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Some people with Medicare could end up spending less money on potentially lifesaving medications in the beginning of the new year.
The U.S. Department of Health and Human Services (HHS) announced that 64 drugs available through Medicare Part B will have a lower coinsurance rate between Jan. 1 and March 31, 2025, since the prices set by their manufacturers have risen faster than the rate of inflation.
Drugs that fall under Part B are typically administered in a doctor’s office or hospital and can include cancer treatments, Alzheimer’s treatments and injectable osteoporosis medications.
Under a provision in the AARP-backed prescription drug law passed in 2022, the coinsurance rates for these 64 medications will be 20 percent of what the price would have been if it increased with inflation, which will be less than what the beneficiary would pay otherwise. Drugmakers will also face penalties for the price hikes in the form of a rebate to Medicare, and these funds will be used to help ensure the sustainability of the national health insurance program that provides coverage to more than 67 million Americans who are older or have a disability.
Some could see significant savings
More than 853,000 people with Medicare use the 64 selected drugs annually to treat conditions such as cancer, osteoporosis and substannce use disorder. According to HHS, some people with Medicare taking these medications could see savings in the last quarter of the year that range from $1 a day to more than $10,800 a day.
How much each person pays for their medications varies, depending on whether they have additional insurance that covers or reduces Part B’s 20 percent coinsurance. The list price for some of these drugs is hundreds of thousands of dollars per treatment.
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