Hundreds of docs have dubious prescribing patterns in part D

Hundreds of docs have dubious prescribing patterns in part D
Many hundreds of general-care physicians who order drugs paid for by Medicare Part D have questionable prescribing patterns, according to a report published by the U.S. Department of Health and Human Services.

(HealthDay)—Many hundreds of general-care physicians who order drugs paid for by Medicare Part D have questionable prescribing patterns, according to a report published by the U.S. Department of Health and Human Services (HHS).

Daniel R. Levinson, the head of the Office of Inspector General for the HHS, and colleagues analyzed Prescription Drug Event records, which are submitted to the Centers for Medicare & Medicaid Services by private insurance companies (sponsors) for each dispensed to beneficiaries. Records for all drugs billed in 2009 were analyzed.

According to the report, in 2009, more than one million individual prescribers ordered drugs paid for by part D, with wide variation by specialty. Questionable prescribing patterns were observed for 736 general-care physicians, including many physicians who prescribed extremely high numbers of prescriptions per beneficiary. More than half of the 736 general-care physicians ordered extremely high percentages of Schedule II or III drugs, which have potential for abuse and addiction.

"We found hundreds of general-care physicians nationwide with questionable prescribing patterns. While there may be legitimate reasons for some of this prescribing, all of these physicians warrant further scrutiny," the authors write. "These findings show the need for increased oversight of Part D."

More information: More Information

Related Stories

Medicare pay cut for doctors not in e-prescribing program

date Jan 15, 2013

(HealthDay)—Medicare-participating physicians who failed to meet the requirements for Medicare's Electronic Prescribing (eRx) Incentive Program in 2012 are being informed of their penalty for 2013, according ...

Agency: Medicare refills strong drugs despite law

date Sep 27, 2012

(AP)—A government inspector's report says Medicare routinely refilled pain pills and other medications that are barred by federal law from being renewed without a fresh prescription.

Inspector highlights psych drug use among elderly

date Nov 30, 2011

(AP) -- Government inspectors will tell lawmakers Wednesday that the Medicare health plan needs to do more to stop doctors from prescribing powerful psychiatric drugs to nursing home patients with dementia, an unapproved ...

Recommended for you

Noise from fireworks threatens young ears

date 17 hours ago

(HealthDay)—The Fourth of July weekend is a time for celebrations and beautiful fireworks displays. But, parents do need to take steps to protect their children's ears from loud fireworks, a hearing expert ...

Many new teen drivers 'crash' in simulated driving task

date 17 hours ago

(HealthDay)—Around four in 10 newly licensed teen drivers "crashed" in a simulated driving test, suggesting that many adolescents lack the skills they need to stay safe on the road, according to a new study.

Insurer Aetna to buy Humana in $35B deal

date 19 hours ago

Aetna will spend about $35 billion to buy rival Humana and become the latest health insurer bulking up on government business as the industry adjusts to the federal health care overhaul.

Feeling impulsive or frustrated? Take a nap

date 21 hours ago

Taking a nap may be an effective strategy to counteract impulsive behavior and to boost tolerance for frustration, according to a University of Michigan study.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.