More than 1 million people in the U.S. will save over $1,000 a year beginning in 2025 when an annual $2,000 cap on prescription drug out-of-pocket costs kicks in, the leading lobbying group for older Americans said on Wednesday.
The cap, introduced as part of President Joe Biden's Inflation Reduction Act, applies to the Medicare program for people age 65 or over and those with disabilities. Its prescription drug component, known as Part D, provides coverage for around 56 million people.
AARP, which lobbied in favour of the law, commissioned health consultancy Avalere to conduct a study on the new benefit and published a report on the findings on Wednesday.
The $2,000 cap will lower prices in 2025 for more than 3.2 million people, or around 8.4% of Part D beneficiaries who do not receive other subsidies, AARP said in its report.
That represents a stark change from how Medicare Part D previously worked. Before the Inflation Reduction Act, beneficiaries who did not qualify for low-income subsidies were required to pay 5% of drug costs regardless of how much they had already paid.
The cap is expected to provide long-term savings, particularly for those most in need, even if Part D premiums rise next year as expected, Leigh Purvis, an AARP prescription drug pricing expert, said during a press briefing.
By 2029, the lowered cap will help 4.1 million people or around 9.6% of beneficiaries, AARP said.
The biggest impact will be felt by those who use high-priced, branded drugs the most.
Diana DiVito, 82, said the cost of the treatment she takes for chronic leukaemia has averaged $858 per month over more than five years.
Her co-insurance was 33% of the drug's cost until she reached the Part D cap of several thousand dollars. After that, she still had to pay 5% of the drug's cost, DiVito said. In 2024, the law eliminated that additional payment.
"When I saw the first co-pay I almost had a heart attack," DiVito, an AARP member, said during the briefing. "It's a tremendous weight off my shoulders and I'm incredibly grateful."
Almost 40% of people who reach the cap between 2025 and 2029, some 1.4 million, will save more than $1,000 a year, including 420,000 people, or around 12%, who will save more than $3,000 annually. Currently, some patients pay over $10,000 a year, AARP said in its report.
The study excluded Part D beneficiaries who receive low-income subsidies and pay nominal amounts for drugs from its analysis.
"The money seniors will no longer have to spend out-of-pocket is money they can invest in their families, broader health needs or simply save to achieve greater financial stability," AARP CEO Jo Ann Jenkins said.
Latest Stories
-
Spend minimum of 4 days per week in constituencies – NPP orders Parliamentary Candidates
12 seconds -
Barcelona legends to face Ghanaian stars in historic match in Kumasi
15 mins -
Galamsey is a serious problem – Black Stars Coach
15 mins -
Standard Chartered leverages digital to drive Bancassurance
22 mins -
AFCON 2025Q: Samartex’s Isaac Afful earns first call-up to Black Stars for crucial Sudan matches
29 mins -
Third IFC EDGE Students Design Competition concludes in Ghana, promoting sustainable architecture
32 mins -
Some FIFA player transfer rules breach EU law – EU Court
35 mins -
StopGalamseyNow: Manasseh’s open letter to organised labour
45 mins -
We’ll strike if our other demands are not met – Coalition Against Galamsey
59 mins -
New gospel singer Angel Ministries releases single ‘Ene Me Nto Nkyea’
60 mins -
C Burn releases 5-track ‘Aidoo Intelligence’ EP
1 hour -
Nduom to address Ghanaians on Facebook today as 3rd phase of Bring Back GN Bank campaign kicks off
1 hour -
UNDP, NIC, IACG launch Inclusive Insurance Clinics
1 hour -
Ghana saves $5bn from Eurobond debt restructuring
1 hour -
How community involvement is transforming maternal, child, and adolescent health in Northern Ghana
1 hour