Banner

Article

Affordable Care Act closing 'doughnut hole'

In the first full year of healthcare reform, 3.6 million Medicare recipients saved $2.1 billion on prescription drugs, according to the U.S. Department of Health and Human Services (HHS).

In the first full year of healthcare reform, 3.6 million Medicare recipients saved $2.1 billion on prescription drugs, according to the U.S. Department of Health and Human Services (HHS).

Most of the savings came from provisions in the Patient Protection and Affordable Care Act aimed at closing the "doughnut hole" in Medicare prescription drug coverage. In 2010, program enrollees who hit the gap in coverage received $250 rebate checks.

Last year, the new rules gave beneficiaries a 50% discount on covered brand-name drugs and a 7% discount on generics when they hit the doughnut hole-an average savings of $604 per beneficiary, according to HHS.

Drugs that lowered blood glucose accounted for the greatest savings in 2011, followed by triglyceride- and cholesterol-lowering drugs.

Newsletter

Stay informed and empowered with Medical Economics enewsletter, delivering expert insights, financial strategies, practice management tips and technology trends — tailored for today’s physicians.

Related Videos
© 2025 MJH Life Sciences

All rights reserved.