How To Calculate How the IRA Will Affect 340B in 2027

How To Calculate How the IRA Will Affect 340B in 2027

From 340B Insight by 340B Health

May 26, 2026 · 22 min

About this episode

Steven Miller discusses the impact of the Inflation Reduction Act on 340B savings and hospital budgeting for 2027.

Hospitals already have felt some of the effects of the Inflation Reduction Act on 340B savings, but with the IRA set to expand to more drugs in 2027, hospitals also are starting to project how it might affect their bottom lines next year. 340B Vice President of Pharmacy Services and Education Steven Miller joins us to explain how hospitals can be making those projections now. The IRA Will Expand to Another 15 Drugs Next year, an additional 15 drugs will be subject to Medicare price caps under Medicare Part D on top of the 10 drugs that saw caps this year. Steve says this will cut into 340B savings and overall margins even more — with some 340B discounts possibly dropping to their statutory minimums. These reductions also will translate to commercial and cash-pay dispenses, changing the overall financial outlook for hospitals. Hospitals Cannot Rely on Current 340B Savings Levels for 2027 Steve says the 2027 changes are key for future budgeting. If hospitals do not adjust how they are budgeting for 340B drugs subject to Medicare price caps, they are likely to be short on their budget projections. He strongly recommends 340B teams have important conversations with finance teams now…

People in this episode

Guest: Steven Miller

Topics covered

  • 340B savings
  • Inflation Reduction Act
  • hospital budgeting
  • Medicare price caps
  • drug pricing

Keywords

  • 340B
  • Inflation Reduction Act
  • hospital finances
  • Medicare
  • drug pricing
  • budget projections

Mentioned in this episode

Organizations: 340B Health

Products: Medicare Part D

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