Protecting Part D

Here’s a handy dandy guide to some of the best discussion points about Part D, the prescription benefit of Medicare.  Check out the blog to see what other Medicare beneficiaries are saying about their Part D coverage.  If you have any questions, leave us a comment and we’ll get back to you!

Medicare Part D is the rare government program that has repeatedly come in under budget.

  • Total Part D costs are $349 billion—or 45 percent—less than initial 10-year projections. (Source: Figures from the Congressional Budget Office) 1
  • In 2014, Medicare Part D was just 10.9 percent of total Medicare spending. 2

 

Medicare Part D is helping control government costs by reducing spending in Parts A and B.

  • The implementation of Part D was associated with a $1,200 average reduction in nondrug medical spending for Medicare beneficiaries with limited prior drug coverage in each of the first two years of the program. (Source: 2011 Journal of the American Medical Association Study) 3
  • Improved medication adherence connected with the expansion of drug coverage under Part D led to about a $2.6 billion reduction in medical expenditures annually among beneficiaries diagnosed with congestive heart failure who did not have prior comprehensive drug coverage. Over the next 10 years, further improvement in adherence among Part D enrollees with congestive heart failure could yield $22.4 billion in federal savings.(Source: 2013 American Journal of Managed Care Study) 4

 

Medicare Part D enjoys high satisfaction rates among beneficiaries and is increasing access to needed medicines.

  • According to recent studies, an average of 90 percent of seniors enrolled in Medicare Part D are satisfied with their coverage. 5

  • Ninety-five percent of seniors enrolled in Medicare Part D believe that the level of coverage they receive meets their needs. 6

  • The average monthly Part D premium is estimated to be about $32.50 in 2016. Monthly premiums have remained relatively stable since 2011 and the 2016 premium is about half of the original projection of $59. 7

  • Nearly 11 million seniors gained comprehensive prescription drug coverage as a result of Part D in the first year of the program. Currently, more than 37 million Medicare beneficiaries have comprehensive prescription drug coverage through Part D. 8

 

References:

1. See CBO Medicare Baselines available at www.cbo.gov.

2. Congressional Budget Office

3. J.M. McWilliams et al. “Implementation of Medicare Part D and Nondrug Medical Spending for Elderly Adults with Limited Prior Drug Coverage,” Journal of the American Medical Association, July 2011.

4. Timothy M. Dall, MS, et al. “The Economic Impact of Medicare Part D on Congestive Heart Failure,” American Journal of Managed Care, May 2013.

5. Medicare Payment Advisory Commission, 2013, and Medicare Today Beneficiary Satisfaction Survey, 2015

6.Medicare Payment Advisory Commission, 2013

7. Centers for Medicare & Medicaid Services, 2015 and Medicare Trustees Report, 2007

8. 2011 American Journal of Managed Care Study, and Medicare Payment Advisory Commission, 2015

 

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