Radar on Medicare Advantage

HHS: Medicare Part D Spending Cap Will Save Seniors $7B in 2025

  • Feb 06
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    Feb 06, 2025

    The Inflation Reduction Act (IRA)’s $2,000 Part D spending cap, which took effect Jan. 1, is projected to help more than 11 million Medicare beneficiaries save $7 billion on prescription drugs, according to a new report from HHS’s Office of the Assistant Secretary for Planning and Evaluation (ASPE). 

    Under the IRA, the out-of-pocket (OOP) threshold for Part D catastrophic coverage is now capped at $2,000 — down from $8,000, inclusive of manufacturer discounts on brand-name drugs — and will be adjusted annually for inflation. The IRA also included the elimination of cost sharing in the catastrophic coverage phase, which began in 2024.

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    • Carina Belles

    Carina has been covering public-sector health care since 2018. As a data reporter for Radar on Medicare Advantage, she creates infographics and data stories on issues impacting Medicare, Medicaid and Part D. She also develops AIS Health Daily, a free daily newsletter that showcases AIS’s strong reporting across our four publications and parent company Norstella’s suite of market access and data solutions. Prior to joining the editorial team, she managed Medicare and Medicaid data for the Directory of Health Plans, AIS’s industry-standard health coverage database. She graduated from Ohio University with a B.S. in Journalism.

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Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

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Managing Editor, Health Plan Weekly and Radar on Drug Benefits

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Reporter, Health Plan Weekly and Radar on Drug Benefits

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Carina Belles

Reporter, Radar on Medicare Advantage and Spotlight on Market Access

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Reporter, Health Plan Weekly and Radar on Drug Benefits

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Infographics
Medicare Part D
Legislation & Regulation
Inflation Reduction Act
Catastrophic Coverage
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