The Center for Medicare & Medicaid Services on Monday released a proposed rule that would formalize the most sweeping changes to the Medicare Part D benefit since its launch in 2006. According to CMS, the rule would codify key Inflation Reduction Act (IRA) reforms for 2027 and beyond, lowering out-of-pocket drug spending while aiming...CMS Rules
The Department of Health and Human Services (HHS) Assistant Secretary for Planning and Evaluation (ASPE) continued its research series on the Inflation Reduction Act this week with a look at the impact of the $2,000 Part D out-of-pocket cap on prescription drugs.
Under the Inflation Reduction Act (IRA), 11 million Medicare Part D...
A recently published Milliman white paper discusses how the Inflation Reduction Act (IRA) will alter government funding for Medicare Part D in 2025, including increased Part D direct subsidies (DS) and benefit redesigns.
The 2025 average direct subsidy will increase to $142.67 per member per month, marking the highest level...
National health spending continues to skyrocket and is expected to eclipse one fifth of the total U.S. economy by 2032, according to projections released last week by the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary.
The Office of the Actuary estimates that national health spending rose to $4.8 trillion in...Arizona News
From January 2022 to January 2023, 4,264 prescription drugs had price increases, of which 46% or 1,982 were increased above the inflation rate, according to ASPE researchers in a recent study.
Drug manufacturers make most of their prescription drug retail price changes in January and July annually and may change the list price at any...Arizona News
Under the Inflation Reduction Act (IRA) people with Medicare may pay a lower coinsurance for some Part B drugs if the drug’s price increases faster than the rate of inflation.
The IRA, signed by President Biden in 2022, applied to Part D the same year, whereas Part B took effect in 2023. The Centers for Medicare & Medicaid...Arizona News
This week many are celebrating the first birthday of the Inflation Reduction Act (IRA) which extends Marketplace affordability, caps the cost of insulin at $35 per month for Medicare beneficiaries, and improves access to affordable prescription drugs for millions of Americans. In Arizona, the Arizona Health Care Cost Containment System...
