Health Affairs September 3, 2024
Inmaculada Hernandez, Olivier J. Wouters, Emma M. Cousin, Ayuri S. Kirihennedige, Sean D. Sullivan

On August 15, 2024, the Centers for Medicare and Medicaid Services (CMS) released the negotiated prices, or Maximum Fair Prices (MFPs), for the first 10 pharmaceutical products selected for negotiation under the Inflation Reduction Act’s Medicare Drug Price Negotiation Program. These prices will be effective in 2026. CMS stated that if the MFPs had been introduced in 2023, they would have resulted in a 22% decrease in Medicare Part D net spending, or $6B. CMS also reported differences between MFPs and list prices in 2023 for each of the products. It did not, however, release information on the extent to which MFPs compared to Medicare Part D net prices at the drug level. This distinction is critical because most of...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Biotechnology, CMS, Congress / White House, Govt Agencies, Insurance, Medicare, Patient / Consumer, Pharma, Pharma / Biotech, Provider
Podcast: Medicare Shared Savings Program Mints $2B Win for Value-Based Care w/ Frank McStay
Medicare Part D in 2025: A First Look at Prescription Drug Plan Availability, Premiums, and Cost Sharing
Dr. Oz, RFK Jr. on Medicare, Medicaid: 10 notes
RFK Jr. eyes overhaul of Medicare physician pay: What to know
CMS awards third round of Medicare-funded residency slots to hospitals

Share This Article