The
Fight
To Protect
Medicare
Part B

The Part B Access for Seniors and Physicians Coalition is opposed to harmful changes to the program that would:

Exacerbate health care consolidation: As Medicare reimbursements for complex medicines have declined, a growing number of oncology practices have closed or consolidated with the local hospital. This makes care more expensive and less convenient for patients. Medicare policies should not further drive this consolidation.

Increase access restrictions: Patients should not face long travel times, higher out-of-pocket costs, or undue utilization management techniques in order to receive the therapies their physicians determine are most appropriate.

Decrease choice of therapy: The conditions treated by Part B therapies are incredibly complex. Seniors have often already tried several treatments before becoming stable on a particular therapy. The government should not come between doctors and their patients by restricting choice and driving one-size-fits all therapy decisions.

Stifle future innovation: Some of the most exciting new therapies in development are physician-administered treatments for cancer and other serious conditions that will be covered by Part B. Medicare policies should not hinder the development of new treatment advances that can extend life and improve quality of life for seniors.

What is Part B and how does it work?

In addition to providing coverage for physician office visits, outpatient services, and other routine care, Medicare Part B covers approximately 600 medicines, administered in hospital outpatient departments, in physician offices, in the home, or at dialysis centers. Because of the complexity of many Part B medicines and the special handling that is often required, health care providers purchase these medicines and store them at their practices until they are needed by a patient. When a patient receives treatment, Medicare then reimburses providers at a market-based rate. This rate is broadly recognized as providing a fair reimbursement to providers, who incur a number of overhead costs to maintain an inventory of these medicines. However, the reimbursement rate has been eroded overtime, and small and rural providers in particular may still struggle to purchase medicines at the Medicare rate.

Part B Resources

Download information about Medicare Part B and how these proposed changes could negatively affect your family.

Latest News

Limiting patient choice is the wrong way to address high drug prices

The Hill, By David I. Daikh and Ralph L. Sacco (op-ed), April 10, 2018

Doctors Push Lawmakers To Give CMS More Time To Ramp Up MIPS

Inside Health Policy, By Michelle M. Stein , October 25, 2017

Protect Medicare Part B For America’s Seniors

The Hill, By Sharad Lakhanpal, MBBS, MD (op-ed), June 26, 2017

A Move To Shift Part B Rx Into Part D Would Anger Oncologists, Cancer Patients

Inside Health Policy, By John Wilkerson, May 19, 2017

Medicare Part B Reforms Threaten California’s Sickest Patients: Guest Commentary

Los Angeles Daily News, By Carolynn Martin (op-ed), April 21, 2017

MedPAC Votes For Draft Recommendations To Curb Part B Drug Prices

Inside Health Policy, By John Wilkerson, April 13, 2017

Medicare Advisers Recommend Drug Payment Reforms

PoliticoPro, By Brent Griffiths, April 6, 2017

MedPAC Recommends New Part B Pricing System

MedPage Today, By Joyce Frieden, April 6, 2017

Oncologist Org Opposes MedPAC Medicare Reimbursement Changes

RevCycle Intelligence, By Jacqueline Belliveau, March 29, 2017

Read more

Tell Congress
To Protect
Medicare Part B!

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