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Medicare Drug Coverage Gap or “Donut Hole”

A gap in coverage where the beneficiary pays 100% of drug costs up to a limit, created by Medicare Part D legislation. Affordable Care Act addresses this by offering rebate checks for participants who reach their coverage gap and by requiring pharmaceutical companies to offer discounts to consumers.

Medicare Payment Advisory Commission (MedPAC)

A panel that makes recommendations about Medicare payment policy to Congress. The panel composes two annual reports to Congress with their findings.