Year: 2024

CMS Does Not Address Lump Sum Payments for 340B Hospitals in Latest Medicare Advantage Policies But Might in 2025

April 18, 2024 Rich Daly, Editor in Chief Views

CMS put off a decision over whether to provide Medicare Advantage plans with funds to reimburse hospitals for past 340B payment cuts.

Federal regulators recently said any decision on whether to provide Medicare Advantage (MA) plans funds to reimburse hospitals for past [...]

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California Initiative Targeting Nation’s Largest HIV Provider Submits Enough Signatures to Qualify for Ballot

April 18, 2024 Rich Daly, Editor in Chief Views

Protect Patients Now gained the signatures necessary to qualify for a California ballot initiative on Medicaid that appears focused on one 340B provider.

Supporters recently submitted enough signatures to qualify for the ballot a California ballot initiative that aims to codify the governor’s [...]

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HRSA Issues Final Regulations Revamping Process to Resolve Disputes Between 340B Providers and Manufacturers

April 18, 2024 Rich Daly, Editor in Chief Views

Federal officials have released the long-awaited final rule for the 340B Administrative Dispute Resolution process.

The federal government issued the final rule early Thursday to implement a long-anticipated revision to the 340B Administrative Dispute Resolution [...]

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Expert Tip from The Craneware Group – April 2024

April 18, 2024 Sponsored Content Views

Virginia Legislature to Act This Week on Governor’s Amendment to 340B Contract Pharmacy Access Bill

April 16, 2024 William Newton, Associate Editor/Senior Writer Views

Tracy Douglas, CEO of the Virginia Community Healthcare Association, said she hopes that the Virginia legislature rejects Gov. Glenn Youngkin's (R) changes to a 340B contract pharmacy access bill.

Virginia legislators will soon act on Gov. Glenn Youngkin’s (R) proposed amendment to a 340B contract pharmacy access bill when [...]

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Mississippi Hospitals, Health Centers Applaud Passage of 340B Contract Pharmacy Access Bill

April 16, 2024 William Newton, Associate Editor/Senior Writer Views

Mississippi provider groups commended Gov. Tate Reeves (R) for signing into law a 340B contract pharmacy access bill.

Advocates for Mississippi hospitals and health centers praised the recent enactment of a law to prohibit drugmaker 340B contract pharmacy [...]

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Tennessee Governor Signs Bill Targeting 340B In-Kind Funding

April 16, 2024 Shannon Young, Associate Editor/Senior Writer Views

Tennessee Gov. Bill Lee (R) signed into law a bill requiring STD clinics to enter into contracts with the state to receive 340B in-kind funding.

Tennessee sexually transmitted disease (STD) clinics will need to have contracts in place with the state to receive 340B in-kind [...]

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Appeals Court Judges Press Both AHF, Apexus When Considering Dismissal Appeal

April 16, 2024 Rich Daly, Editor in Chief Views

AHF attorney David Gruen and Apexus attorney Karin Bohmholdt recently presented oral arguments before the U.S. 9th Circuit Court of Appeals.

A federal appeals court panel pressed both the AIDS Healthcare Foundation and (AHF) and Apexus, the 340B prime vendor, to [...]

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Humana Seeks Dismissal of Medicare Advantage 340B Underpayment Suit by Health System

April 16, 2024 Rich Daly, Editor in Chief Views

Humana has asked a federal district judge to dismiss a health system's lawsuit alleging the company's MA plans underpaid for 340B drugs.

Humana asked a federal judge to dismiss Baptist Health of Alabama’s lawsuit against the company’s Medicare Advantage (MA) plans for [...]

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MedPAC Analysis Estimates Medicare Part B Payments to 340B Hospitals are Significantly Higher than Ceiling Prices

April 16, 2024 Shannon Young, Associate Editor/Senior Writer Views

A MedPAC analysis found that Medicare paid 340B hospitals significantly more than the ceiling price for dozens of medications in 2022.

Medicare paid hospitals substantially more—almost $4 billion in aggregate—than the 340B ceiling price costs for dozens of single-source drugs, biologics [...]

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