this post was submitted on 15 Aug 2024
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The discounts, agreed to after months of negotiations with drug manufacturers, range between 38% and 79% on the medication’s list price, which is the cost of medication before discounts or rebates are applied — not the price people actually pay for prescriptions.

Medicare spent $50 billion covering the drugs last year and taxpayers are expected to save $6 billion on the new prices, which do not go into effect until 2026. Older adults could save as much as $1.5 billion in total on their medications in out-of-pocket costs. Administration officials released few details about how they arrived at those calculations.

The newly negotiated prices will impact the price of drugs used by millions of older Americans to help manage diabetes, blood cancers and prevent heart failure or blood clots. The drugs include the blood thinners Xarelto and Eliquis and diabetes drugs Jardiance and Januvia.

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[–] Midnitte@beehaw.org 16 points 2 months ago (3 children)

It’s expected Medicare drug price negotiations will save the government $98.5 billion over a decade, according to the Congressional Budget Office, which scored the Inflation Reduction Act. - Source

Absolutely insane.

Imagine if we had Medicare for all (and the leverage that came with).

[–] theangriestbird@beehaw.org 9 points 2 months ago

My knowledge of Medicare is exactly why I advocate for Medicare For All all the time! This kind of negotiation is new for prescription drugs, but Medicare has long negotiated lower prices for medical services. Doctors and hospitals can choose not to participate in Medicare, but most stick with Medicare because the massive pool of high-utilization patients is hard to pass up, even at lower prices.

[–] LallyLuckFarm@beehaw.org 5 points 2 months ago* (last edited 2 months ago) (1 children)

Not just that, imagine an additional billion and change circulating in local economies instead of that amount being siphoned out annually. It's insane that they passed a law preventing this from happening for twenty years and we're seeing this benefit because it expired

[–] Midnitte@beehaw.org 8 points 2 months ago* (last edited 2 months ago) (1 children)

Small clarification, but we're seeing it because democrats passed the Inflation Reduction Act, which I will note that not a single republican voted for.

Prescription drug price reform to lower prices, including Medicare negotiation of drug prices for certain drugs (starting at 10 new ones per year by 2026, increasing to more than 20 additional ones per year[38] by 2029)[39][40] and rebates from drug makers who price gouge – $281 billion[7][39][40]

[–] LallyLuckFarm@beehaw.org 3 points 2 months ago* (last edited 2 months ago) (1 children)

Yes, that is the act that empowered Medicare to begin negotiating prices but the Medicare Modernization Act, passed in 2003, barred it from negotiating prices ~~for twenty years. The MMA expired last year, lifting the ban.~~

I am incorrect, see @Midnitte's comment below

[–] Midnitte@beehaw.org 5 points 2 months ago (1 children)

The MMA didn't expire, it was overwritten by the Inflation act:

The Medicare Prescription Drug Act expressly prohibited Medicare from negotiating bulk prescription drug prices.[21] The "donut hole" provision of the Patient Protection and Affordable Care Act of 2010 was an attempt to correct the issue.[22] In 2022, the Inflation Reduction Act removed this ban and allowed Medicare to begin negotiating drug prices starting in 2026.[23] - Source

[–] LallyLuckFarm@beehaw.org 4 points 2 months ago

Ah, thank you for correcting me

[–] ericjmorey@beehaw.org 4 points 2 months ago (1 children)

Imagine a system more concerned about healthcare and not itemization of billable services.

[–] Midnitte@beehaw.org 5 points 2 months ago

Like if the government had a financial stake in your health, instead of a companies financial incentive to make sure you don't receive care?