Medicare Part D
Potential Improvements to Medicare Advantage
Although 2026 has not yet started, the Centers for Medicare & Medicaid Services (CMS) has released the 2027 Medicare Advantage and Part D proposed rule. CMS-4212 P proposes several changes to modernize the Medicare Advantage (MA) program, including significant adjustments…
Stand alone Part D premiums
As the Medicare open enrollment period approaches, there is good news for Medicare Part D plan enrollees for 2026. According to CMS, although the total number of stand-alone drug plans available in 2026 is expected to decline for the third…
Why it matters to review your Medicare plan now
The Medicare Open Enrollment Period for 2026 runs from October 15 to December 7, 2025. During this time, Medicare participants can enroll in a new plan, switch to a different plan, or drop their current coverage. The changes made will…
CMS releases 2026 Medicare Part D Information
The Centers for Medicare & Medicaid Services (CMS) has released preliminary technical Medicare Part D bid information for the 2026 contract year, which will help Part D plans finalize their Part D and Medicare Advantage (MA) offerings for 2026. As…
Should CMS monitor biosimilar coverage on formularies?
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare Part D formularies included Humira Biosimilars for 2025. Humira is one of the best-selling prescription drugs in the world. However,…
PBMs and pharmacy closures
Those independent pharmacies, excluded from Medicare Part D networks, were more likely to close. A new research study conducted by USC demonstrated that pharmacy networks designed by pharmacy benefit managers (PBMs) are contributing to the growing problem of pharmacy closures.…
Medicare Part D Spending for 10 Selected Diabetes Drugs
There has been a substantial increase in the use of certain diabetes drugs in recent years. Certain diabetes drugs initially approved by the Food and Drug Administration (FDA) to help control blood sugar levels for individuals with type 2 diabetes…
What are the Medicare Part D changes in 2025?
On July 30, 1965, when President Lyndon B. Johnson signed the bill that led to the creation of the Medicare and Medicaid program, the programs changed. One of the biggest changes to the Medicare program was to include an optional…
2025 Medicare Parts A & B Premiums and Deductibles
The Centers for Medicare and Medicaid Services (CMS) has released the 2025 premiums, deductibles, and coinsurance amounts for Medicare Part A and Part B. CMS also released the Income-Related Monthly Adjustment Amounts (IRMAA) for Parts B and D. The standard…
Payment plan for drugs in 2025
One of the many changes the Inflation Reduction Act (IRA) changed is how Medicare recipients can pay for prescription drugs. Medicare beneficiaries may choose to participate in a program that will spread the costs across several months instead of being…