Health System Appeal of False Claims Suit Against Drugmakers For Alleged 340B Overcharges Allowed to Move Forward

California-based health system Adventist Health System/West's lawsuit alleging drugmaker 340B overcharges was allowed to move forward in a federal appeals court.
A California health system’s lawsuit alleging “hundreds of millions” in overcharges by four drugmakers was recently released from required mediation [...]

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House Committee Clears Telehealth Medicare Extension Bill with PBM 340B Provision

Rep. David Schweikert (R-Ariz.) introduced legislation with certain Medicare telehealth extensions and a PBM 340B provision.
A key House of Representatives committee yesterday approved a bill to extend telehealth regulations that also would require pharmacy benefit [...]

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Missouri House Committees Advance 340B Contract Pharmacy Access Bill as Legislative Session Nears End

A Missouri House committee cleared a 340B contract pharmacy access bill in the final weeks of the state's legislative session.
With less than two weeks remaining in the Missouri legislative session, two key house committees approved a 340B contract pharmacy [...]

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Spring Cleaning of Your 340B Program

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As we welcome the fresh energy of spring, now is the perfect time for 340B covered entities to conduct a thorough review and update of their 340B program. Ensuring your program’s compliance and efficiency is akin to spring cleaning—tidying up, organizing, and preparing for the year ahead. Below,

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IRA Draft Guidance Leaves 340B Details Unclear

The latest CMS guidance on implementing the Inflation Reduction Act's Medicare price caps left unresolved key 340B pricing details.
Recently released draft guidance for implementing Medicare price caps would allow voluntary provider use of 340B codes on claims, while [...]

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U.S. Drug Spending Increased 14 Percent in 2023; Clinic, Hospital Trends Diverge

Eric Tichy led research with seven of his colleagues that examined U.S. drug spending trends in 2023.
Drug spending increased by 13.6% in 2023 to $722.5 billion, according to recent research. It found divergent trends for clinic [...]

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NC Treasurer Report Suggests 340B Hospitals Overcharged State Health Plan, Hospitals Pan the Findings

A report from N.C. Treasurer Dale Folwell found some hospitals are using 340B “to enrich themselves rather than to serve vulnerable communities.”
North Carolina hospitals that participate in the 340B program routinely overcharged cancer patients, taxpayers and state employees for oncology drugs, [...]

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340B Hospital Groups Ask MedPAC to Oppose Part B Rate Cut

Jonathan Jaffery, chief health care officer for AAMC, said reduced Medicare reimbursement to 340B hospitals would “devastate an already fragile health care safety net.”
Groups representing hospitals that rely on the 340B program recently urged congressional advisers against recommending reduced Medicare reimbursement to 340B [...]

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340B Webinar – It’s a Risky Business: Risk Mitigation and 340B Program Compliance

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Attention 340B Covered Entities:  For most covered entities, the 340B program is essential to their organization’s bottom line – so protecting it becomes necessary. 340B program risks are numerous and often not fully recognized. Duplicate discounts, diversion, and poor documentation are common

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Pfizer Exempts Arkansas Hospitals from All Contract Pharmacy Restrictions

Pfizer is one of more than 20 drugmakers to fully or partially exempt Arkansas providers from its 340B contract pharmacy restrictions.
Pharmaceutical giant Pfizer announced it exempted Arkansas hospitals from its 340B contract pharmacy restrictions beginning this week. Effective May 6, [...]

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