Managed Healthcare Executive November 21, 2023
Prior to the IRA, there were no limits on beneficiary OOP spending throughout the year. However, by 2025 the IRA will introduce the $2,000 maximum OOP expenses.
The impact of the Inflation Reduction Act‘s (IRA) out-of-pocket cap will mostly affect Non-White Part D beneficiaries, with Black beneficiaries experiencing substantial savings as the highest spenders, according to an analysis shared back in October during the AMCP Nexus conference in Orlando.
Authors of the analysis also found that low-income subsidy (LIS) beneficiaries are anticipated to reach the out-of-pocket (OOP) threshold earlier than their non-LIS counterparts.
Shared as a poster during the conference, the analysis looked at the impact of the IRA’s $2,000 OOP spending cap on Medicare Part D beneficiaries as it...
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