Medicare Part D: Major Shifts With the Inflation Reduction Act and a Way Forward

Journal of the American Geriatrics Society, Год журнала: 2025, Номер unknown

Опубликована: Янв. 7, 2025

ABSTRACT The Inflation Reduction Act (IRA) of 2022 introduced major changes in the Part D benefit that aim to improve medication access and correct several financial misalignments current benefit. address obligations Medicare beneficiaries, federal government, plan sponsors (i.e., insurance companies), drug manufacturers. include new brand biologic manufacturer beneficiaries eligible for low‐income subsidy. Effects on supply chain stakeholder behaviors remain be seen but arrangements inform likely responses. Currently, Pharmacy Benefit Managers (PBMs) nestled between plans, manufacturers, pharmacies heavily influence manufacturers' list prices squeeze community pharmacies. With IRA restructuring D, plans are interject more administrative obstacles before can obtain higher‐cost therapies, while manufacturers might alter their patient assistance programs. Manufacturers have already begun change programs at many safety net Many who relied these deeply discounted medications will face significant late enrollment penalties if they do enroll creating a barrier participation. Providers policymakers should understand leverage skills pharmacists support team‐based care improves ensures doing good than harm.

Язык: Английский

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Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review

INQUIRY The Journal of Health Care Organization Provision and Financing, Год журнала: 2025, Номер 62

Опубликована: Янв. 1, 2025

The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS are implemented and impact of implementation. objectives study were to describe strategies employed support implementation outpatient settings identify measures used evaluate effectiveness. We conducted a systematic review literature from multiple databases spanning 2015 March 2024, identified eligible studies using predefined inclusion/exclusion criteria, extracted key data (eg, design, population, strategies, outcomes/measures). ten primary care clinics (N = 8), convenient 1) cancer center 1). over 65 98 outcomes or measures. vast majority mapped components 4Ms (Mobility, Mentation, Medication, What Matters), up per M category. Five had reporting discrepancies four did not fully define outcomes. included serve clear examples for need more evidence settings. Existing research lacks strategy specification standardization present gaps opportunities advance “recognition” impact.

Язык: Английский

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Age‐Friendly Health Systems: From metrics to meaningful change

Journal of the American Geriatrics Society, Год журнала: 2024, Номер 72(S3)

Опубликована: Март 15, 2024

This editorial comments on the article by Wismann et al .

Язык: Английский

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Commentary on the Health Resources and Services Administration Geriatrics Workforce Enhancement Program special supplement

Journal of the American Geriatrics Society, Год журнала: 2024, Номер 72(S3)

Опубликована: Июль 10, 2024

Язык: Английский

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