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Medicare (the government part) wouldn't pay directly for Wegovy since it's an out-patient drug. That would be Medicare Part D, which is managed by private insu
by refurb 3y ago
Medicare (the government part) wouldn't pay directly for Wegovy since it's an out-patient drug. That would be Medicare Part D, which is managed by private insurers who can negotiate.
- ceejayoz 3y agoNah. Drugs covered by Part D are precisely what they got the right to step in for. https://www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf https://www.cms.gov/files/document/fact-sheet-medicare-selec... > For the first time, the law provides Medicare the ability to directly negotiate the prices of certain high expenditure, single source drugs without generic or biosimilar competition. Below is the list of 10 drugs covered under Medicare Part D selected for negotiation for initial price applicability year 2026, based on total gross covered prescription drug costs under Medicare Part D and other criteria as required by the law. https://www.medicare.gov/about-us/prescription-drug-law https://www.medicare.gov/about-us/prescription-drug-law > For the first time, Medicare will be able to negotiate directly with manufacturers for the price of certain high-spending brand-name Medicare Part B and Part D drugs that don’t have competition.
- maxerickson 3y agoThat the private operators of part D were always free to negotiate prices is most of the point.
- ceejayoz 3y agoWith substantially less market power than "the Federal government on behalf of all of Medicare", and with the knowledge that the Feds will bail them out when costs are high. https://www.kff.org/affordable-care-act/press-release/3-charts-about-medicare-drug-price-negotiations/ https://www.kff.org/affordable-care-act/press-release/3-char... > The Congressional Budget Office has estimated that negotiated prices will reduce Medicare spending on drugs subject to negotiation, translating into nearly $100 billion in federal savings between 2026 and 2031.
- refurb 3y agoPart D expansion has come in way under estimated costs which is a massive shocker for a federal program.
- refurb 3y agoThat was my exact point.