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Implementation of Medicare Part D significantly increased access to medicines for seniors and for those under age 65 with permanent disabilities. Since then, Part D has contributed to significant reductions in medication nonadherence and hospitalization, which has led to improved health and life expectancy among America’s seniors. Today, we’re looking at these improvements and how they have positively impacted beneficiaries.

  1. Improved Adherence to Medicines: As a result of Part D, 90 percent of beneficiaries have comprehensive drug coverage, and studies have found improved rates of adherence to medicines. One study found that increased access to medicines through Part D led to improved adherence among congestive heart failure patients, resulting in nearly $2.3 billion in annual savings in Medicare expenditures among those beneficiaries.

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  1. Fewer Hospitalizations: Another study found that enrolling in Medicare Part D was tied to an 8 percent decrease in hospital admissions for seniors. And that decrease was more substantial for certain conditions, such as congestive heart failure and chronic obstructive pulmonary disease (COPD).

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  1. Longer Life Expectancy: Since Part D was implemented in 2006, nearly 200,000 beneficiaries have lived at least 1 year longer. What’s more, one study found an average increase in longevity of 3.3 years. Another recent study found that mortality rates for the elderly have decreased 2.2 percent annually since Part D implementation. The study concludes this was due, in part, to the decrease in deaths as a result of cardiovascular disease among seniors since Part D was established.

When considering proposals to change Part D, it is important to keep in mind that our nation’s seniors rely on this critical program to help them maintain active, healthy lives.

Learn more about Medicare Part D at PhRMA.org/PartD.

Nicole Longo

Nicole Longo is Deputy Vice President of public affairs at PhRMA focusing on Medicare, 340B, importation and more. She previously worked for a D.C.-based public affairs firm where she assisted a wide range of clients with communications efforts on everything from trade policy to agriculture policy to health care policy. Outside the office, Nicole can be found trying new restaurants (usually Italian), taking an occasional barre class and cheering on the Cincinnati Bengals.

Nicole Longo

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What AARP isn’t telling seniors about MFN

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CMS proposal could discourage patient-centered innovation

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Nearly 1 in 4 patients initially denied access to IRA medicines

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Medicare Part D at 20: Building on a strong foundation

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MFN won’t lower costs when insurers call the shots

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States should avoid repeating the IRA’s price‑setting mistakes 

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Insurers routinely block seniors’ access to medicines in Medicare Part D

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MFN undermines U.S. biopharmaceutical innovation

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CMS puts patients and innovation at risk with MFN

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New list of selected drugs highlights growing consequences of government price setting

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Guest blog: Making the most of the Medicare Prescription Payment Plan

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The IRA’s price setting doesn’t guarantee lower costs or better access

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What seniors can expect this open enrollment

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Part D premiums are going up, while choices are going down

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Celebrating 60 Years of Medicare

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Medicare patients face higher drug costs, despite IRA promises

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Medicare Part D plans initially denied medicines for more than 70% of patients in four chronic disease areas

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PBMs launch new ad campaign to block reforms

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Patients are losing as government price setting continues

January 17, 2025

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December 17, 2024

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November 4, 2024

Is CMS paying attention to the growing access barriers for Medicare patients under the IRA?

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Did the administration consider the importance of blood cancer medicines to patients in price setting process?

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The Inflation Reduction Act could increase costs and reduce access for millions of seniors

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Are the IRA’s Part B inflation rebates lowering costs for Medicare patients? No.

September 16, 2024

Did the administration consider the value of innovative diabetes medicines in price setting process?

