Medicare Part D Basics and Policy Options for Redesign

Proposed Legislation and Its Impact

“Key Provisions of Drug Pricing Proposals.” Larosa, J., Slifer, E. Wynne Health Group. April 26, 2021. Available at http://allh.us/mFHh.

“H.R. 3 – Elija E. Cummings Lower Drug Costs Not Act.” Office of Congressman Frank Pallone. April 22, 2021. Available at http://allh.us/ejrP.

“S.909 – Prescription Drug Price Relief Act of 2021.” Office of Senator Bernard Sanders. March 23, 2021. Available at http://allh.us/e3uF.

“What’s the Latest on Prescription Drug Proposals from the Trump Administration, Congress, and the Biden Campaign.” Cubanski, J., Freed, M., Dolan, R. et all. KFF. October 6, 2020. Available at http://allh.us/xta8.

“Impact of H.R. 3 as Passed by the House on Federal Spending and Drug Manufacturer Revenues.” Cole, M., Brantley, K., Stengel, K. Avalere. June 19, 2020. Available at http://allh.us/6XKH.

“Understanding The Senate Finance Committee’s Drug Pricing Package.” Sachs, R. Health Affairs. July 26, 2019. Available at http://allh.us/9UN3.

“Comparing the Recent Drug-Pricing Reform Proposals.” Hayes, T. American Action Forum. December 10, 2019. Available at http://allh.us/tqQ7.

“H.R. 19 – Lower Costs, More Cures Act of 2019.” Office of Congressman Greg Walden. December 19, 2019. Available at http://allh.us/PJNm.

“S.2543 – Prescription Drug Pricing Reduction Act of 2019.” Office of Senator Chuck Grassley. September 25, 2019. Available at http://allh.us/qxgG.

Key Resources

(listed chronologically, beginning with the most recent)

“Frequently Asked Questions About Prescription Drug Pricing and Policy.” Kirchhoff, S., Bodie, A., Sekar, K. et al. Congressional Research Service. May 6, 2021. Available at http://allh.us/wycp.

“Essential Facts About Drug Pricing Reform: Medicare Part D Redesign.” Martin, K. The Commonwealth Fund. May 5, 2021. Available at http://allh.us/wh8d.

“Democrats Eye Medicare Negotiations to Lower Drug Prices.” Huetteman, E. Kaiser Health News. March 23, 2021. Available at http://allh.us/8Vaw.

“How a Medicare Part D Inflation Penalty Would Lower Drug Spending for Patients, Taxpayers, and Employers.’ Anderson-Cook, A., Love, K., Noda, A., et al. Health Affairs. February 5, 2020. Available at  http://allh.us/4tgY.

“What to Know about Part D When Working Past 65.” AARP and United HealthCare Services. 2020. Available at  http://allh.us/4ypq.

“Assessing Drug Price Increases in Medicare Part D and the Implications of Inflation Limits.” Cubanski, J., Neuman, T. KFF. October 18, 2019. Available at http://allh.us/hBdt.

“What Is an Inflationary Rebate, and How Can It Help Bring Down Drug Prices?” Noda, A., Miller, M. Arnold Ventures. July 22, 2019. Available at http://allh.us/bhMR.

“A Primer on Medicare: Key Facts About the Medicare Program and the People it Covers.” Cubanski, J., Swoope, C., Boccuti, C., et al. KFF. March 20, 2015. Available at  http://allh.us/eUdV.

“How Medicare Works.” Blue Cross Blue Shield Blue Care Network. Available at http://allh.us/3wKD.

Additional Resources

(listed chronologically, beginning with the most recent)

“Impacts of Part D Redesign Vary by Therapeutic Area.” Cole, M., Yip, R., Kazan, M. et al. Avalere. February 8, 2021. Available at http://allh.us/mjYq.

“A Dozen Facts About Medicare Advantage in 2020.” Freed, M., Damico, A., Neuman, T. KFF. January 13, 2021. Available at http://allh.us/JT3Q.

“International Prescription Drug Price Comparisons: Current Empirical Estimates and Comparisons with Previous Studies.” Mulcahy, A., Whaley, C., Gizaw, M. Rand Corporation. 2021. Available at http://allh.us/9kH8.

“Transparency in Coverage Final Rule Fact Sheet.” Centers for Medicare & Medicaid Services. October 29, 2020. Available at http://allh.us/P9Jr.

“Association Between the Percentage of U.S. Drug Sales Subject to Inflation Penalties and the Extent of Drug Price Increases.” Dickson, S. JAMA Network Open. September 1, 2020. Available at http://allh.us/FHCB.

“Total Number of Medicare Beneficiaries.” KFF. 2020 Available at http://allh.us/ahg9.

“Redesigning Medicare Part D to Realign Incentives.” Hayes, T. American Action Forum. August 14, 2018. Available at http://allh.us/XbpG.


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