1. Members said the break in coverage was needed to cut program costs, but plan sponsors and pharmacy benefit managers continue to record double digit earnings from the program.
2. It appears that the creation of the doughnut hole has‘set the law’ for a special interest hand out to big business.
3. Even more disturbing, as our seniors face increased Medicare premium expenses next year, they are going to find fewer plans that offer brand name drug coverage in the doughnut hole.
4. Another twist? In what was deemed a "cost savings" move, Congress indexed the coverage gap for inflation. This means next year seniors will pay even more for drugs, as profits soar higher for big business. In 2007, when a senior reaches $2400 in total drug costs (up from $2251 this year) coverage will stop and then resume only when the senior spends a total of $5,451.21, which is an increase of $351.21 from this year's $5100 total.
Congress recognizes there is something truly rotten in Medicare Part D...now what do they plan to do about it?
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