March 25 (Bloomberg) — Dialysis centers run by DaVita HealthCare Partners Inc., Fresenius Medical Care AG and other companies aren't being paid correctly by the Medicare program because the U.S. is miscalculating drug costs, government auditors said.
A report to be released today by the Health and Human Services Department's Office of Inspector General recommended that the agency that runs Medicare recalculate its payments to dialysis centers "to reflect current trends in drug acquisition costs." Prices paid by dialysis centers for Amgen Inc.'s Epogen, the most expensive drug they use, increased at least 17 percent from 2009 to 2012, according to the report. Prices for other drugs fell, often by more than Medicare estimated.
The dialysis centers have been a focus of federal investigators who have said the medicines are overused and Medicare spends too much for them. In 2011, Medicare began paying dialysis centers a "bundled" payment for all services, including drugs, to discourage misuse of the medicines.
Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.
Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.