NHIA Roundtables (4 - 25 Minute Rotations)

34. Medicare Drug Price Negotiation Program: Current Part D and Future Part B Impacts

Medicare drug price negotiation program under the IRA is no longer theoretical, it is operational and already reshaping the Medicare drug landscape. This roundtable will examine how the first year of negotiated pricing in Medicare Part D is playing out, including what has worked as intended, what has surprised stakeholders, and where operational and financial challenges remain as well as look at the Part D impact in 2028.
Medicare drug price negotiation program under the IRA is no longer theoretical, it is operational and already reshaping the Medicare drug landscape. This roundtable will examine how the first year of negotiated pricing in Medicare Part D is playing out, including what has worked as intended, what has surprised stakeholders, and where operational and financial challenges remain as well as look at the Part D impact in 2028.

Learning Objectives

  • Discuss real-world impacts of the Medicare Part D drug price negotiation program focusing on provider cash flow and patient out-of-pocket costs.
  • Discuss potential planning strategies for providers as the impact of negotiated pricing expands to Medicare Part B–administered drugs.
  • Discuss challenges to drug reimbursement benchmarks such as ASP, AWP, and WAC with the Medicare drug price negotiation program.
  • Speaker(s)

    Charles Collins MS, MBA President
    Healthcare Stakeholder Solutions

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    Speaker

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