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Share of branded drug costs in Medicare Part D gap in the U.S. 2016-2020
Share of branded drug costs in Medicare Part D gap in the U.S. 2016-2020
Cost sharing for branded drugs in the Medicare Part D coverage gap from 2016 to 2020
This statistic displays the projected distribution of cost-sharing for brand name drugs in the Medicare Part D coverage gap in the United States from 2016 to 2020. In 2016, five percent of the cost of brand name drugs is expected to be paid by CMS. Provisions of the Affordable Care Act mandate the gradual closure of the Medicare Part D coverage gap through pharmaceutical manufacturer discounts and CMS subsidies.
Cost sharing for branded drugs in the Medicare Part D coverage gap from 2016 to 2020
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| Paid by enrollee | Paid by CMS | Manufacturer discount | |
|---|---|---|---|
| 2016 | 45% | 5% | 50% |
| 2017 | 40% | 10% | 50% |
| 2018 | 35% | 15% | 50% |
| 2019 | 30% | 20% | 50% |
| 2020 | 25% | 25% | 50% |
| Paid by enrollee | Paid by CMS | Manufacturer discount | |
|---|---|---|---|
| 2016 | 45% | 5% | 50% |
| 2017 | 40% | 10% | 50% |
| 2018 | 35% | 15% | 50% |
| 2019 | 30% | 20% | 50% |
| 2020 | 25% | 25% | 50% |
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This statistic displays the projected distribution of cost-sharing for brand name drugs in the Medicare Part D coverage gap in the United States from 2016 to 2020. In 2016, five percent of the cost of brand name drugs is expected to be paid by CMS. Provisions of the Affordable Care Act mandate the gradual closure of the Medicare Part D coverage gap through pharmaceutical manufacturer discounts and CMS subsidies.
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- Release date
- December 2016
- Region
- United States
- Survey time period
- 2016
- Supplementary notes
- All figures are forecasts.
Source
- Show sources information
- Show publisher information
- Release date
- December 2016
More information
- Region
- United States
- Survey time period
- 2016
- Supplementary notes
- All figures are forecasts.
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Statistics on "Medicare"
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- Cost sharing for branded drugs in the Medicare Part D coverage gap from 2016 to 2020Share of branded drug costs in Medicare Part D gap in the U.S. 2016-2020
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Statistics
- Medicare Part D payer share of branded and generic drugs by therapy area 2015
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- Total Medicare income from 1970 to 2017 (in billion U.S. dollars)*
- Estimated sources of Medicare revenue in 2017*
- Total Medicare assets at year-end from 1970 to 2017 (in billion U.S. dollars)
- Spending distribution of Medicare and Medicaid in the United States in 2016*
- Total Medicare spending from 1970 to 2017 (in billion U.S. dollars)*
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- Distribution of Supplementary Medical Insurance (SMI) Medicare benefit payments from 2015 to 2017*
- Distribution of Hospital Insurance (HI) Medicare benefit payments from 2015 to 2017*
- Top U.S. not-for-profit hospitals by Medicare patient charges as of 2016 (in billion U.S. dollars)*
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- Number of Medicare hospital facilities in the U.S. from 1967 to 2016*
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- Number of Medicare skilled nursing facilities in the U.S. from 1967 to 2016*
- Number of Medicare home health agencies in the U.S. from 1967 to 2016*
- Number of Medicare psychiatric hospital facilities in the U.S. from 1967 to 2016*
- Prescription drugs spending in the United States from 2012 to 2016, by payer (in billion U.S. dollars)
- Medicare Part D payer share of retail prescriptions in 2018, by therapy area*
- Out-of-pocket costs per Medicare Part D retail prescription by therapy area in 2018 (in U.S. dollars)*
- Cost sharing for branded drugs in the Medicare Part D coverage gap from 2016 to 2020
- Cost sharing for generic drug costs in the Medicare Part D coverage gap from 2016 to 2020
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- Health spending distribution in the United States 2014-2016 and projections for 2026, by payer*
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