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IPAB was established in 2010 to cut Medicare spending if the program’s five-year growth rate rose faster than a target growth rate. Because IPAB could make those cuts without Congressional oversight, there is concern about how reductions in Medicare spending would affect its 57 million beneficiaries

For doctors, the price of prescription drugs used to be largely a medical concern: Patients wouldn’t get better if they couldn’t afford to fill their prescriptions. But with Medicare’s growing emphasis on value-based care, many physicians now also have a financial stake in ensuring that patients can pay for the medications they need.