Nancy Pelosi recently introduced a bill to lower the cost of drugs in the United States.
There are several key section to this bill.
The $2,000 out of pocket limit would be great for Medicare Beneficiaries since there is currently No out of Pocket Maximum. However, we do have some concerns with the proposed solution which would put most of the financial burden on the Part D Plans. The concern is that the Part D Plans will need to increase Part D Premiums to offset the increased financial burden above the $2,000 maximum. Currently about 4% of Medicare Beneficiaries reach the Catastrophic Phase of Part D. This $2,000 cap on Part D would definitely help those individuals, but the concern is that the other 96% of beneficiaries would see significant premium increases to their Part D Plans to offset this new Cap. Conceptually we are fully supportive of reducing drug costs and a cap on Part D would be great, but we believe it should be more of a shared burden with the Government so it doesn't negatively impact the other 96% of Medicare Beneficiaries. This bill will likely go to a Vote in the House in the next 1-3 weeks.
2 Comments
12/7/2019 12:45:41 pm
"To reverse these unjustified price hikes, all +8,000 drugs in Medicare Part Band D would face a new inflation rebate. If a drug company has raised the price of a drug in Part B or D above the rate of inflation since 2016, they can either lower the price or be required to pay the entire price above inflation in a rebate back to the Treasury"
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Justin Lubenow
12/9/2019 12:05:46 pm
Hi Joe,
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