June 4, 2026

Eli Lilly is requiring hospitals participating in the 340B drug discount program to submit claims data by June 8 or lose access to discounted pricing on Lilly medications. Lilly says the data is needed to prevent duplicate discounts and fraud, while hospital groups argue the requirement is unlawful, administratively burdensome, and could encourage other drugmakers to impose similar restrictions. The dispute reflects a broader conflict between pharmaceutical manufacturers and providers over oversight and use of the rapidly growing 340B program.

President Trump signed an executive order supporting HHS Secretary RFK Jr.'s overhaul of the childhood vaccine schedule and directed the CDC and ACIP to review and potentially revise current recommendations. The updated schedule removed routine recommendations for flu, COVID-19, rotavirus, meningitis, hepatitis A, and hepatitis B vaccines for children, though these vaccines remain available after consultation with a healthcare provider.

Starting on Jan. 1, 2027, Americans who receive Medicaid coverage due to their state’s expansion under the Affordable Care Act will have to work, volunteer or attend school for 80 hours a month to stay enrolled in the insurance program. The rule includes some flexibilities, allowing individuals to self-attest that they’re exempt once before states require documentation.

The deal will combine Mayo’s de-identified clinical data with Microsoft’s AI, cloud and engineering capabilities to build a so-called “frontier” model for a range of clinical reasoning and healthcare use cases, the partners said in a press release. Mayo will own the frontier model, but Microsoft plans to make it available to other organizations through its Azure Foundry AI platform.

This highlights the importance of strong documentation and validation controls in risk adjustment to ensure payments accurately reflect members’ true clinical conditions.