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Pharmacy Benefit Managers and Their Role in …

    https://www.commonwealthfund.org/publications/explainer/2019/apr/pharmacy-benefit-managers-and-their-role-drug-spending
    The federal Centers for Medicare and Medicaid Services found that PBMs’ ability to negotiate larger rebates from manufacturers has helped lower drug prices and slow the growth of drug spending over the last three years. But PBMs may also have an incentive to favor high-priced drugs over drugs that are more cost-effective.

An Overview of the Medicare Part D Prescription Drug Benefit

    https://www.kff.org/medicare/fact-sheet/an-overview-of-the-medicare-part-d-prescription-drug-benefit/

    How Does Prescription Drug Spending and …

      https://www.kff.org/medicare/issue-brief/how-does-prescription-drug-spending-and-use-compare-across-large-employer-plans-medicare-part-d-and-medicaid/
      Drug spending as a share of personal health care spending in Medicaid was lower (6%) …

    Medicare Part D – Direct and Indirect …

      https://www.cms.gov/newsroom/fact-sheets/medicare-part-d-direct-and-indirect-remuneration-dir
      Under Medicare Part D, Medicare makes partially capitated payments to private insurers, also known as Part D sponsors, for delivering prescription drug …

    CMS Drug Spending Main | CMS - Centers for Medicare …

      https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Information-on-Prescription-Drugs
      CMS has released several information products that provide greater transparency on spending for drugs in the Medicare and Medicaid programs. These …

    Drug Spending | HHS-OIG

      https://oig.hhs.gov/reports-and-publications/featured-topics/drug-spending/
      For over 25 years, the HHS Office of Inspector General has conducted work to assess drug spending in HHS programs. This work covers three domains: …

    The impact of Medicare part D prescription drug benefit.

      https://journals.lww.com/md-journal/Fulltext/2019/08090/The_impact_of_Medicare_part_D_prescription_drug.23.aspx
      One study showed that Medicare Part D reduced the elderly population's medication costs by 18.4% even though it increased prescription drug usage by 12.8%, [12] whereas …

    HHS Introduces Models for Lowering Prescription Drug Spending

      https://healthpayerintelligence.com/news/hhs-introduces-models-for-lowering-prescription-drug-spending
      This model tests standardizing the Part D benefit for high-value generic drugs. It evaluates the impact that this approach would have on three measures: …

    Prescription Drug Spending in the U.S. Health Care System

      https://www.actuary.org/content/prescription-drug-spending-us-health-care-system
      In 2016, the U.S. spent $3,337 billion, or 17.9 percent of the gross domestic product (GDP), on national health expenditures, of which $329 billion was spent on prescription drugs. 2 …

    Prescription Drug Spending | U.S. GAO - Government …

      https://www.gao.gov/prescription-drug-spending
      Drug manufacturers advertise to encourage consumers to ask their doctors for specific medications. Medicare Part B, Part D, and beneficiaries spent $560 billion on …



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