Health Affairs July 9, 2019
For many years, Americans have paid significantly more than the rest of the world for prescription drugs. Medicare spent an estimated $140 billion in 2017 on outpatient prescription drugs, with this large total fueled by double-digit annual spending growth since 2013.[1] To lower the Part B portion of drug spending, the Trump Administration has proposed a demonstration project tying Medicare reimbursement for outpatient, physician-administered drugs to international prices. The proposal would not affect self-administered drugs dispensed by retail pharmacies and reimbursed by private insurance plans under Part D, which are the focus of separate reform initiatives, including significant revisions by the HHS Office of Inspector General to the “safe harbors” regulating manufacturer rebates.
Substantially lowering the prices paid when US...
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