Industry News: Medicare Drug Plans Slated for Double-Digit Hikes in 2011

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers Medicare Part D market changes expected for 2011, including premium increases, plan consolidation, and the effect of coverage-gap changes under federal health law. It is relevant to beneficiaries, payers, and healthcare administrators tracking prescription drug coverage trends and plan availability. The piece summarizes industry analysis from Avalere Health and references insurer responses and market reshaping.

Why This Topic Matters

It helps readers understand broader Medicare Part D coverage changes that may affect beneficiary plan selection, premium costs, and available insurance options in the coming year.

Article Sections

  1. Premium increases and shopping for coverage

    Discusses projected changes in Medicare prescription drug plan premiums and the need for beneficiaries to review available coverage options.

  2. Coverage-gap discount and market changes

    Summarizes changes related to the Medicare coverage gap and the broader plan adjustments tied to market consolidation and federal law.

  3. Plans shut down in market clean up

    Describes the discontinuation of several drug plans and the resulting movement of members among plans offered by the same insurer.

  4. How the premium increases

    Reviews the types of premium changes reported across selected national plans and the general factors associated with those changes.

What You Will Learn

  • How Medicare prescription drug premiums are changing for the upcoming year
  • Why some Part D plans are being discontinued or consolidated
  • How coverage-gap changes are affecting Medicare drug plan benefits
  • What industry analysis suggests about national plan pricing trends

Who Should Read This

  • Medicare beneficiaries
  • Healthcare administrators
  • Payer and insurance professionals
  • Medical coders and billing staff monitoring payer policy changes

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