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Prying Apart a Fragile Coalition?

 
• By Michael McCaughan

Calls to standardize and simplify Medicare Part D may not sound too threatening to Big Pharma, but any changes to the structure of the program could have important implications for industry. If plans can't innovate on design they will be forced to push for even better prices on drugs.

But there are at least three reasons for the pharmaceutical industry to hope that the insurance industry’s attempts at self-regulation will stave off legislation to standardize Part D plan designs.

First and foremost, any simplification of the program is likely to mean a further consolidation of buying power in the Part D market. If, for example, Congress were to direct...

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• By Neena Brizmohun

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