As the Centers for Medicare & Medicaid Services adjust regulations for the upcoming fiscal cycle, beneficiaries face a ...

If you take a couple of expensive prescriptions, you probably know the feeling of dread at the pharmacy counter. One refill can blow up your whole month, even with Medicare. Starting in 2026, there is ...

Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...

Access to medicines in Medicare is reduced as the IRA is implemented Fewer drugs are covered on Medicare Part D formularies in 2025 relative to 2024 Medicines for serious conditions with high unmet ...

Advantage plans do a better job than standalone Part D policies, albeit with important gap ...

Why aren't all drugs covered by insurance? A formulary is the list of prescription medications covered by a health insurance plan. The list typically has brand-name and generic options. In addition to ...

With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the University of Michigan, and Daneen Seekoni, Vice President of Policy and Advocacy ...

Why aren’t all drugs covered by insurance? A formulary is the list of prescription medications covered by a health insurance plan. The list typically has brand-name and generic options. In addition to ...