Content about Medicare Part D coverage gap

February 12, 2014

A Medicare proposed rule change limiting the number of prescription drug plans that insurers may offer in the Part D market could require 39% of all enhanced plans to be eliminated in 2016, according to an analysis from Avalere Health that was released Wednesday.

WASHINGTON — A Medicare proposed rule change limiting the number of prescription drug plans that insurers may offer in the Part D market could require 39% of all enhanced plans to be eliminated in 2016, according to an analysis from Avalere Health that was released Wednesday. The change, which limits standalone PDP sponsors to one basic and one enhanced plan per region, was proposed by the Centers for Medicare and Medicaid Services in a January proposed regulation. 

April 2, 2013

Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

WASHINGTON — Next year, for the first time since Medicare Part D's inception, the deductible for the defined standard plan will be lower than in previous years, as healthcare spending across the country has been growing, with Medicare spending per beneficiary at 0.4% in 2012.

February 22, 2013

Overall Medicare prescription drug costs will go down in 2014, but the so-called "doughnut hole" coverage gap will get bigger, according to published reports.

NEW YORK — Overall Medicare prescription drug costs will go down in 2014, but the so-called "doughnut hole" coverage gap will get bigger, according to published reports.

Reuters reported that per-capita drug costs for Medicare Part D will drop from this year's $325 to $310 next year, and insurance premiums might go down as well.

April 19, 2012

The study's findings that the Part D coverage gap — or “doughnut hole” — led to a significant gap in the adherence of cardiovascular medications may not come as a complete surprise; however, it undoubtedly underscores the important role that pharmacy can play in helping patients navigate plan strategies that promote the use of lower-cost medications.

WHAT IT MEANS AND WHY IT'S IMPORTANT — The study's findings that the Part D coverage gap — or “doughnut hole” — led to a significant gap in the adherence of cardiovascular medications may not come as a complete surprise; however, it undoubtedly underscores the important role that pharmacy can play in helping patients navigate plan strategies that promote the use of lower-cost medications.

March 19, 2012

More than 5.1 million seniors and people with disabilities on Medicare saved billions on prescription drugs, thanks to the Patient Protection and Affordable Care Act, according to Department of Health and Human Services secretary Kathleen Sebelius.

WASHINGTON — More than 5.1 million seniors and people with disabilities on Medicare saved billions on prescription drugs, thanks to the Patient Protection and Affordable Care Act, according to Department of Health and Human Services secretary Kathleen Sebelius.

New data found that these individuals saved more than $3.2 billion on prescription drugs, while savings for seniors included a one-time $250 rebate check to those who hit the "donut hole" coverage gap in 2010 and a 50% discount on covered brand-name drugs in the donut hole in 2011.

October 11, 2010

The Medicare prescription drug benefit continues to enjoy strong support among the country’s seniors, according...

August 30, 2010

More than 1 million Medicare beneficiaries have received prescription drug cost relief through the Affordable...

May 18, 2010

Following an industry group's collection of Medicare payment complaints, the Centers for Medicare and Medicaid...

March 1, 2010

The kinds of high-cost drugs commonly dispensed in specialty pharmacies accounted for 10% of the...

January 11, 2010

An insurance brokerage and consulting firm in California has introduced a new pharmacy discount card...