Unknowns Remain Regarding Part D Senior Savings Model

Jun 04
Jun 04, 2020

Months after the Part D Senior Savings Model was unveiled, the Trump administration on May 26 held a press conference in the White House Rose Garden to share what reporters and industry observers hoped would be more information about the new benefit that will be available to seniors next year. But the few details that were disclosed regarding participation raised only more questions about the potential success of the model, experts suggest.

CMS on May 26 said 88 Part D sponsors have applied to offer enhanced plans with predictable cost sharing on insulin as part of the Part D Senior Savings Model. Introduced through the CMS Innovation Center in March, the five-year model is intended to lower out-of-pocket costs for diabetic seniors by featuring “predictable” copayments of no more than $35 for a broad set of insulins beginning in 2021 (RMA 3/19/20, p. 1).

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Lauren Flynn Kelly

Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.