Description |
1 online resource (ii, 27 p.) : ill., map |
Note |
Title from PDF title screen (viewed Nov. 29, 2011). |
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"September 2011." |
Summary |
In 2009, GAO reported on doctor shopping in Medicaid, where individuals see several doctors and pharmacies, receiving more of a drug than was intended by any single physician. Questions have been raised about whether similar activity exists in Medicare Part D. GAO was asked to (1) determine the extent to which Medicare beneficiaries obtained frequently abused drugs from multiple prescribers, (2) identify examples of doctor shopping activity, and (3) determine the actions taken by the Centers for Medicare & Medicaid Services (CMS) to limit access to drugs for known abusers. To meet the objectives, GAO analyzed Medicare Part D claims for calendar year 2008 to identify potential doctor shoppers. To identify examples, GAO chose a nonrepresentative selection of 10 beneficiaries based on a number of factors, including the number of prescribers. GAO also interviewed policy officials from CMS and from prescription drug plans that administer the drug benefit program. |
Bibliography |
Includes bibliographical references. |
Note |
"GAO-11-699." |
File Type |
Text in PDF format. |
System Details |
Mode of access: World Wide Web. |
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System requirements: Adobe Acrobat reader. |
Subject |
Medication abuse -- United States.
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Fraud -- United States.
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Pharmaceutical services insurance -- United States.
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Older people -- Pharmaceutical assistance -- United States.
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Medicare.
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Medicare Part D -- organization & administration. |
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Medicare Part D -- legislation & jurisprudence. |
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Substance-Related Disorders -- prevention & control -- United States. |
Added Title |
Instances of questionable access to prescription drugs |
Running Title |
Questionable access to prescription drugs |
Gpo Item No. |
0546-D (online) |
Sudoc No. |
GA 1.13:GAO-11-699 |
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