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With so many challenges facing health systems today — from 340B contract pharmacy restrictions to drug shortages, labor issues, and ever-rising costs — revenue integrity has become essential to financial stability.
With huge increases in drug expenditures from pre-pandemic levels, health systems must
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TIP: Identify viable contract pharmacy opportunities for 340B registration to maximize savings.
How to Identify
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To ensure compliance, maximize savings, and streamline operations, consider these five best practices.
To effectively manage your 340B program, it’s crucial to comprehend how data is created, stored, and transmitted to your Third-Party Administrator (TPA). Typically,
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If you have one or more agreements with 340B Third Party Administrator(s) (TPA) to manage your contract pharmacy arrangements, how much do you know about those contracts and associated fees? Chances are, you don’t know the answers to all the questions that follow. Be
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TIP: It is critical to ensure that ONLY items your Covered Entity (CE) considers eligible are included in the data file that is
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Despite calls for reform by opponents, 340B enjoys broad bipartisan support. On the legislative front, lawmakers have introduced multiple bills in the House and Senate that, if enacted, would alter program operations. Multiple court cases regarding contract pharmacy use are working their way through the judicial
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TIP: Beware of EMR location codes in your data that don’t make sense for prescription generation.
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Millions of Americans struggle to afford their prescription drugs. Signed into law in August 2022, the Inflation Reduction Act (IRA) includes provisions to make drugs more affordable for Medicare patients, primarily through drug price negotiations and cost caps. The changes to
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TIP: Review 340B eligible locations, prescribers, and referral potential on a regular basis to ensure you are maximizing your 340B pull through.
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