Medicare Enrolled will see Lower Costs on Select Drugs in 2026

Published in Blackstone Valley Call & Times on December 2, 2025

With Medicare Open Enrollment ending next week, the Centers for Medicare & Medicaid Services (CMS) has announced that last year’s Medicare negotiations produced a net savings of 44%—about $12 billion—on 15 widely used prescription drugs that treat cancer and other serious chronic conditions.

The new Maximum Fair Prices (MFPs) for these 15 drugs will take effect on January 1, 2027. Combined with the 10 drugs already negotiated—whose MFPs take effect January 1, 2026—a total of 25 drugs will have negotiated lower prices. These medications, used to treat conditions such as cancer, diabetes, asthma, and cardiovascular and neurological disorders, represent some of the highest Medicare Part D spending.

The Beginning of Drug Price Negotiations

Three years ago, after President Biden signed the Inflation Reduction Act (IRA) in August 2022, CMS began developing the process for Medicare’s first-ever drug price negotiations. On March 15, 2023, the federal agency issued its initial program guidance and received more than 7,500 public comments from consumer groups, patient advocates, drug manufacturers, and pharmacies. Revised guidance followed on June 30, 2023.

On August 29, 2023, CMS released the first list of 10 high-cost drugs selected for negotiation—marking the first time in Medicare’s history that it could negotiate directly with pharmaceutical companies.

Pharmaceutical industry groups and several companies attempted to block the law in court. In response, 70 organizations and 150,000 petition signers urged Merck, Bristol Myers Squibb, Janssen Pharmaceuticals, Astellas Pharma US, the Pharmaceutical Research and Manufacturers of America (PhRMA), and the U.S. Chamber of Commerce to drop their lawsuits. Multiple organizations also filed amicus briefs supporting the law.

Three years in process, and with courts ultimately allowing the program to proceed, that first round of 10 drugs with negotiated prices will take effect in 2026.

CMS Drug Negotiations Added 15 Drugs

On January 17th, CMS announced it had selected 15 additional drugs for the second cycle of negotiations under Medicare Part D and on November 25th, it was announced that agreements had been reached on all of them. These medications are among the most costly and most commonly used by Medicare beneficiaries, treating conditions such as cancer, diabetes, and asthma. The new round of negotiations is expected to save Medicare billions and strengthen the program’s long-term sustainability.

“This year’s results stand in stark contrast to last year’s,” said CMS Administrator Mehmet Oz, MD, in announcing the second cycle of negotiations.  “Using the same process with a bolder direction, we have achieved substantially better outcomes for taxpayers and seniors in the Medicare Part D program — not the modest or even counterproductive ‘deals’ we saw before.”

“Whether through the Inflation Reduction Act or President Trump’s Most Favored Nation policy, this is what serious, fair, and disciplined negotiation looks like,” adds CMS Deputy Administrator and Medicare Director Chris Klomp. “I’m deeply proud of our team, who execute exceptionally well to bring affordability to the country in everything we do.”

Between January 1 and December 31, 2024, approximately 5.3 million Medicare Part D enrollees used one or more of these 15 drugs. Total gross Part D spending for them was $42.5 billion, representing about 15% of all Part D drug costs.

Anthony Wright, executive director of Families USA, praised the newly released negotiated prices, stating that they show what is possible when “policymakers put patients before corporate profits.” Wright emphasized that these reductions build on the work of establishing the Drug Price Negotiation Program, which aims to provide financial relief to older adults and people with disabilities.

Wright noted that the first and second rounds of negotiated drugs together account for about one-third of Medicare Part D spending, with price reductions ranging from 38% to 85%. In 2027, beneficiaries using these drugs are projected to save $685 million in out-of-pocket costs. He added that the savings support both individual beneficiaries and the long-term sustainability of the Medicare program.

Despite pharmaceutical companies’ continued attempts to limit the program—through lawsuits and legislative provisions such as those in H.R. 1—Wright said the negotiation program remains “the most effective tool currently available to lower drug prices.”

