Project LOOP (Lowering Out-of-Pocket) Costs

Growing out-of-pocket costs in Medicare Part D are a heavy burden for many older Americans. There is no limit to what patients must pay in the program and some patients receive bills for a single prescription drug fill in the thousands of dollars . Too often the sickest and most vulnerable patients pay the highest amount for their medicines. The current pandemic only exacerbates the problem. During these stressful times beneficiaries should not have to worry about how they are going to pay for their medication. It’s time for Congress to act!

GET IN THE LOOP: Share your story of high out-of-pocket costs in Part D by emailing [email protected].

A Call for Action

Simple bipartisan solutions exist to curb patients’ health care expenses: we urge Congress to act now to address this problem by smoothing and capping out-of-pocket costs in Medicare Part D. This is a growing problem that is heightened by the coronavirus pandemic.

A cap on the total amount patients are required to pay would help beneficiaries get the medicines they need rather than skipping doses, ending treatment or getting turned away at the pharmacy counter. But even with a cap, patients may be required to pay a large amount all at once; a smoothing provision would spread out the costs overtime to ensure Medicare beneficiaries are not overwhelmed with large out-of-pocket spending all at once. As we work to protect older Americans from COVID-19, this is the time to relieve beneficiaries of undue financial burden – now and going forward.

Advocacy Groups Send Letter to CMMI on Part D Demonstration

On May 22, 2020, the Alliance for Aging Research and 26 other patient advocacy organizations wrote to the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (Innovation Center) to show support for a “smoothing demonstration” included in the Innovation Center’s Part D Modernization Request for Applications (RFA). Click here to read the letter.


Interested in lending your voice in support of lowering out-of-pocket costs for Medicare beneficiaries? Join Project LOOP by emailing [email protected].