We are enforcing compliance with plan contracts, including call responsiveness, formulary requirements, appeals processes, and pharmacy contracting. |
We are supporting that effort through modifications in our payment system by not following the usual and standard Medicare and Medicaid rules, |
We don't need legislation. The bottom line is that states that work with us to complete the transition to the Medicare drug coverage effectively for their beneficiaries will be reimbursed. |
We expect the states to work with us and agree to turn off their Medicaid reimbursement systems and return to the Medicare system by Feb. 15. But we may be able to extend that date for certain specific states. |
We had more than 1 million people sign up in the first four weeks of the program. For a voluntary program, with a six-month enrollment period, that is extraordinary. |
We have to start now building on the progress we have already made to make Medicare sustainable. The best way to do that is to pay for the kind of care that we want, and not just paying more for more services and complications. |
We saw some long wait times. |
We want to focus our assistance on displaced workers. We're willing to negotiate the details. |
We want to make sure people get the support that they need, |
We will reduce the wait times for beneficiaries and pharmacists in order to avoid any beneficiary leaving the pharmacy without prescriptions. |
We're definitely going to be ahead of the January predictions. |
We're going to help people get a good fit. |
We're sending a strong and clear signal |
We're very much on track for meeting that goal. |
We've got 8 million people who have enrolled in coverage on their own ... and we are seeing only a low rate of these kind of billing issues. |