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passiveporcupine

(8,175 posts)
31. here is another article on the retinal drugs used
Thu Apr 10, 2014, 01:52 PM
Apr 2014
http://www.washingtonpost.com/blogs/wonkblog/wp/2014/04/09/want-to-see-how-problematic-medicare-pricing-is-look-to-ophthalmology/

A dose of Avastin costs only $50. A dose of Lucentis costs $2,000. Both Avastin and Lucentis are made by the same company, and they're remarkably effective in treating a form of macular degeneration that was long the leading cause of blindness among the elderly, The Post reported. They are very similar on a molecular level and probably cost about the same amount to manufacture.
Nonetheless, doctors prescribe Lucentis almost as often as Avastin. They also make more money doing so. Medicare is legally obliged to pay for any drug a doctor prescribes, and doctors also receive commissions of 6 percent to cover their own expenses. The commission a doctor collects on each dose of Avastin would be only about $3, as opposed to $120 on each dose of Lucentis. Congress and the courts have refused to allow Medicare to save money by scrutinizing doctors' decisions.
Something is very fishy about that. fasttense Apr 2014 #1
It's my understanding that CMS is auditing hospital charges pipoman Apr 2014 #3
Before we start shooting at the doctors cosmicone Apr 2014 #6
I didn't suggest shooting them fasttense Apr 2014 #7
Right to audit is standard cosmicone Apr 2014 #9
He is a single practitioner. ForgoTheConsequence Apr 2014 #21
Using your numbers passiveporcupine Apr 2014 #19
He is not doing cataracts he is a retinal specialist GusBob Apr 2014 #23
I don't care if he is delivering baby elephants passiveporcupine Apr 2014 #28
Do we know what the senator was doing in DR? pipoman Apr 2014 #2
Yes, there was a bogus claim that he slept with prostitutes CREW and others investigated the claims okaawhatever Apr 2014 #17
I worked in healthcare in Florida siligut Apr 2014 #4
My job is to find medicare fraud and abuse.... cbdo2007 Apr 2014 #12
Thank you for the work you do siligut Apr 2014 #15
Is this Medicare Datebase report available anywhere? pangaia Apr 2014 #5
Here PADemD Apr 2014 #10
How does one make that much money in a year? SmittynMo Apr 2014 #8
The highest paid MLB players make MORE than that.. pangaia Apr 2014 #11
The payment Sgent Apr 2014 #16
I'd add another point. Igel Apr 2014 #18
Top earners are ophthalmologists mainer Apr 2014 #13
As the article indicates, I think its retina more than cataract GusBob Apr 2014 #14
here is another article on the retinal drugs used passiveporcupine Apr 2014 #31
I was thinking that very same thing RebelOne Apr 2014 #27
As someone else pointed out, the $'s from Macular Degeneration mainer Apr 2014 #30
Dr. Salomon Melgen appears to be quite the operator (or crook). ForgoTheConsequence Apr 2014 #20
This doesn't look good.... ForgoTheConsequence Apr 2014 #22
OK, this is misleading. Those billings include the price of the drug. mainer Apr 2014 #24
$21 million? No wonder that dude is smiling (nt) Nye Bevan Apr 2014 #25
He looks like he went to the Mustang Ranch warrant46 Apr 2014 #26
Message auto-removed Name removed Apr 2014 #29
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