Why Medicare’s Aduhelm Coverage Decision Could Increase Pressure to Roll Back the Part B Premium Increase for 2022

This week, CMS issued a preliminary National Coverage Determination that would limit coverage of the new drug, Aduhelm.

Why Medicare's Aduhelm Coverage Decision Could Increase Pressure on Officials to Roll Back the Record Part B Premium Increase for 2022   In a new Policy Watch, KFF experts explain why Medicare's preliminary decision to cover a new Alzheimer's drug only for a limited group of beneficiaries is likely to intensify pressure on officials to reconsider the increase in the Medicare Part B premium for 2022. Earlier this week, CMS issued a preliminary National Coverage Determination that would limit coverage of the new drug, Aduhelm, to beneficiaries with mild cognitive impairment who participate in approved clinical trials – a decision that is expected to result in a relatively small number of Medicare beneficiaries receiving Aduhelm over the next several years. Medicare officials cited the high price of the drug as a key reason for a 14.5 percent increase in the Part B premium, from $148.50 in 2021 to $170.10 in 2022. But that was before Biogen, the drug's manufacturer, announced a 50 percent reduction in the drug's price at the end of 2021, and before the proposed coverage decision was made. Together, these factors suggest that Medicare Part B spending on this drug is not expected to be as large as previously forecast. Medicare beneficiaries who use Aduhelm, however, will still face thousands of dollars in coinsurance costs if they do not have supplemental coverage to help defray the cost.   The Policy Watch and other analyses related to Aduhelm and Medicare spending are available at kff.org. Read the Policy Watch CONTACT:   Chris Lee | (202) 654-1403 | chrisl@kff.org Filling the need for trusted information on national health issues, KFF is a nonprofit organization based in San Francisco, California. kff.org  |  khn.org Did someone forward this to you? Click here to sign up for emails from KFF. This email was sent to albarkahslamet.ssss@blogger.com. Update your email preferences to choose the types of emails you receive. Or, permanently unsubscribe from all future emails.  If you need help or have questions, please send an email to subscriptions@kff.org. Please do not reply to this email as this address is not monitored. KFF 185 Berry Street Suite 2000 San Francisco, CA 94107