HealthPolitics
Opinion: How CMS plans to fix a major flaw in the 340B drug discount program
Publication: STAT
Author: Casey B. Mulligan
Source published: 08/10/2026, 08:30:00 UTC
Briefing created: 25/10/2026, 01:51:59 UTC
Based on a feed excerpt; full article content has not been acquired. Source evidence retrieved 08/10/2026, 22:36:26 UTC.
Briefings
The Department of Health and Human Services proposes narrowing the gap between hospital costs and Medicare reimbursement for 340B drugs, a gap caused by the 1992 Congressional mandate requiring manufacturers to discount prices. This initiative aims to reduce the financial spread that allows hospitals to retain funds from high-cost drugs. The proposal addresses a systemic issue where Medicare patients often owe more in coinsurance than the hospital paid, a consequence of the current payment formula.
Key points
- The 340B drug discount program was established in 1992 by Congress to financially support safety net hospitals serving low-income patients.
- Medicare reimbursement for these drugs is currently set at the full amount, whereas manufacturers provide steep discounts, creating a financial spread that hospitals must cover.
Context
This finding addresses a critical issue in US healthcare where hospitals serving low-income patients face significant financial risks due to the 340B program's payment formula.
Limitations
Evidence is limited to the Department of Health and Human Services proposal; specific implementation details, timeline, or outcomes are not provided.
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