Month: November 2022

SPONSORED CONTENT

Let’s get this right out on the table: At Avita, we believe health care is a human right.

Polarizing politics aside, as an advanced, civilized society, we have an ethical obligation to care for the medical needs of every U.S. citizen compassionately and equitably, regardless of their race, gender, sexual identity, or ability to pay. It’s a principle our covered entity partners fight for daily, not to mention a pivotal reason behind the creation of the 340B program: Together, we must use every resource at our disposal to serve the underserved—forming a “safety-net” that catches patients who might otherwise fall through the cracks—and empower them to unlock the full potential of health.

But the truth is that alleviating the nation’s massive health equity crisis will take both introspection and innovative thinking from every single player in the industry, including 340B service providers, covered entities, drug manufacturers…the list goes on and on. Earlier

SPONSORED CONTENT

Alas, after much deliberation, your covered entity has decided to submit data to 340B ESP. As you embark on this journey, you may be asking yourself: Now what?!?  

As someone who has operated a large 340B program at a DSH hospital and now has the privilege to consult many covered entities as they tackle 340B challenges, I know that making a decision and then operationalizing that decision can be quite the task! Many of our covered entity clients have decided to start submitting claims data to 340B ESP. While assisting our clients in navigating these uncharted waters, The Alinea Group has developed insights we want to share with the covered entity community. 

Initial Upload

The first step in getting access to 340B pricing is to upload an initial set of claims. This can be a difficult task, as many Third-Party Administrators (TPAs) have blocked these claims from qualifying as 340B claims once pricing for these