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Advising the Congress on Medicare issues
MedPAC > Recommendations > Realigning incentives in Medicare Part D (2)

Realigning incentives in Medicare Part D (2)

June 15, 2020

Concurrent with our recommended changes to the benefit design, the Congress should:

  • Establish a higher copayment amount under the low-income subsidy for nonpreferred and nonformulary drugs.
  • Give plan sponsors greater flexibility to manage the use of drugs in the protected classes.
  • Modify the program’s risk corridors to reduce plans’ aggregate risk during the transition to the new benefit structure.

Topics: Beneficiaries and coverage and Drugs, Devices, and Tests.