Operational Impact of the Inflation Reduction Act (IRA) on Medicare Stakeholders

Operational Impact of the Inflation Reduction Act (IRA) on Medicare Stakeholders

The IRA provides Medicare beneficiaries with lower prescription drug costs and reduces overall drug spending by the federal government. For 2025, there is a positive change in the Medicare Part D benefit redesign for Medicare beneficiaries, which caps patient out-of-pocket drug costs at $2,000. In addition, the Medicare Prescription Payment Plan (MPPP) goes live in January 2025 as a new payment option for Medicare Part D beneficiaries, which will enable them to spread their out-of-pocket drug costs across the year.
The IRA provides Medicare beneficiaries with lower prescription drug costs and reduces overall drug spending by the federal government. For 2025, there is a positive change in the Medicare Part D benefit redesign for Medicare beneficiaries, which caps patient out-of-pocket drug costs at $2,000. In addition, the Medicare Prescription Payment Plan (MPPP) goes live in January 2025 as a new payment option for Medicare Part D beneficiaries, which will enable them to spread their out-of-pocket drug costs across the year.

Learning Objectives

  • Review the new Medicare Part D benefit redesign for 2025 and the four stakeholders that fund it
  • Review the MPPP and discuss the operational impact on health plans and pharmacies
  • Discuss uptake and best practices to navigate this new environment
  • Speaker(s)

    Charles Collins 

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