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flag The Trump administration launches Medicare drug pricing pilots to cut costs using international benchmarks, starting in 2026–2027.

flag The Trump administration has launched two new Medicare drug pricing pilot programs—GUARD and GLOBE—to lower prescription drug costs by comparing U.S. prices to international benchmarks and setting out-of-pocket costs based on global data. flag Starting in 2026 and 2027, the programs will target high-cost drugs for conditions like diabetes and cancer, with potential rebates if U.S. prices exceed foreign levels. flag These initiatives follow agreements with nine pharmaceutical companies to reduce prices. flag Meanwhile, Medicaid cuts are expected to reduce federal spending, tightening eligibility, lowering reimbursements, and risking coverage losses for millions. flag Providers face declining revenues and rising compliance risks, while health systems are adopting value-based care and AI tools to improve efficiency and patient access amid financial and operational pressures.

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