“The Medicare Negotiation Program changed the trajectory of drug pricing in the United States, helping to reduce Big Pharma’s monopoly pricing power, which dictated prices to Americans on Medicare for two decades,” said Merith Basey, executive director of Patients for Affordable Drugs in a statement. “This second round of negotiations — now under President Trump — marks another major milestone, delivering continued savings for patients and taxpayers,” he said.

“The lower negotiated prices are more than numbers on a page. For patients who’ve been forced to work multiple jobs, cut pills in half, or choose between filling a prescription and buying groceries, these lower prices will bring long-overdue relief, flexibility, and stability,” added Basey.

“The requirement that Medicare negotiate lower prices for prescription drugs continues to pay dividends for older Americans and taxpayers,” adds Richard Fiesta, executive director of the Alliance for Retired Americans. “The announcement of lower drug prices for 15 high-priced drugs is a win for more than 5 million seniors who take these drugs to treat asthma, diabetes, lung disease and other serious conditions, and will soon pay less for their medications,” he says.

“The 4.4 million members of the Alliance are pleased that the Trump Administration has followed the law, negotiated these prices, and defended this law in court,” Fiesta says, calling on Congress to increase the number of drugs subject to price negotiations.

While the White House along with aging groups praise the impact of IRA’s Medicare drug negotiation provisions, the Pharmaceutical Research and Manufacturers of America (PhRMA) issued a statement calling it “flawed.”

“Whether it is the IRA or MFN, government price setting for medicines is the wrong policy for America. Price setting does nothing to rein in PBMs who decide which medicines are covered and what patients pay. In fact, many patients are facing additional coverage barriers and paying more out-of-pocket for medicines because of the IRA, warns Alex Schriver, Senior Vice President of Public Affairs.

“These flawed policies also threaten future medical innovation by siphoning $300 billion from biopharmaceutical research, undermining the American economy and our ability to compete globally,” states Schriver, noting that PhRMA members are stepping up to make medicines more affordable by enabling direct purchase at lower prices and investing in U.S. manufacturing and infrastructure.

Lower Drug Cost Legislation Introduced

Congressman John B. Larson (D-CT), a senior member of the House Ways and Means Committee, praised the latest CMS announcement, estimating that both negotiation rounds will save older Americans more than $2 billion per year in out-of-pocket costs. Larson noted that families and seniors continue to struggle with rising prices, especially for prescription drugs.  The lawmaker pushed to enable Medicare to negotiate drug prices to lower drug costs by the enactment of IRA.

Last week, House Democrats introduced the Lower Drug Costs for American Families Act, aimed at closing loopholes in H.R. 1 and further reducing prescription drug prices. The bill (H.R. 6166), introduced November 20 by Ranking Members Frank Pallone Jr. (Energy and Commerce), Richard Neal (Ways and Means), and Bobby Scott (Education and Workforce), has been referred to all three committees.

Key provisions of the bill would:

  • Extend Medicare’s price negotiation authority to all Americans with private insurance—covering more than 164 million people with employer-sponsored plans and over 24 million enrolled in Affordable Care Act plans
  • Apply inflation-based rebate protections to private insurance markets, potentially saving $40 billion over 10 years
  • Increase the number of negotiated drugs from 20 to 50 per year
  • Extend the $2,000 annual out-of-pocket prescription drug cap to privately insured patients
  • Cap insulin costs at $35 per month for those with private insurance
  • Close the orphan-drug loophole that allows companies to avoid negotiation
  • Require consideration of international drug prices to ensure Americans do not pay three to five times more than patients in other countries

Continue the Momentum

According to CMS, the agency will announce the specifics on 15 drugs for the third round of Medicare price negotiations by February 1, 2026. This new round will include drugs paid under Medicare Part B for the first time and will begin with negotiated prices effective January 1, 2028. CMS has already released final guidance for the program and will also use this process to select drugs for renegotiation in previous cycles. IRA also establishes an ongoing process where more drugs will be selected for negotiation in subsequent years.

A Dec. 2024 AARP survey found that almost 3 in 5 adults age 50 and older expressed concern about their ability to afford prescriptions over the near future.  Respondents included both Medicare beneficiaries and younger persons. About 96 percent of the respondents call on the government to do more to lower pharmaceutical prices.

AARP noted that this survey was taken right before a new $2,000 cap on out-of-pocket drug expenses took effect in 2025.

