DRUG PRICING
Medicare proposes steep 340B drug payment cuts
Medicare is proposing to slash payments for drugs purchased through the 340B drug discount program by more than a third, STAT’s Tara Bannow writes. Recent hospital surveys show many providers acquire the drugs at far lower prices and, in some cases, patients’ cost-sharing exceeds the hospitals’ acquisition costs, the agency says.
A nearly $4.6 billion reduction in drug payments would be offset by an 8.4% increase in payments for nondrug outpatient services. But hospital groups are concerned, saying the new policy would effectively shift money from nonprofit safety-net hospitals, which participate in 340B, to for-profit hospitals, which do not.
“This enormous cut will make drugs less affordable for America’s most vulnerable patients — many already struggling with higher insurance premiums, loss of healthcare coverage, and skyrocketing drug prices,” Ashley Thompson, the American Hospital Association’s senior vice president of public policy analysis and development, said in a statement.
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regulation
Former surgeon general wants peptide pragmatism
Former U.S. Surgeon General Jerome Adams is urging the FDA to take a middle-ground approach to regulating the booming market for wellness peptides. In an opinion piece for STAT, Adams argues that outright crackdowns will only push consumers toward unregulated online sellers.
Ahead of a July advisory committee meeting on whether pharmacy compounding of certain peptides should be permitted, Adams says the agency should allow selected compounds to be dispensed through licensed pharmacies under clinician supervision. Wellness peptides could be reasonably safe, he says, so long as there are clear patient disclosures and quality standards — and, crucially, that outcomes are tracked. A framework like this, he says, would reduce harms and generate real-world safety and efficacy data.
“We do not need to abandon scientific rigor,” he writes. “We need to apply it more pragmatically to how care is actually being sought and delivered in 2026.”
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