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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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.
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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% |
© Statista 2019
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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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- Show publisher information
- Release date
- December 2016
- Region
- United States
- Survey time period
- 2016
- Supplementary notes
- All figures are forecasts.
More information
- Region
- United States
- Survey time period
- 2016
- Supplementary notes
- All figures are forecasts.
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Statistics on "Medicare"
- Overview
The most important statistics
- Distribution of U.S. health care expenditure from 2014 to 2018, by payerU.S. health care expenditure distribution by payer 2014-2018
- Percentage of people covered by Medicare in the United States from 1990 to 2017Percentage of U.S. Americans covered by Medicare 1990-2017
- Characteristics of the Medicare population in 2017Characteristics of the Medicare population 2017
- Total Medicare income from 1970 to 2017 (in billion U.S. dollars)*Total Medicare income 1970-2017
- Estimated sources of Medicare revenue in 2017*Estimated Medicare revenue sources 2017
- Total Medicare assets at year-end from 1970 to 2017 (in billion U.S. dollars)Total Medicare assets at year-end 1970-2017
- Spending/costs
The most important statistics
- Spending distribution of Medicare and Medicaid in the United States in 2016*Spending distribution of Medicare and Medicaid in the U.S. 2016
- Total Medicare spending from 1970 to 2017 (in billion U.S. dollars)*Total Medicare spending 1970-2017
- Medicare benefit payments by type of service in 2007 and 2017Medicare benefit payments by type of service 2007 vs 2017
- Distribution of Supplementary Medical Insurance (SMI) Medicare benefit payments from 2015 to 2017*Supplementary Medical Insurance Medicare benefit payments 2015-2017
- Distribution of Hospital Insurance (HI) Medicare benefit payments from 2015 to 2017*Hospital Insurance Medicare benefit payments 2015-2017
- Top U.S. not-for-profit hospitals by Medicare patient charges as of 2016 (in billion U.S. dollars)*Leading U.S. not-for-profit hospitals by Medicare patient charges 2016
- Top 10 traditional therapy classes in the U.S. by Medicare per-member-per-year (PMPY) spending in 2016 (in U.S. dollars)*Leading medical traditional therapy areas by Medicare PMPY spending 2016
- Enrollment/beneficiaries
The most important statistics
- Enrollment in the Medicare program from 1966 to 2017, by type of beneficiary (in millions)Medicare level of beneficiaries by type of beneficiary 1966-2017
- Distribution of Medicare beneficiaries in 2017, by ethnicityDistribution of Medicare beneficiaries 2017, by ethnicity
- Distribution of Medicare beneficiaries in 2015 and 2016, by federal poverty levelDistribution of Medicare beneficiaries 2015 and 2016, by federal poverty level
- Top 10 U.S. states based on Medicare beneficiaries as a percentage of total population in 2016Top U.S. states by Medicare beneficiaries as a percentage of total population 2016
- Top 10 U.S. states based on number of Medicare beneficiaries in 2016Top U.S. states by number of Medicare beneficiaries 2016
- Infrastructure
The most important statistics
- Number of Medicare hospital facilities in the U.S. from 1967 to 2016*Medicare - number of hospital facilities in the U.S. 1967-2016
- Total number of Medicare hospital beds in the U.S. from 1967 to 2016*Medicare - total number of hospital beds in the U.S. 1967-2016
- Number of Medicare skilled nursing facilities in the U.S. from 1967 to 2016*Medicare - number of skilled nursing facilities in the U.S. 1967-2016
- Number of Medicare home health agencies in the U.S. from 1967 to 2016*Medicare - number of home health agencies in the U.S. 1967-2016
- Number of Medicare psychiatric hospital facilities in the U.S. from 1967 to 2016*Medicare - number of psychiatric hospital facilities in the U.S. 1967-2016
- Drugs
The most important statistics
- Prescription drugs spending in the United States from 2012 to 2016, by payer (in billion U.S. dollars)Prescription drugs spending in the U.S. by payer 2012-2016
- Medicare Part D payer share of retail prescriptions in 2018, by therapy area*Payer share of Medicare Part D retail prescriptions by therapy class 2018
- Out-of-pocket costs per Medicare Part D retail prescription by therapy area in 2018 (in U.S. dollars)*Out of pocket costs of Medicare Part D retail prescription by drug therapy 2018
- 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
- Cost sharing for generic drug costs in the Medicare Part D coverage gap from 2016 to 2020 Share of generic drug costs in Medicare Part D gap in the U.S. 2016-2020
- Number of common Medicaid respiratory agent prescriptions annually in 2016 and 2017, by product*Common Medicaid respiratory agent prescriptions by product 2016-2017
- Outlook
The most important statistics
- Health spending distribution in the United States 2014-2016 and projections for 2026, by payer*Health spending distribution in the United States by payer 2014-2026
- Medicare outlays and forecast in the United States from 2000 to 2028 (in billion U.S. dollars)U.S. Medicare outlays and forecast 2000-2028
- Medicare outlays and forecast in the United States from 2000 to 2028 (as a percentage of the GDP)U.S. Medicare outlays and forecast 2000-2028 as a percentage of the GDP
- Average annual growth rate in Medicare per capita spending and other measures in the U.S. between 1990s and 2027Annual growth in Medicare per capita spending and other measures 1990-2027
- Costs of care for individuals in the U.S. with Alzheimer's disease to Medicare and Medicaid from 2018 to 2050 (in billion U.S. dollars)Medicare and Medicaid costs from individuals with Alzheimer's in the U.S. 2018-2050
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- United States
- U.S.
