News|Articles|January 14, 2025

MHE Publication

  • MHE January 2025
  • Volume 35
  • Issue 1

Out-of-Pocket Limits Increase Utilization | Predictions for 2025

Jerilyn Arneson, Pharm. D, co-founder and officer of the National Association of Medication Access & Patient Advocacy, gives her 2025 prediction.

The lower out-of-pocket maximum in Medicare Part D plans might encourage some patients to use more healthcare services, including prescription drugs, that they previously couldn’t afford and, thus, never had filled. This increased utilization could lead to more people hitting the $2,000 limit and increasing the demand for foundation assistance.

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