10/11/2023
What are DIR Fees? DIR Frees are the result of a loophole in Medicare regulations. Often more than half a year after a pharmacy fills the prescription, payers are taking back $ paid to pharmacies. Payers are claiming they are taking back money due to a pharmacy performance on so called quality measures. However, these quality measures can be unknown, unpredictable, inconsistent, and outside of a pharmacy’s control. The federal Centers for Medicare & Medicaid says that the use of DIR Fees has exploded by 107,400 percent between 2015 and 2023 . Dramatic increase from 45,000 % growth that CMS reported between 2010 & 2017. Inmar produced a white paper that describe DIR Fees.
Yet, People trust pharmacists and their solutions for saving money. An impressive 86% support relying on pharmacists expertise for public policy solutions in this area. An impressive 67% want to change rules by which payers reimburse pharmacies below cost and unpredictability.
WE NEED PUBLIC SUPPORT . An impressive 67% want to change rules by which payers reimburse pharmacies below cost and unpredictably.
