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Healthcare Update: September 2024

Mary McDevitt, MD

Facts about Healthcare for the 2024 Election


The Inflation Reduction Act of 2022 contained many provisions regarding costs for Medicare beneficiaries with Part D (54 million participants) and participants in Medicare Advantage programs that have a prescription drug plan.


The reduction of the price of the first 10 medications has been negotiated and will be effective on January 1, 2026

  • Januvia

  • FlexTouch, PenFill, Novolog

  • Farxiga

  • Enbrel

  • Jardiance

  • Stelara

  • Xarelto

  • Eliquis

  • Entresto

  • Imbruvica

  • The legislation also capped Medicare patients’ monthly out-of-pocket costs for insulin at $35.

  • The legislation also established the first ever cap on out-of-pocket yearly drug costs. Beginning in 2025, Part D enrollees’ out-of-pocket drug costs will be capped at $2,000.

  • It is estimated that if this reduction had been in place in 2023 it would have saved Medicare $6 billion in net covered prescription drug costs.

  • Not one Republican in Congress voted for this legislation.

  • The second cycle of drug price negotiations will occur during 2025 with implementation in 2027.

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