When Wisconsin geriatrician Michael L. Malone
, MD, recently prescribed a Lidocaine patch for a frail elderly patient with multiple comorbidities, the patient's new Medicare Part D plan denied coverage.That denial set off a frustrating chain of events that was still unresolved 48 hours later."By the time you make the calls, fill out forms and wait for faxes, it's anywhere from 30 minutes to an hour of 'person time'--and for our clinical program, that's several times a day," said Dr. Malone, medical director of Aurora Senior Services in Milwaukee and head of geriatrics at Aurora Sinai Medical Center.
To streamline that process, his
six-geriatrician office has tapped into its experience to compile its own tip sheet for surviving Part D, the Medicare drug benefit that debuted this year. (See "Advice from the trenches: 10 tips to survive Medicare Part D
Those will enable you to "move to the next step," said Dr. Malone
, to obtain a prior authorization.
"Stay attentive," Dr. Malone