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Rx & Specialty Providers
WASHINGTON-Providers say they're hesitant to submit proposals for CMS's disease management (DSM) demonstration project because the recently released RFP includes full prescription drug coverage.
"It's not pure disease management, and if we're going to do it, we're going to have to find some sort of partner to provide the drugs," said Bob Stone, executive v.p. of the Nashville, Tenn.-based American Healthways. "We're trying to figure how well that's going to work."
In the Feb. 22 Federal Register, CMS announced that, per the Benefits Improvement and Protection Act (BIPA) of 2000, it would hold a three-year demonstration project for the disease management of the chronically ill. Providers have until May 23 to submit proposals...