Part D’s Standard Deductible, Copays To Drop In 2014
This article was originally published in The Pink Sheet Daily
With dropping drug expenses in Part D, CMS’ annual call letter for Part D drug plans proposes reducing beneficiary expenses for the standard plan in 2014, the first drop since the program began.
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CMS instructions to Part D sponsors cite elimination of waste as a reason to require plans to confirm members want a refill. Draft call letter also addresses expanding drug utilization reviews beyond opioids, added controls on compounded drugs.
Prescription drug spending modestly increased in 2011 but continues to lag historically slow rates of overall health spending growth. But it could have been worse: government actuaries cite spending on new brands as driving what growth there is.
CMS projects that monthly premiums for basic coverage in the Part D prescription drug plan will hold at $30 in 2013, essentially the same rate paid on average by beneficiaries in 2012 and 2011.