With the announcement of lower drug costs that result from Medicare’s round 2 drug negotiations, there is an  opportunity to build on this momentum for real change. Lawmakers can legislate to put the public’s health above profit by giving consumers more power to negotiate, making competition stronger, and keeping patients from having to pay too much out of pocket.

It is now time for Congress to act.

Meals on Wheels Rhode Island: New Strategic Plan Builds Resilience, Growth 

Published in RINewsToday on November 25, 2025

Today, nearly 13 million older Americans worry about having enough to eat, and a 2020 University of Michigan poll conducted during the COVID-19 pandemic found that 56% feel lonely—a level so severe it has been declared a public health epidemic.

Although the historic federal shutdown has ended, reimbursement for local Meals on Wheels providers remains uncertain, warned Meals on Wheels America (MOWA) President and CEO Ellie Hollander in response to the passage of the continuing appropriation ending the federal government shutdown.

According to Hollander, these funding delays caused serious financial strain for 9 in 10 local programs, which depend heavily on federal dollars through the Older Americans Act Nutrition Program. In fiscal year 2024, for the first time in a decade, this federal program was cut.  About 41% of providers rely on it for at least half of their operating budgets, she stated.

Hollander noted that prior to the 43-day shutdown, one in three Meals on Wheels programs had a waitlist, with an average wait time approaching four months—and some stretching to two years. The lingering effects of the shutdown, combined with flat federal funding and recent cuts to SNAP and Medicaid, will only deepen food insecurity among older adults and cause waitlists to grow even longer, she predicted.

Providing Nutritious Meals to Rhode Island’s Most Vulnerable

Meals on Wheels of Rhode Island (MOWRI) is one of 5,000 community-based providers (operating both home-delivered and congregate meal programs) nationwide, serving an estimated two million older adults, in total. Collectively, there are more than two million volunteers and 100,000 paid staff supporting these efforts.

MOWRI is not an affiliate of MOWA and is an independent nonprofit organization.  MOWRI reports a strong fund development portfolio, in addition to federal and state grant through the Older Americans Act and administered by the R.I. Office of Healthy Aging. The organization expects to raise more than $1 million through grants, individual donations, corporate partnerships, events and campaigns this year. Each year, more than 1,500 individuals make a gift to MOWRI.

A Solid History in RI

Founded in 1969 by gerontologist Joseph Brown, MOWRI began by serving hot lunches that met one-third of an older adults’ daily dietary requirements to just 17 Providence seniors along a single delivery route. By 2024, the organization had grown significantly. That year, 472 volunteers drove a combined 398,100 miles, visiting 3,738 clients Monday through Friday across 260 service days. Volunteers delivered 421,553 meals on 90 delivery routes statewide and conducted 328,000 well-being checks and social visits.

 In 2025, MOWRI is serving 77% more meals each weekday than five years ago and has expanded its reach to more at-risk populations in addition to homebound older adults, including pregnant and postpartum women and those living with HIV/AIDS and other chronic illnesses.

Responding to changes in federal funding for nutrition programs, combined with next year’s state economic outlook characterized by moderate revenue growth, MOWRI released its 15-page 2030 strategic plan,  Building Resilience, Deepening Impact, last week. “Our bold new strategy will allow us to extend our reach and improve the lives of even more Rhode Islanders through expanding our role as sector leaders, ensuring sustainable organizational growth, increasing our impact, and driving quality in all that we do,” said MOWRI Board President Christina Pitney in a statement announcing the plan on Nov. 19.

5-Year Plan Expands Nutrition & Wellness for Homebound

According to MOWRI, its five-year plan “utilizes a ‘Food for Service model’ to concurrently tackle food insecurity and social isolation with the goal of reducing loss of independence among homebound and frail older adult Rhode Islanders.” MOWRI’s Home-Delivered Meal Program offers daily, fully prepared nutritious meals to homebound Rhode Islanders delivered right to their door. With the delivery of the meal, the volunteer driver performs a safety-assuring wellness check along with a social visit.

