CMS NEWS
FOR IMMEDIATE RELEASE
December 19, 2019
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CMS Releases Enhanced Drug Dashboards Updated with Data for 2018
Dashboards continue agency’s efforts to increase price transparency and lower drug prices
Today, the Centers for
Medicare & Medicaid Services (CMS) released new 2018 data and
significantly enhanced its Drug Spending Dashboards in the most comprehensive
update of the consumer tools to date. As part of the update, the
Dashboards now list prescription drugs in their first year on the market (in
this case, drugs that were new in 2018). Under the previous methodology, it
would take two years for a new drug to appear in the dashboard. This release
also enacts changes that President Trump proposed in his budget by including
information on prescription drug units that were paid for in Medicare Part B,
but discarded. The
update advances the agency’s efforts to increase price transparency, lower
drug prices, and strengthen the Medicare program to make it sustainable for
future generations.
“The Trump
Administration’s commitments to price transparency and reducing the costs of
prescription drugs are historic,” said CMS Administrator Seema Verma. “The
continued public release of what Medicare and Medicaid pay for prescription
drugs puts manufacturers on notice: the public is watching what you are
charging patients. Accountability – the consequence of greater
transparency in drug pricing – is an important component of the Trump
Administration’s efforts to lower prices and empower patients with the
information they need to make informed decisions.”
All of the information in
the Drug Dashboards is presented in an interactive web-based tool, so
researchers and consumers can easily sort the data to identify trends. The
dashboards focus on average spending per dosage unit (unit price) for
prescription drugs paid under Medicare Parts B and D and Medicaid, and track
the change in average spending per dosage unit over time. The dashboards also
display the manufacturer(s) of each drug as well as information on drug uses
and clinical indications. In addition to more comprehensive data, this
update to the dashboard includes adding new flags that will help users
identify potential data quality issues. The flags highlight values that are
based on potentially anomalous data as outliers, so that users can exercise
caution when interpreting these results.
The information released
today builds on the agency’s efforts to increase price transparency, lower
prescription drug list prices and prevent drug wastage. In 2017, CMS
began requiring all providers submitting Medicare Part B drugs claims to
report any discarded amount of a single use vial or other single-use,
packaged drug. In response to concerns regarding prescription drug wastage,
the FY2020 President’s Budget called for CMS to publically report data on
discarded drug units gathered from this new claims-based reporting
process. The report released by CMS today aligns with the President’s
Budget and contains a list of Part B drugs that have the highest percentage
of discarded units, potentially due to manufacturers only making available a
limited number of packaging sizes for these products. In 2018, spending on
discarded drug units equaled $725 million, approximately 2% of total Part B
drug spending.
In 2018, total gross
spending on prescription drugs was $168.1 billion in Medicare Part D, $33.3
billion in Medicare Part B, and $66.4 billion in Medicaid. The
proportion of prescription drugs with a unit price increase went down from
2017 to 2018 in both the Medicare Part B program and Medicaid. In the
Medicare Part D program, the proportion of prescription drugs with a unit
price increase remained steady from 2017 to 2018. However, in Medicare
Parts B and D and in Medicaid, the proportion of prescription drugs with unit
price increases of 10% or more dropped from 2017 to 2018.
The CMS Drug Spending
Dashboards can be accessed at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Information-on-Prescription-Drugs/index.html.
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Thursday, December 19, 2019
CMS Releases Enhanced Drug Dashboards Updated with Data for 2018
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