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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.

Improper Payments Information Act (IPIA)

Requires agencies to distinguish programs and activities susceptible to improper payments each year. They must also estimate the amount of overpayments or underpayments. Each year…