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AmerisourceBergen SPS Leaders, Customers Urge Congress to Address Harmful VA Reimbursement Claw Back

2018-08-05

On Wednesday April 11, Barry Fortner, SVP & President Specialty Physician Services joined Dr. Harsha Vyas, M.D. Hematologist/Oncologist at Cancer Center of Middle Georgia on Capitol Hill to brief Members of Congress on the U.S. Department of Veterans Affairs’ (VA) recent audit to claw back reimbursement for oncology services provided to Veterans going back several years.  Breaking away from the annual COA and LPP National meetings to advocate on this critical issue, Barry and Dr. Vyas met with Congressman Rick Allen (R-GA), Dr. Vyas’ hometown Congressman, as well as staff from the offices of Senate Veterans Affairs Committee Chairman Johnny Isakson (R-GA), House Veterans Affairs Committee Chairman Phil Roe (R-TN), and House Veterans Affairs Committee Members Gus Bilirakis (R-FL), Julia Brownley (D-CA), and Brad Wenstrup (R-OH). Barry and Dr. Vyas provided much-needed context on the issue: many community oncologists, especially in non-metro areas, have been providing care to our Veterans for many years because oftentimes the closest VA facility is far away and VA hospital wait times are excessive.  In most cases, these oncologists provided care without an agreement, contract, registration or negotiated rates as an out-of-network private physician practice. The local VA pre-authorized Veterans to seek care, providing practices assurance that services were approved. Now the VA has hired a third-party contractor to recoup what they deem to be overpayment on claims dating as far back as 2011. This has led to a sudden disruption for Veterans’ access to cancer care.  Members of Congress committed to contacting VA immediately and AmerisourceBergen will continue to push for a quick resolution to this issue. 


Barry Fortner, SVP and President Specialty Physician Services, Rep. Rick Allen (R-GA), Dr. Harsha Vyas, MD

 







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