Part D Reform Proposals From MedPAC May Find Traction After Election

16 Jun 2016

Advisory group’s cost control recommendations on reinsurance, partial fills, and preferred specialty tiers could end up on the legislative agenda, particularly if Hillary Clinton is president.

The Medicare Payment Advisory Commission is recommending changes to the Medicare Part D program that would pressure health plans to negotiate lower drug prices and also allow greater flexibility to use formulary management tools, including for specialty drugs.

Most of the recommendations, which are included in MedPAC’s June report to Congress, would need to be implemented...