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Medicare Drug Program Costing Everyone Less Than
Expected
Feb. 2, 2006 - Medicare’s new drug coverage will
have significantly lower premiums for beneficiaries and lower costs to federal taxpayers
and states, as a result of stronger than expected competition in the
prescription drug market and lower drug costs, CMS Administrator Mark B.
McClellan announced Thursday.
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Beneficiary premiums are now expected to average
$25 a month – down from the $37 projected in last July’s budget
estimates – and the overall cost to taxpayers for 2006 will drop 20
percent over the July 2005 estimate, according to the CMS Office of the
Actuary.
The savings result from lower expected costs per
beneficiary; projected enrollment in the drug benefit has not changed
significantly.
“Our report shows that the cost of the program
will be about 20 percent less in 2006,” HHS Secretary Mike Leavitt said.
“Costs are going down even as enrollment is going up. This is good news
for seniors, taxpayers and the Medicare program.”
“The new drug coverage is the most important new
benefit in Medicare in 40 years, and as a result of strong competition
in the prescription drug marketplace, it will cost much less than had
been expected,” Dr. McClellan said.
“With lower prices, more use of generic drugs, and
other effective steps to slow down drug spending, the winners are the
beneficiaries and the taxpayers.”
The net cost to the federal government for the drug
coverage in 2006 is expected to be $30.5 billion down from a previously
estimated $38.1 billion.
The actual or “net” costs to the Federal
government, accounting for Medicaid savings, are also significantly
lower over 10 years, dropping from last year’s estimated $737 billion to
$678 billion. For the 10-year period from 2006-2015, the “total”
Medicare drug benefit cost, without accounting for Medicaid savings, is
now estimated to be about $130 billion less - $797 billion compared to
an estimated $926 billion last year.
State government savings are the result of lower
phased-down contributions for the drug coverage. The state payments are
now projected to be $37 billion (27 percent) less over a 10-year
period.
The Medicare Modernization Act included the
phased-down contributions, sometimes known as “clawback” payments, to
account for a portion of the costs that states had previously paid for
Medicare beneficiaries who are also in Medicaid, because they are now
getting their drug coverage from Medicare.
As of last month, about 24 million Medicare
beneficiaries now have drug coverage, with about 3.6 million
self-enrolled in the new “stand-alone” prescription drug plans and
around 300,000 new enrollees in Medicare Advantage plans with drug
coverage.
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