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New survey: Insurers confirm IRA will reduce patient treatment options

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The unintended consequences of government price setting in Medicare Part D

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Don’t put the government between patients and their medicines

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Case study: How seniors could face access disruptions because of the IRA’s price setting provisions

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PhRMA reiterates concerns with IRA price setting program, urges CMS to mitigate harm

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The IRA could lead to higher out-of-pocket costs for 3.5 million Medicare patients in 2026

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IRA is already negatively impacting access to medicines in Part D

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New study finds insurers and PBMs increasing access restrictions in Medicare Part D

April 16, 2024

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ICYMI: Government watchdog report finds patients in Medicare Part D paid billions more for medicines than insurers and PBMs

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IRA threatens seniors’ access to robust treatment options

September 26, 2023

Medicare Prescription Payment Plan will benefit patients if implemented correctly

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Correcting the record: IRA’s government price setting provisions are unconstitutional

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IRA changes to Part D risk access to medicines

August 24, 2023

With the first list of medicines out, let’s not forget why government price setting is bad policy

August 22, 2023

One year later IRAs unintended consequences are becoming reality

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AARP’s latest misleading report

August 11, 2023

Four things for CMS to keep in mind as they implement changes to Part D

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New calculator demonstrates how improved adherence to anti-diabetic medicines can benefit people in Medicaid

May 25, 2023

CMS guidance on IRA price setting process doubles down on bad policy

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MedPAC proposal threatens access to medicines in Part B

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CMS coverage policy is detrimental to Alzheimer’s patients

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Medicare Part B spending in four points

March 28, 2023

Medicare Part D open enrollment and what recent changes mean for beneficiaries

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New data show how insurers and middlemen shift Rx costs onto patients

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Many seniors are paying more for Part D medicines than their insurer

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Busting 3 Myths About Copay Coupons

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September 27, 2022

A key fact the White House is reluctant to admit

September 27, 2022

CMS coverage policies restrict patient access to important treatment options for Alzheimer’s disease

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July 28, 2022

The Senate’s latest price setting proposal will undermine: Patient access to medicines

July 26, 2022

New research shows competition driven by biosimilars helps control costs in Part B

July 19, 2022

Polling continues to show voters reject so-called Medicare “negotiation” once they learn about consequences for patients

July 12, 2022

CMS coverage decision restricts access to treatments for Alzheimer’s disease

June 22, 2022

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May 5, 2022

Three charts show how the Medicare Part D program could be improved to work better for seniors and people with disabilities

April 27, 2022

Part D 101: Three charts show how the program provides comprehensive prescription drug coverage

April 26, 2022

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PhRMA submits comments urging CMS to withdraw coverage proposal

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January 25, 2022

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December 17, 2021

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December 9, 2021

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December 8, 2021

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December 6, 2021

New data show insurers and PBMs increase barriers to care

December 2, 2021

Guest post: Congress should not put future innovation at risk

November 29, 2021

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November 23, 2021

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November 18, 2021

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November 11, 2021

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November 4, 2021

CMS finds medication adherence saved Medicare up to 46.6B in avoided health care costs between 2013 and 2018

October 19, 2021

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New poll shows Americans reject Medicare negotiation once they learn more about the policy

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October 12, 2021

Industry leaders discuss the impact of the drug pricing debate

September 23, 2021

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September 22, 2021

America’s biopharmaceutical companies to Congress: Government “negotiation” is the wrong approach

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End of year Part D reading List

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December 10, 2020

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December 1, 2020

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December 1, 2020

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November 19, 2020

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August 12, 2020

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PhRMA comments to Congress on Cures 2.0 call to action

December 18, 2019

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October 16, 2019

Pelosi’s radical plan would leave Alzheimer’s patients behind

October 16, 2019

What they are saying: Broad opposition to Pelosi’s radical drug pricing plan

October 10, 2019

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August 26, 2019

New analysis: Government intervention in Part B threatens patient access to medicines

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Three things to know about the Part D GAO report

August 16, 2019

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June 21, 2019

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June 10, 2019

By the numbers: A look at the Part B International Pricing Index Model

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June 3, 2019

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Ask About Adherence: OIG proposed rule to reform the rebate system could improve adherence

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May 9, 2019

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May 7, 2019

Fact Check: How the Part B International Pricing Index Model replaces market competition with government-set prices

