New Analysis: Plans to Add Rebates to Medicare Part D Would Greatly Increase Monthly Premiums for 17 Million Seniors

WASHINGTON, July 21, 2011 /PRNewswire-USNewswire/ -- Including Medicare Part D prescription drug rebates in the final debt ceiling package would increase monthly premiums by up to about 40 percent for more than 17 million seniors, according to a new analysis of government data.  The analysis, by the American Action Forum, examined the Part D rebates proposal offered by the Obama Administration and Congressional Democrats that would require drug manufacturers to pay a Medicaid-style premium for the opportunity to sell prescription drugs to low-income seniors who qualify for Medicare and Medicaid.  It concluded that the plan would have a far reaching impact, forcing other seniors to pay higher premiums and hurting the successful and popular Medicare prescription drug program. The Forum will be hosting a press conference call today at 10:00 AM. For call in information, please see below.

"This proposal would be a bad deal for Medicare and a raw deal for millions of seniors," said Douglas Holtz-Eakin, president of the American Action Forum and co-author of the analysis.  "This is a price-fixing scheme that will take money out of the pockets of senior citizens and greatly reduce customer choice."

The analysis, Cost Shifting Debt Reduction onto America's Seniors, relies on Congressional Budget Office reports and other research to examine the impact of adding Medicaid Part D "rebates" to the Medicare program for low-income seniors.  It found the higher the premiums are paid to the government, the greater the impact on consumers, either within Part D or other markets. Specifically, the analysis found that monthly Medicare premiums would increase between 19.6 percent to 39.4 percent for seniors who are not deemed low-income, and the total annual out-of-pocket costs for these seniors would increase between $1.5 billion to $3.7 billion.  

The proposal to add Medicaid-style rebates to the Medicare Part D program has been introduced in Congress by Representative Henry Waxman (D-CA) and Senator Jay Rockefeller (D-WV).  It was also endorsed by the White House in The President's Framework for Shared Prosperity and Shared Fiscal Responsibility fact sheet, which was released by the White House on April 13, 2011.

In addition to raising premiums, the new rebates could increase prescription drug costs for other Medicare beneficiaries as well as the general public.  Fifty percent of the value of any rebates would be absorbed by Americans who purchase prescription drugs outside of Medicaid programs. According to the analysis, "to the extent that deeper discounts are paid to the government, a share of manufacturers' added costs for these discounts could ultimately be borne by consumers, either within Part D or in other markets."

"The Medicare prescription drug benefit is one of the only bright spots on the entitlement landscape, costing less than projected and delivering real value for seniors.  The last thing the President and Congress should do is turn it into a Medicaid-style program," said Michael Ramlet, director of the Forum's Operation: Healthcare Choice and co-author of the analysis.  

For detailed data information on the American Action Forum study, please visit:

http://americanactionforum.org/

The American Action Forum is a forward-looking policy institute dedicated to keeping America strong, free and prosperous. The Forum produces real-time, fact-based, innovative policy analysis and solutions for policy makers and the public alike. Our mission is to promote common-sense, innovative and solutions-based policies that will reform government, challenge out-dated assumptions, and create a smaller, smarter government that will serve its citizens better.

Operation Healthcare Choice is the Forum's public policy center focused on promoting high-value healthcare and higher quality health insurance that expands consumer choice. Operation Healthcare choice experts conduct research, offer commentary, an develop forums that reduce the Patient Protection and Affordable Care Act's intrusion on private sector and individual freedom while eliminate its burden on the economy.

SOURCE American Action Forum

Suggested Articles

Silicon Valley giants are building software and technology tools to serve as trusted healthcare resources in the ongoing COVID-19 outbreak.

An advisory group to ONC is standing up a coronavirus task force to tackle privacy and interoperability issues impeding frontline clinicians.

The coronavirus pandemic puts a spotlight on some of the biggest risks for states seeking to roll out Medicaid block grants, a new analysis shows.