PharmacyChecker Blog

Helping Americans Get The Truth About Prescription Drug Savings
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CBO Study Shows Access to Lower Cost Medication a Critical Factor in Healthcare Spending

High prescription drug costs make Americans sicker and contribute to our national budget woes, according to a report by the Congressional Budget Office (CBO) released at the end of last year. The report serves as a reminder to always take your prescribed medicines. We view this study as further evidence that access to affordable medication from reputable international online pharmacies improves the health of Americans and decreases healthcare spending.

To put it simply, as consumers’ out-of-pocket drug costs rise, they are less likely to take their medicine as prescribed, which leads to more medical services and increased healthcare spending. The CBO report tells us that the converse follows: when out-of-pocket prescription costs fall there is less need for medical services, and as a result less healthcare spending.

The CBO’s report is based on an analysis of relatively new studies that have tracked out-of-pocket prescription drug costs and overall healthcare spending in employer and government-based health insurance programs. The result is that CBO has now internalized out-of-pocket prescription drug costs in its methodology for calculating the effects of legislation affecting drug costs. This means if a new bill aims to bring down prescription drug prices in the United States or through drug importation, CBO would calculate how many more prescriptions would be filled and estimate the resulting decrease in healthcare spending.

It is critical that our elected leaders and government officials take this into account when considering new laws or taking actions that affect access to affordable medication .Just yesterday, Minnesota U.S. Senators Al Franken and Amy Klobuchar re-introduced a bill, The Medicare Prescription Drug Price Negotiation Act, to enable the federal government to negotiate lower Medicare drug prices with drug manufacturers. Such legislation would most certainly lower drug costs, improve health, and decrease the taxpayer burden on healthcare spending

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Medicare Part D 2013 – Using MedicareDrugPlans.com to Help You Find the Right Plan

Open enrollment for Medicare Part D (Drug Plans) began this week. If you are eligible for Medicare Part D, and want to sign up for a plan or change your current plan, you should be sure to find the plan that works best for you.

Be sure to check out MedicareDrugPlans.com to compare and contrast plans; and don’t worry – plan ratings are completely objective, as we are not affiliated with any plan. In fact, the ratings are provided by people who actually use the plans, based on criteria like deductible, monthly premium, drug coverage, and customer service. Perhaps even more helpful than the ratings are the written reviews where Medicare Part D enrollees explain their experiences with plans, often expressing frustration with formularies that change mid-year, problems at the pharmacy using the plans, or copay issues. If you want to recommend (or steer people away from) a plan, make sure to leave a rating and review.

Once you’ve chosen a plan based on ratings and reviews, head to the government’s site, Medicare.gov to make sure the plan covers your medications, compare final costs and sign up for it. The average premium nationally is $53.55, which is down over a dollar than last year. The maximum drug deductible is $325, up $5 from last year

There are changes for enrollees who enter the coverage gap (“donut hole”) this year. While some plans do offer gap coverage for generics and brand name medication, most do not. However, once you enter the donut hole, you get a 50% discount on covered brand-name drugs, though the drug’s whole value will go towards closing the gap.

As open enrollment begins, Medicare enrollees interested in a drug plan are urged to research carefully. Whatever plan you choose will go into effect starting January 1st, 2013 and last for one full year – so get it right! Visit MedicareDrugPlans.com now!


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Medicare Part D Is Not Enough For Many Seniors Suggests IMS Study

Some pharmaceutical industry folks, and their political allies, like to make the point that our nation’s seniors no longer need access to lower-cost foreign medication because they now have new and improved Medicare drug plans. But a new report by IMS indicates that drug costs are having a negative effect on public health, including for our seniors’. Put simply, the data indicates that even with the improvements and savings offered by Part D of Medicare (Medicare’s drug benefit), seniors still struggle to afford the drugs they need.

According to the report, medicine use by 65-year-olds decreased 3.1% — the largest decrease in any age group. As reported in the New York Times, Michael Kleinrock, director of research development at the IMS Institute for Health Informatics, a group that consults for the drug industry, said that seniors appear to be “rationing their care as they struggled to pay rising bills on fixed incomes.” Mr. Kleinrock also said, “We’re reaching a tipping point where patients will actually take that increased cost and use less medicine.” Leigh Purvis, who studies drug prices for the AARP explains that the drugs most often cut are those “where you don’t necessarily develop symptoms when you stop taking them.”

Greatest Prescription Decline for Adults 65 +

Source: IMS Health, LifeLink, Dec 2011; U.S. Census Bureau

Such cutbacks in drug utilization for needed medication are known to lead to increased emergency room visits and greater social costs. Indeed, according to the IMS data, emergency room visits are up by 7.4%. Other studies, such as one by the Commonwealth Fund, have shown that medication nonadherence (skipping your prescribed medication) has been linked to increased emergency room visits, hospital stays, and nursing home admissions. The new IMS report illustrates this correlation as it finds seniors cutting back on needed medication.

Some improvements to Part D of Medicare have already been implemented and the IMS data shows a $1.8 billion decrease in out-of-pocket spending on prescription medication that is likely due to these improvements.  More improvements are on the way as long as the Affordable Care Act is not overturned. However, it’s clear that our seniors continue to suffer negative health consequences because of drug affordability problems.

A recent survey by RxRights.org, a non-profit group advocating for Americans who purchase medication from Canada and other countries, shows that just over half of people who personally import medication through online pharmacies are in Medicare. So even with Part D available to them, they actively seek lower drug prices outside the United States, making it abundantly clear that seniors continue to need the option to personally import prescription medication. It is important that they do so safely, using pharmacies approved by third-party verification programs such as PharmacyChecker.com.

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