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Senate Finance Committee Chairman Chuck Grassley said last week that he is interested in restructuring Medicare's prescription drug benefit, including putting drug manufacturers on the hook for some of the costs accrued in the "catastrophic phase" of coverage.

By the numbers: A new analysis by the American Action Forum shows the winners and losers. Cheaper drugs would win, and more expensive drugs would end up paying more than they do now.

  • That's kind of the point of the proposal. As drug prices continue to go up, the cost of even one prescription can send a senior straight into the catastrophic phase, where the government picks up 80% of the tab.
  • Experts say that creates bad incentives, and that putting both drugmakers and insurers on the hook for more of these costs will help contain prices.

Details: The maximum rebate for any given drug in 2020 is about $3,700.

  • Reforming these rebates to be a percentage of the drug's cost in the catastrophic phase would mean that there's no limit on how much a drug company would pay.
  • The higher the percentage, the more pharma would have to pay — and the more losers there would be compared to current policy.

My thought bubble: Pharma is going to hate this, especially if it puts the industry as a whole on the hook for greater discounts.

Go deeper: How your health care would change under "Medicare for All"

Go deeper

Tech scrambles to derail inauguration threats

Illustration: Sarah Grillo/Axios

Tech companies are sharing more information with law enforcement in a frantic effort to prevent violence around the inauguration, after the government was caught flat-footed by the Capitol siege.

Between the lines: Tech knows it will be held accountable for any further violence that turns out to have been planned online if it doesn't act to stop it.

Dave Lawler, author of World
5 hours ago - World

Uganda's election: Museveni declared winner, Wine claims fraud

Wine rejected the official results of the election. Photo: Sumy Sadruni/AFP via Getty

Yoweri Museveni was declared the winner of a sixth presidential term on Saturday, with official results giving him 59% to 35% for Bobi Wine, the singer-turned-opposition leader.

Why it matters: This announcement was predictable, as the election was neither free nor fair and Museveni had no intention of surrendering power after 35 years. But Wine — who posed a strong challenged to Museveni, particularly in urban areas, and was beaten and arrested during the campaign — has said he will present evidence of fraud. The big question is whether he will mobilize mass resistance in the streets.

Off the Rails

Episode 1: A premeditated lie lit the fire

Photo illustration: Sarah Grillo/Axios. Photo: Chip Somodevilla/Getty Images

Beginning on election night 2020 and continuing through his final days in office, Donald Trump unraveled and dragged America with him, to the point that his followers sacked the U.S. Capitol with two weeks left in his term. Axios takes you inside the collapse of a president with a special series.

Episode 1: Trump’s refusal to believe the election results was premeditated. He had heard about the “red mirage” — the likelihood that early vote counts would tip more Republican than the final tallies — and he decided to exploit it.

"Jared, you call the Murdochs! Jason, you call Sammon and Hemmer!”