MOWRI’s Emergency Meal Program is a component of the home-delivered meal service.  This program is specifically designed to provide a back-up supply of non-perishable food for clients to ensure that they have access to food if their regular daily meal delivery is interrupted by severe weather or other emergencies.

Eligibility for the traditional Home-Delivered Meal Program requires clients to be age 60 or older or qualify through a state waiver program. Participants must be homebound—unable to safely leave home without assistance—and cannot be enrolled in adult day care or a community dining program on days they receive home-delivered meals. For the Capital City Café Program, clients must be 60 years of age or older, or under 60 and living with a disability or receiving general public assistance.

MOWRI enters the 2030 planning period from a position of exceptional strength, the strategic plan notes, stating that its paid staff and volunteers have delivered more than 21 million meals to date and expanded services statewide, including Block Island. With decades of experience supporting older adults through nutrition, safety checks, social connection, and health-focused programming, the organization is now preparing for its next phase of growth. However, the plan also acknowledges rising service demands, stagnant public funding, and increasing competition, while emphasizing that MOWRI’s strong financial reserves, trusted reputation, and culture of innovation provide the foundation for deeper impact.

Stakeholder input, interviews, data analysis, and national best practices all point to the same conclusion: MOWRI must expand its role in the health, aging, and equity ecosystems while building the infrastructure necessary to sustain long-term progress. The strategic plan suggests that MOWRI’s “More Than a Meal” model evolve into a public health intervention. With changing demographics among the state’s aging and vulnerable populations, the organization seeks to further expand home- and community-based services to persons with disabilities, people under age 60, rural residents, school-aged children, perinatal clients, and those living with chronic illness.

MOWRI also seeks to enhance private-pay options designed for caregivers, individuals living alone, and those recovering from surgery or illness.

Recognizing the Importance of Partnerships

The strategic plan calls for using its existing and new partnerships with hospitals, health care systems, Medicaid providers, and insurers to allow the organization to support hospital discharge planning, chronic disease management, and post-hospitalization recovery. Meanwhile, this plan also foresees standardized health assessments and referral practices conducted during meal delivery, ensuring that staff who have direct in person interaction with clients and volunteers play a direct role in supporting participant health and safety.

The strategic plan calls for providing medically tailored meals that meet both the clinical and cultural needs of clients, elevating MOWRI’s position as a statewide demonstration site for Food-Is-Medicine initiatives.

The organization also intends to investigate nutritional counseling and other health-supportive services that improves medical outcomes and promotes aging in place. Additional priorities of this new strategic plan include the establishing well defined criteria to evaluate new programs based on its organizational mission, fiscal stability, and organizational capacity; strengthening the organization through succession planning, leadership development, expansion of volunteer base,  and targeted recruitment; and adopting organization-wide data systems to improve evaluation and decision-making.

Increased use of the Mobile Meals app will streamline delivery operations along with strengthening communication, enhancing participant monitoring, and supporting healthcare collaboration. Existing and new partnerships with academic institutions expands the organization’s research efforts. A new organizational dashboard can assist MOWRI’s leadership track key indicators and allocate resources effectively.

Finally, the strategic report emphasizes the importance and value of advocacy and its visibility.  As competition from for-profit and tech-enabled providers grows, the organization must elevate its position on policies and clearly communicate the unique value of personal connection, wellness checks, safety monitoring, and culturally responsive services.

Overall, MOWRI says its strategic plan positions the organization for sustained growth and expanded impact by 2030.

“Our future will not be without challenges, and we are focused on ensuring that every Rhode Islander has access to the nutrition, connection, and dignity they deserve,” says Executive Director Meghan Grady.

For more information on volunteering or making a gift to support MOWRI’s statewide impact, please visit www.rimeals.org.

Solo Agers are Living Alone. And Liking It  

Published in RINewsToday on November 17, 2025

The Washington, DC–based AARP highlights the growing population of “solo agers” in the November/December 2025 issue of AARP Bulletin. These adults, age 50 and older, live alone without a spouse, partner, or anyone else under the same roof. According to the survey, this group now numbers 24 million—about 21% of Americans over age 50. More than 500 adults ages 50 to 95 were surveyed, including those who have never married as well as individuals who are divorced, separated, or widowed.