May 3, 2019

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April 9, 2019

PhRMA comments on OIG proposed rule to reform the rebate system

April 8, 2019

Fact Check: How the Part B International Pricing Index model threatens patient access

March 29, 2019

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March 28, 2019

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March 25, 2019

Bipartisan lawmakers urge Administration to rethink proposed changes to six protected classes policy

March 22, 2019

OptumRX: Sharing rebates with patients is “worth it”

March 18, 2019

Changes to the six protected class policy are the wrong prescription for Medicare and HIV patients

March 15, 2019

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March 7, 2019

New “Prescription for Medicare” campaign focuses on impacts of wrong and right solutions for Medicare

March 6, 2019

Repealing Part D noninterference clause threatens access and choice for America’s seniors

March 5, 2019

New study shows why insurers should share rebates with Medicare Part D beneficiaries on a mandatory basis

February 14, 2019

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February 5, 2019

PhRMA comments to administration on Medicare Part D proposed rule

January 25, 2019

New research shows changes to the six protected classes would harm most vulnerable patients and are unnecessary

January 24, 2019

Keep the Six Protected Classes, protected

January 22, 2019

ICYMI: New study reinforces dangers of proposed IPI model

January 15, 2019

PhRMA comments to administration on International Pricing Index Model

January 3, 2019

ICYMI: WSJ and NYT highlight concerns with Part B International Pricing Index Model

December 19, 2018

Groups sound the alarm on administration’s new Part B proposal

November 14, 2018

4 things you need to know about the administration’s latest Part B proposal

November 5, 2018

PhRMA comments in response to request for information on competitive bidding program in Medicare Part B

September 25, 2018

Experts agree: the Bipartisan Budget Act changes to Medicare Part D jeopardize the program

September 24, 2018

What if a couple of small fixes could protect seniors in the donut hole and save them money on out-of-pocket costs?

September 13, 2018

Fact Check Friday: Getting the facts straight about negotiation in Medicare Part B

August 24, 2018

How much do you know about Medicare Part B?

July 31, 2018

PhRMA submission to HHS on blueprint to lower drug prices and reduce out-of-pocket costs

July 16, 2018

Pass-through rebates do not violate non-interference clause but they do increase savings for seniors

July 2, 2018

Medicare Part D cliff ahead

June 21, 2018

Part D cliff looms for seniors, as program stability could be in jeopardy

June 18, 2018

Sharing negotiated discounts at the pharmacy counter could save seniors with diabetes more than $350 annually

May 17, 2018

New “Let’s Talk About Medicare” campaign focuses on solutions to improve affordability and predictability for seniors in Part D

May 9, 2018

Medicare Monday: New Xcenda white paper looks at four strengths of Part B

April 30, 2018

Medicare Monday: Moran finds Part B medicine prices are stable, not a key driver of Medicare costs

March 26, 2018

ICYMI: Two PBM reports show dramatic slowdown in medicine spending growth

March 2, 2018

Ask About Adherence: Private-sector collaboration can lead to savings and care improvement

January 25, 2018

Guess what? Part B drug spending remains stable share of Medicare spending

January 23, 2018

PhRMA urges CMS to share the savings with seniors

January 17, 2018

Medicare Monday: Helping beneficiaries access vaccines

December 18, 2017

New report shows better diabetes management saves money and improves patient outcomes

November 21, 2017

Medicare Monday: PhRMA’s comments on new direction for CMMI

November 20, 2017

Medicare Monday: Same bad ideas continue to threaten Part D and beneficiary access to medicines

November 13, 2017

Medicare Monday: CMS withdraws Part B demo, takes positive step forward on CMMI

October 30, 2017

Medicare Monday: Open enrollment is here again

October 16, 2017

Medicare Monday: Medicare Part D by the numbers

September 11, 2017

Protect your health: Important disaster preparedness tips for Harvey and Irma

September 6, 2017

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