Inflation Reduction Act (IRA) Educational Resources

August 21, 2024

Medicare

As a means of providing additional support to our clients, the following videos and companion guides have been created to provide education and awareness to agent/brokers and customer service. This content is designed to be an educational resource for these key stakeholders to highlight recent and upcoming changes to the Medicare Part D program.

This includes the following (target audience noted for each):

Customer Service Educational Resources
  • M3P Customer Service Video and companion user guide – the video and user guide provide information about the M3P program, including CSP (Customer Service Platform) screen shots and procedures on how to support members calling in about the M3P program.  https://bcove.video/3SuKQE9
  • IRA Educational document can be used as an educational resource to highlight upcoming changes to the Medicare Part D benefit effective 1/1/2025, including M3P. This document can be used for customer service and agent/broker.
Medicare Agent/Broker Educational Resources
  • M3P Agent/Broker Video and companion user guide provides information about the M3P program. https://bcove.video/3LII9L9
  • Medicare Educational document is an educational resource for these key stakeholders to highlight recent and upcoming changes to Medicare Part D and can be easily copied and pasted into your own educational materials.
    • Topics include:
      • Insulin Cost Share Caps
      • Out of Pocket Maximums
      • Supplemental Benefits
      • Weight Loss Drugs
      • Biosimilars
      • Dual Special Needs Plans (DSNP)
      • Medicare-Medicaid Plans (MMP)
      • Prescription Drug Plans (PDP)
      • Medigap/Medicare Supplement

Click here for more information on the IRA including background and likely to benefit

legislation

House Committee Holds Final Hearing in Series on the Role of PBMs

The House Committee on Oversight and Accountability held a final hearing on the value of PBMs in the marketplace, with Adam Kautzner, PharmD, President of Evernorth Care Management and Express Scripts, testifying alongside executives from CVS Caremark and OptumRx. The Committee made it a priority to study PBMs when Republicans gained control of the House […]
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August 21, 2024

EGWP marketplace medicaid Medicare

legislation

Members of Congress, PCMA, and Others Respond to FTC PBM Interim Report

On July 9, the FTC released an interim staff report in connection with its 6(b) study of the PBM industry. In a dissenting statement released with the report, Commissioner Holyoak calls the report “premature and deficient,” saying that FTC Chair Lisa Khan “cobbles together structural observations that in her apparent view dispenses with the need […]
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August 21, 2024

EGWP marketplace medicaid Medicare

survey results

Former DOJ Economist Dennis Carlton Releases Empirical Analysis of PBM Data Contradicting FTC Findings

Dennis W. Carlton, Ph.D., David McDaniel Keller Professor of Economics Emeritus at the University of Chicago Booth School of Business and former chief economist at the U.S. Department of Justice, released preliminary findings of his research into PBMs. The analysis was based on the same data submitted to the FTC by Express Scripts, CVS Caremark, […]
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August 21, 2024

EGWP marketplace medicaid Medicare

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