A key theme of the Nov. 10 released study emerges: solo agers enjoy their independence. Thirty-five percent of respondents said the best part of living alone is the freedom and autonomy it provides. An 82-year-old female solo ager summed it up this way: “The freedom to do whatever you please, whenever you want to do it.”

Taking a Close Look at America’s Solo Agers

Still, loneliness remains a significant challenge. Twenty-two percent said it is the hardest part of living alone. A 57-year-old male respondent noted, “Being lonely when there is nothing to do and not going out with friends and family.”

Despite this, the study found that many solo agers are socially connected with friends, family by volunteering and staying active in the community.  According to the survey’s findings, more than half of the respondents say their social life is excellent or good.  Two in five (40%) have lived on their own for 20 years or more. Respondents say that they found joy in spending time with friends (63%), pursuing hobbies and special interests (59%), connecting with family (57%), and even engaging in physical activity (55%).

Still, they say that living alone is concerning to them.  While many of these solo agers say they are in good health, many of these individuals worry about losing their independence (68%) and declining physical strength or stamina (62%).

Financial worries are also common. Just 54% rate their financial situation as excellent or good. Two in five express concern about having enough money for retirement (41%) or for paid care that would help them remain independent at home (39%). Adults ages 50–64 are far more worried about retirement savings than those 65 and older (59% vs. 32%).

The AARP Bulletin article stresses the importance of solo agers maintaining a strong social support network of family, friends, neighbors, and their caregivers. It also offers tips on financial, legal, and social strategies to help them maintain their autonomy, enhance their well-being, and reduce loneliness.

Being Solo and Alone in Rhode Island

A 71-year-old freelance writer, referred to as “Jane,” tells this writer about her experiences living solo as a divorced woman. Throughout our interview, she discussed her personal life, finances, and health. Even as a Solo Ager, she told me of the independence and freedom she has enjoyed for 27 year. “I’m independent. I do what I want. I answer to no one. I control my life,” she told me.

As to the primary drawbacks of living alone, Jane cited handling home repairs without a “resourceful” partner and dealing with illness. She had recently recovered from a significant health issue that had temporarily impacted her physical well-being. There was no one immediately available to provide care, driving home the vulnerabilities of living alone.

“I felt lonely, anxious, or sad being alone, especially when I didn’t feel well,” Jane admitted.

Jane detailed her close relationship with her two middle aged children and three grandchildren, along with the companionship she receives from her two cats. She says that these cats provide her essential companionship and structure to a daily schedule routine of feeding and spending time with them. This keeps her from negative habits like oversleeping.

As to her social network, Jane described herself as having a few close friends but not being a “joiner.” But being semi-retired it is easy for her to take the afternoon off and meet these individuals for lunch.

As to her ongoing amicable post-divorce co-grandparenting relationship with her ex-husband, “We were ships passing at noon when one of the grandchildren was very young. He would do the morning shift and I did the afternoon shift – same with another grandchild on a different day of the week.” But, in the years since their divorce, they were there for each other in one crisis or another, be that illness, or a burst water pipe.

As to solo living, Jane also touched upon her financial situation. “The house is a little difficult because I’d like to downsize, but I’m stuck,” she says, explaining how a low mortgage rate would make it difficult to sell and then get into another mortgage or a condo with higher costs than she’s paying now – a 2% low-interest mortgage is financially advantageous, but is more house than she needs or wants.

Jane’s story, reflecting many of the findings of AARP’s recently released study, counters the existing stereotypes of older, single women being viewed as lonely, instead it portrays a life that is full, independent, and deeply connected to family. However, her financial picture could also present practical challenges reflective of many seniors trying to survive in the current economy.

According to AARP, interviews were conducted February 13–17 and March 13–17, 2025, with 876 U.S. adults age 50 and older through the Foresight 50+ Omnibus. The sample included 503 solo agers—adults living alone and not married or partnered. The study was funded and operated by NORC at the University of Chicago. Foresight 50+, created by AARP and NORC, is a probability-based panel designed to represent the U.S. household population age 50 and older.
AARP noted that Researchers compiled data by both phone and online interviews. Data was weighed by age, sex, education, race/ethnicity, region by AARP membership to ensure national representation.