Advisory Board October 1, 2024

The Biden administration last week announced that average monthly Medicare drug premiums would decrease in 2025, largely due to a new plan providing billions of dollars in subsidies for insurers. However, several Republican lawmakers have sharply criticized the plan, saying that it “employs arbitrary policy levers to achieve short-term objectives.”

The 6 trends shaping pharma strategies for 2024

Stabilized Medicare drug premiums

The Inflation Reduction Act (IRA) includes several measures to reduce drug costs, including an out-of-pocket prescription drug spending cap of $2,000 for Medicare beneficiaries. However, these changes could significantly increase people’s premiums, costing them hundreds of dollars more a year.

To help stabilize Medicare drug premiums, federal health officials set up a demonstration that offered private insurers subsidies...

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