care Financing. Maryland Department of Health and Mental Hygiene. Shannon.McMahon@Maryland.gov. Artists Health Insurance Resource Center. www.ahirc.org. . A program of The Actors Fund. www.actorsfund.org. Presenter: . Elizabeth Tripp, Medicare Counselor . etripp@actorsfund.org. . What is Medicare?. Analgesics and Opioids. Analgesics are drugs that relieve pain without causing loss of consciousness.. Opioids are the . most effective pain relievers available.. Terminology. Opioid. . A general term defined as any drug, natural or synthetic, that . The Medicare Rights Center is a national, nonprofit. consumer service organization that works to . ensure access to affordable health care for older . adults and people with disabilities through. Counseling and advocacy. Gail Sexton; Ray Swisher; and Deme Umo, CMS. New Changes to Enrollment Rules. Enrollment for Medicare Parts C & D. Center for Medicare/Medicare Enrollment & Appeals Group, and. Medicare Medicaid Coordination Office. April 2013. CMS National Training Program. Introduction to Medicare . Medicaid and new eligibility group . Children’s Health Insurance Program (CHIP). 2. Session Topics. Health insurance for three groups of people. Seniors’ Health Insurance Information Program. Understanding Medicare. What is Medicare and who is eligible?. Four Parts of Medicare: A, B, C & D. Programs for People with Limited Income and Resources. Kentucky Opioid Response Effort: State Targeted Response (STR) State Opioid Response (SOR ) Shelly Steiner Prevention Implementation Specialist April 9, 2019 Kentucky Harm Reduction Summit Statement of Purpose Medicare Advantage and Other Medicare Health Plans WA SHIBA Version - Updated November 2018 Contents Lesson 1 —Medicare Advantage (MA) Plan Overview……………………………. Lesson 2 —Other Medicare Health Plans……………………………………………….. Joshua Blum MD. April 7, 2018. No relevant financial disclosures. Learning objectives. Utilize the latest evidence around opioid-induced hyperalgesia to mitigate negative consequences . Implement best practices around opioid rotation to manage OIH. If you have investments will it affect your Medicare coverage? Find out here what will and won\'t reduce coverage. Find out what should know before applying for Medicare, learn all the Medicare application processes Figure . 7.1 . Sources of prescription drug coverage in Medicare enrollees, by population, 2014. 2016 Annual Data Report, Vol 1, CKD, Ch . 7. 2. a The . catastrophic coverage amount is the greater of 5% of medication cost or the values shown in the chart above. In 2014, beneficiaries were charged $2.55 for those generic or preferred multisource drugs with a retail price less than $51 and 5% for those with a retail price over $51. For brand name drugs, beneficiaries paid $6.35 for those drugs with a retail price less than $127 and 5% for those with a retail price over $127. Table adapted from http://www.q1medicare.com/PartD-The-2014-Medicare-Part-D-Outlook.php. .