Articles by : Rich Daly, Editor in Chief

NY FQHCs Receive $135 Million to Offset State’s 340B Medicaid Shift, While Other Providers Wait

July 20, 2023 Rich Daly, Editor in Chief Views

New York health centers are getting $135 million this week to partially replace revenue providers lost when the state implemented an April 1 shift of its Medicaid managed care drug benefits to Medicaid FFS, called NYRx.

Federally qualified health centers in New York received $135 million lump sum payments this week to partially offset expected 340B [...]

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Judge Rejects 340B Provider Challenge to California Medicaid Drug Payment Shift

July 18, 2023 Rich Daly, Editor in Chief Views

A federal district judge in Sacramento, Calif., dismissed a lawsuit on July 17 aimed at reversing the state’s transfer of Medicaid managed care drugs benefits to Medicaid fee for service.

A federal district judge in Sacramento, Calif., recently dismissed a lawsuit aimed at reversing the state’s January 2022 transfer of [...]

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Medicare Part B Keeping Default Pay Rate for 340B Drugs, Says OPPS Proposed Rule

July 18, 2023 Rich Daly, Editor in Chief Views

Medicare Part B plans to continue paying average sales price plus 6% for for 340B acquired drugs and biologicals in 2024, the U.S. Centers for Medicare & Medicaid Services said July 13.

Medicare Part B plans to continue paying the statutory default rate—generally average sales price plus 6%—for 340B acquired drugs and [...]

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UPDATED: Contract Pharmacy Restrictions Cut $1.5 Billion in 340B Hospital Revenue, $8.4 Billion More Endangered, Report Says

July 13, 2023 Rich Daly, Editor in Chief Views

Drug manufacturers' 340B contract pharmacy restrictions have pulled $8.4 billion out of the savings hospitals achieve using contract pharmacies to dispense 340B drugs, a new 340B Health study found.

Early, limited versions of contract pharmacy restrictions for 340B hospitals cut their revenue by $1.5 billion in one year, according [...]

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Some 340B Hospitals Might Get Less Than Expected Under Fix for Illegal Medicare Drug Payment Cuts

July 13, 2023 Rich Daly, Editor in Chief Views

CMS's projections of what it owes 340B hospitals for unlawful Medicare Part B drug payment cuts might not align with what health systems and hospitals expect to get.

A $9 billion Medicare proposal to repay 340B hospitals for unlawful Part B drug payment cuts includes a spreadsheet showing [...]

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Providers Celebrate 340B Medicare Drug Payment Fix, Object to How It’s Funded

July 11, 2023 Rich Daly, Editor in Chief Views

CMS today formally published in the Federal Register its proposed remedy for illegal Medicare Part B drug payments cuts for many 340B hospitals from 2018 through 2022.

Provider groups widely celebrated the Medicare proposal to provide a $9 billion lump sum payment to reimburse 340B hospitals for [...]

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As Congress Weighs 340B Changes, Leading HIV/AIDS Group Urges it to Support the Program

July 11, 2023 Rich Daly, Editor in Chief Views

Washington Examiner, a conservative news outlet, published an op-ed by AHF President Michael Weinstein urging Congress to protect 340B from the drug industry.

A leading not-for-profit HIV and AIDS treatment organization amplified its 340B advocacy recently with an op-ed in a Washington, D.C., [...]

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

July 7, 2023 Rich Daly, Editor in Chief Views

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

July 7, 2023 Rich Daly, Editor in Chief Views

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

July 7, 2023 Rich Daly, Editor in Chief Views

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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