A New Wrinkle in Medicare Part D Offerings for ’09

[This article posted on December 16, 2008. It is posted within the following categories: Pharma & Devices, via Michael Douglas, MD, MBA.]

Never has the need for transparency been greater for the Medicare Part D drug plan than when the new so-called reference-based pricing will begin on covered branded drugs possessing generic equivalents, in January. Under this plan, beneficiaries will have to pay an additional fee for these drugs under Part D, as opposed to other drugs which have no generic equivalent. Let the confusion begin.

[C]ritics complain reference-based pricing can result in hidden charges. “I am concerned that beneficiaries could find themselves paying far more out-of-pocket than they expected,” Rep. Pete Stark, chairman of the House Ways and Means health subcommittee, recently wrote in a letter to the Centers for Medicare and Medicaid Services. “CMS needs to make sure that beneficiaries are aware of these penalties before they choose their plans.”

Is this a job for the new HHS Secretary? | LINK

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