CMS seeks systems to coordinate Medicare drug benefit costs
- By Mary Mosquera
- Mar 04, 2005
The Centers for Medicare and Medicaid Services posted a request for proposals to create a process to track seniors' out-of-pocket expenses under Medicare's new Part D drug benefit.
Medicare must be able to collect data from pharmacies, insurers, drug plans and other third-party payers to calculate what senior enrollees have truly paid out in drug costs, said CMS, an agency of the Health and Human Services Department. CMS' RFP
was posted yesterday on FedBizOpps.
The contractor will coordinate enrollment file sharing, claims processing and payment, and application of protections against high out-of-pocket expenditures by tracking seniors' drug costs and the annual out-of-pocket threshold.
The contract has a duration of one base year beginning May 15, with three one-year options. Proposals are due April 1.
Mary Mosquera is a reporter for Federal Computer Week.