Goodsurance

Drug prices & Part D

MedPAC September Meeting Finds IRA Changes Improved Drug Affordability for Enrollees but May Be Accelerating Overall Medicare Part D Spending

Medicare's congressional advisory commission opened its new study cycle in September finding that Inflation Reduction Act drug benefit changes have helped individual beneficiaries while putting upward pressure on total program spending and future premiums.

By the Goodsurance editorial teamSeptember 20, 2026

At its September 3 and 4 public meeting, the Medicare Payment Advisory Commission (MedPAC) kicked off its 2026 to 2027 study cycle with a review of Part D policy issues. Staff presented a finding that changes enacted by the Inflation Reduction Act of 2022, including the new cap on annual out-of-pocket drug spending, have improved affordability for individual Medicare enrollees but may be contributing to faster spending growth that puts upward pressure on premiums and overall program costs.

No formal recommendations were issued. The September session marks the first step in a longer, multi-meeting examination of how the redesigned Part D benefit distributes costs among enrollees, drug manufacturers, insurers, and the federal government.

MedPAC found the IRA helped lower drug costs for Medicare enrollees, but the same changes may be making total Medicare drug spending grow faster.

At the same meeting, a separate presentation reviewed the accuracy of Medicare Advantage risk adjustment payments at the plan level. Staff found that the current system could produce more accurate plan-level payments, a finding MedPAC has been building toward in previous reports.

Both topics are expected to generate detailed presentations and formal recommendations in upcoming commission meetings. Slide presentations and the full meeting transcript are available on MedPAC's website.

MedPAC advises Congress on Medicare payment policy but does not set policy directly. Its findings and recommendations often shape legislative and regulatory action in subsequent years.

In plain words

A group called MedPAC advises Congress on Medicare. In September 2026, MedPAC held its first meeting of the new study year. The group found that a recent law called the Inflation Reduction Act has helped lower drug costs for people on Medicare. That is the good news. The concern is that the changes may also make total Medicare drug spending grow faster, which could push premiums higher over time. MedPAC also said the way Medicare Advantage plans get paid may not be as accurate as it should be. No changes have been made yet. MedPAC will study these issues more over the coming year.

Source: MedPAC
Read at the source →

More news

Other stories on what is moving in Medicare.

Drug prices & Part D

Medicare's 2027 Part D Base Beneficiary Premium Will Be 41 Dollars and 33 Cents, Hitting the Inflation Reduction Act's Annual Cap

CMS set the 2027 Part D base beneficiary premium at 41 dollars and 33 cents in July, representing a 6 percent rise from the prior year and the maximum the IRA allows, a benchmark that shapes what drug plans charge as open enrollment approaches.

September 19, 2026

Drug prices & Part D

Federal Watchdog Adds Medicare Part D GLP-1 Overdispensing to Its Active Study List

The Office of Inspector General announced a new evaluation of GLP-1 prescribing patterns in Part D, as the Medicare obesity drug bridge program continues to attract enrollment.

September 17, 2026

Drug prices & Part D

Federal Subsidy That Has Held Down Standalone Medicare Drug Plan Premiums for Two Years Is Ending After 2026

CMS is closing the Part D Premium Stabilization Demonstration after 2026, and a KFF analysis warns that people with standalone prescription drug plans in traditional Medicare could face larger premium increases in 2027 than they have seen in recent years.

September 13, 2026

Drug prices & Part D

Medicare Part D Drug Spending Is Projected to Nearly Double by 2035, With GLP-1 Prescriptions as the Primary Driver

A KFF analysis of the 2026 Medicare Trustees Report projects annual Part D spending will climb from 181 billion dollars in 2025 to 346 billion dollars in 2035, a pace driven largely by surging use of GLP-1 drugs for diabetes and weight loss. The data arrives six weeks before open enrollment opens.

September 11, 2026

Drug prices & Part D

Face-to-Face Drug Price Talks Between Medicare and Manufacturers Close Today on 15 High-Cost Drugs

September 11 is the statutory deadline for in-person and virtual negotiation meetings in Medicare's third drug price negotiation cycle. Written offers are next, with a final CMS offer due September 30 and manufacturer responses due by November 1.

September 11, 2026

Drug prices & Part D

Comment Period Closes September 18 on How Drug Companies Must Apply Medicare-Negotiated Prices at Clinics and Doctor's Offices Starting in 2028

A CMS draft guidance describes the step-by-step process manufacturers must follow to make sure negotiated Medicare prices actually reach patients receiving infused or injected medicines at a doctor's office or outpatient clinic. Public comments are due September 18, 2026.

September 3, 2026