Health Affairs August 13, 2024
Laura Tollen

Abstract

In the short and longer terms, the Medicare Drug Price Negotiation Program should be evaluated based on four categories of outcomes: beneficiary access, prices and spending, promotion of value, and effects on innovation.

The Inflation Reduction Act (IRA) of 2022 includes provisions designed to reduce federal drug spending and lower drug costs for Medicare beneficiaries while improving access to medications. The legislation gives the Centers for Medicare and Medicaid Services (CMS) the ability to negotiate prices with manufacturers for specific drugs with high costs to the Medicare program.1 Negotiated prices for the first ten selected drugs,2 all covered under Medicare’s outpatient drug benefit (Part D), will be effective in 2026. Subsequent years will bring negotiated prices for an additional...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Biotechnology, CMS, Congress / White House, Govt Agencies, Insurance, Medicare, Pharma, Pharma / Biotech
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