Avalere: Some Patients Could See Limited Benefit From Part D Redesign

The upcoming Medicare Part D redesign could cause substantial cost burdens for some patients, according to an analysis by the health care consulting firm Avalere that found about 800,000 beneficiaries in 2024 and 200,000 in 2025 will face out-of-pocket (OOP) costs that exceed 10% of their annual income. The Part D reforms in the newly enacted Inflation Reduction Act include several changes that are intended to increase affordability for recipients, including an out-of-pocket spending cap at the catastrophic threshold. Beginning...