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Year: 2023

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CMS Proposes $9 Billion in Lump Sum Payments to Reimburse Hospitals for Past 340B Part B Drug Payment Cuts

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CMS proposed rule
CMS late this afternoon proposed how it will repay 340B hospitals for $10.5 billion in illegal Medicare Part B drug payment cuts.
The U.S. Centers for Medicare & Medicaid Services plans to provide lump sum Medicare Part B drug payments to 340B [...]

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White House Clears CMS to Issue Proposed Fix for 340B Hospital Part B Drug Payment Cuts

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OMB clearance of CMS Part B remedy proposal
The White House Office of Management and Budget yesterday cleared CMS to issue its proposed remedy for five year's worth of Medicare Part B drug payment cuts for 340B hospitals.
The White House yesterday gave the U.S. Centers for Medicare & Medicaid Services the go-ahead to publish its proposed remedy [...]

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Studies Reach Different Conclusions About Whether Vulnerable Patients Benefit from 340B Savings

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340B patient assistance program study
Passing 340B drug discounts to patients with COPD so they can buy inhalers at a much lower cost yielded positive outcomes both for the patients and the hospitals that serve them, new research shows.
Two new studies—one by pharmacists at Ascension Via Christi health system in Kansas, the other by drug industry consulting and [...]

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Is Your Technology a Triple Threat That Boosts Your Mission?

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Leveraging tech to ensure healthy patients and a successful 340B program

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When people consider technology’s role in adapting to pandemic-constrained life, many begrudgingly think about endless hours spent on videoconferences. Yet, pandemic-infused technological innovations also altered our lives in other ways, big and small. For instance, I’ll never go back to

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340B Prime Vendor Apexus and AIDS Healthcare Foundation Are Trying to Settle Lawsuit Over Sub-Ceiling Price Discounts

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AIDS Healthcare Foundation and Apexus
AHF has asked a federal appeals court to reverse an earlier court's decision to dismiss a case against Apexus over its provision of 340B sub-ceiling price discounts on drugs.
Apexus, the federally contracted 340B prime vendor, and AIDS Healthcare Foundation are meeting with a mediator to try to settle [...]

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340B Issues Remain Unresolved in Latest CMS Medicare Drug Price Negotiation Guidance

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CMS
CMS said in its latest Medicare Drug Price Negotiation Program guidance it still working on a process to allow manufacturers to avoid providing a 340B price and a negotiated fair price for the same drug.
The latest guidance to implement first-time drug price negotiation under Medicare said federal officials still are looking for a process [...]

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Top Republican on Senate HELP Committee Calls for 340B Transparency and Accountability Action

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Bill Cassidy
U.S. Senate HELP Committee ranking Republican Bill Cassidy (La.) said in an op-ed today that Congress should “increase 340B transparency and accountability to preserve the intent of the program.”
U.S. Sen Bill Cassidy (La.), the top Republican on the Senate Health, Education, Labor, and Pensions Committee, said in an [...]

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Group Seeking New 340C Program for Grantees and Rural Hospitals Is Ramping Up Advocacy

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340C
More than 100 health centers and groups have signed a letter to Congress supporting the 340C initiative.
The national health center group promoting 340C—a proposed alternative to the 340B drug pricing program for health centers, federal grantees, [...]

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Tips for Specialty Pharmacy Success

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Key Considerations to Maximize Specialty Claims Capture

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The Origin and Evolution of Specialty Pharmacy

Commencing in the early 1970s, specialty pharmacy was originally intended for patients requiring unique therapies for various conditions. Initially this included mainly infusions for hemophilia, cancer, or malnutrition[i]. Most of these offerings came with

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