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Further Content: Statistics, Studies, and Topic Pages
Statistics
- Medicare Part D payer share of branded and generic drugs by therapy area 2015
- Medicare's costliest drugs 2015
- Medicare hospital inpatient charges by disease in the U.S. 2016
- Medicare hospital inpatient case charges by severity in the U.S. 2014
- Name-brand versus store brand: U.S. consumers' purchase preferences of OTC drugs 2014
- Italy: sales volume percentage change of leading brand name drugs 2017
- Leading ten Medicare Advantage organizations by enrollment 2017
- Enrollment of Medicare Advantage by plan type 2011-2017
- Percentage of Medicare Advantage plans by plan type 2018
- Medicare Advantage enrollment in top ten states in the U.S. 2017
- Enrollment of Medicare Advantage within Medicare 2004-2017
- Penetration of Medicare Advantage into Medicare 2004-2017
- Hospital stays with leading operating room procedure paid by Medicare 2012
- Hospitals with any Medicare penalty for high readmission rate 2017 by teaching status
- Hospitals with any high readmission penalty by Medicare 2013-2017, by size
- Revenue of brand name pharmaceutical manufacturing in the U.S., 2008-2013
- Age and first experience of cannabis for the French by consumption 2016
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- Influence of brand name in pet care item purchase decision in the U.S. in 2016
Statistics on the topic
Free statistics
- Percentage of people covered by Medicare in the United States from 1990 to 2017
- Characteristics of the Medicare population in 2017
- 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)*
- Top 10 traditional therapy classes in the U.S. by Medicare per-member-per-year (PMPY) spending in 2016 (in U.S. dollars)*
- Distribution of Medicare beneficiaries in 2017, by ethnicity
- Distribution of Medicare beneficiaries in 2015 and 2016, by federal poverty level
- Top 10 U.S. states based on Medicare beneficiaries as a percentage of total population in 2016
- Top 10 U.S. states based on number of Medicare beneficiaries in 2016
- Number of Medicare hospital 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)
- 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
- Number of common Medicaid respiratory agent prescriptions annually in 2016 and 2017, by product*
- Health spending distribution in the United States 2014-2016 and projections for 2026, by payer*
- Medicare outlays and forecast in the United States from 2000 to 2028 (in billion U.S. dollars)
- Medicare outlays and forecast in the United States from 2000 to 2028 (as a percentage of the GDP)
- Medicare hospital inpatient charges by select condition in 2016 (in U.S. dollars)*
- Medicare hospital inpatient charges per selected case by severity in 2014 (in U.S. dollars)*
- Distribution of available Medicare Advantage plans by plan type as of 2018*
- Top 10 U.S. states by Medicare Advantage enrollment in 2017
- Medicare Advantage penetration within total Medicare from 2004 to 2017
- Percentage of hospitals with any readmission penalty by Medicare from 2013 to 2017, by teaching status*
Premium Statistics
- Distribution of U.S. health care expenditure from 2014 to 2018, by payer
- Medicare benefit payments by type of service in 2007 and 2017
- 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)*
- Enrollment in the Medicare program from 1966 to 2017, by type of beneficiary (in millions)
- Total number of Medicare hospital beds in the U.S. from 1967 to 2016*
- Number of Medicare skilled nursing facilities in the U.S. from 1967 to 2016*
- Medicare Part D payer share of retail prescriptions in 2018, by therapy area*
- Average annual growth rate in Medicare per capita spending and other measures in the U.S. between 1990s and 2027
- Costs of care for individuals in the U.S. with Alzheimer's disease to Medicare and Medicaid from 2018 to 2050 (in billion U.S. dollars)
- Medicare Part D payer share of branded and generic drugs by therapy area in 2015
- Top 15 costliest drugs for Medicare in 2015 (in billion U.S. dollars)
- Do you typically buy name-brand or store brand OTC (Over-the-counter) drugs?*
- Percentage change in sales volume* of the most prescribed brand name drugs in Italy in 2017**
- Top 10 Medicare Advantage organizations based on enrollment in 2017
- Medicare Advantage enrollment by plan type from 2011 to 2017*
- Total Medicare Advantage enrollment from 2004 to 2017 (in millions)
- Total hospital stays with most frequent operating room procedures paid through Medicare in the United States in 2012
- Percentage of hospitals with any readmission penalty by Medicare from 2013 to 2017, by size*
- Revenue of brand name pharmaceutical manufacturing (NAICS 32541a) in the United States from 2008 to 2013 (in billion U.S. dollars)
- Do you think that the age at which you start using cannabis is important from a health risk perspective?
- Medicare payments to physicians in 2017, by top specialties (in million U.S. dollars)*
- Annual turnover of Riso Gallo Spa in Italy from 2013 to 2016 (in euros)
- Importance of brand name when purchasing pet care items in the United States in 2016, by pet type
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