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Estimated changes to employer-sponsored health insurance premiums due to the drug inflation rebate provision of the Build Back Better Act
Estimated changes to employer-sponsored health insurance premiums due to the drug inflation rebate provision of the Build Back Better Act
The Build Back Better Act (BBBA), as passed by the House of Representatives, has several provisions related to prescription drug pricing. The provisions would allow Medicare negotiations over a selected number of high-cost prescription drugs, prohibit implementation of a Trump administration rule that would effectively end Medicare rebates, newly cap Medicare beneficiaries’ out-of-pocket spending on prescription drugs, and introduce inflation rebates on most prescription drugs. The inflation rebates would apply to all drug purchasers except Medicaid, including employer-sponsored insurance (ESI) plans, other commercial insurers, and Medicare. However, this provision has received relatively little attention. Here we estimate the impact of the BBBA’s inflation rebate provision on employee wages and, assuming employers’ savings on reduced premiums are passed on to workers via higher wages, ESI premiums.
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