chart indicating average sale price of drugs MedPAC
MedPAC is considering whether to recommend reducing the 6% add-on to Part B drug reimbursement to decrease the incentives for providers to use higher-priced drugs.

MedPAC May Back a Cut in Part B Drug Payments, This Time Not for 340B Hospitals Only

Congressional Medicare advisers are weighing whether to recommend converting the 6% add-on to Part B drug reimbursement to a fixed fee capped at $175 for drugs that cost $15,000 or more, phased in starting with drugs costing above $700.

Medicare Payment Advisory Commission (MedPAC) staff members briefed commissioners during MedPAC’s Sept. 2 meeting about their analysis of the proposed Part B add-on payment change and other ways that Medicare could address the high prices of drugs covered under Part B.

Congressional Medicare advisers are weighing whether to recommend converting the 6% add-on to Part B drug reimbursement to a fixed fee capped at $175 for drugs that cost $15,000 or more, phased in starting with drugs costing above $700.

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