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"Sweet Spot" Inside Drug Benefit Turns Sour

This article was originally published in RPM Report

Executive Summary

The "donut hole" inside Part D is proving hard to fill. Some drug insurance plans offered brand coverage in 2006-but they won't be doing that again any time soon. Humana lost a mint offering "complete" coverage, so for now its generics-only in the gap.

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Finally, some statistics about the impact of the Medicare Part D donut hole. The good news: drug manufacturers need not worry about most patients entering the coverage gap. The bad: a relatively large number of the industry's best customers do reduce their medication use in the donut hole-and if a customer is lost to the donut hole, they may be lost for good.

The Donut Hole Dilemma: Retaining Lost Patients Under Medicare Part D

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