Articles by : Tom Mirga, Editor at Large

DeGette Seen as Possible Successor to Eshoo as Top Dem on House E&C Health Subcommittee

December 19, 2023 Tom Mirga, Editor at Large Views

Rep. Diana DeGette (D-Colo.) is a possible candidate to succeed retiring Rep. Anna Eshoo (D-Calif.) as the ranking Democrat or chair of the House E&C Health Subcommittee.

Who will succeed retiring Rep. Anna Eshoo (D-Calif.) as top Democrat on the House Energy & Commerce (E&C) subcommittee that [...]

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340B Dispute Resolution Coming This Month, White House Says

December 14, 2023 Tom Mirga, Editor at Large Views

The White House plans to release a revised administrative dispute resolution process for the 340B program this month.

The federal 340B program remains on track to publish a final rule this month revising its administrative dispute resolution (ADR) [...]

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New Part B Drug Claims Modifier Requirement for 340B Entities Starts Jan. 1

December 7, 2023 Tom Mirga, Editor at Large Views

In response to the ongoing Change Healthcare cyberattack, CMS will direct contractors to provide some accelerated payments to hospitals.

Critical access hospitals (CAHs) and Ryan White HIV/AIDS clinics do not expect problems implementing a new requirement starting Jan. 1, [...]

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N.Y. State, Health Centers Seek Brief Pause in Medicaid Drug Benefit Lawsuit

November 30, 2023 Tom Mirga, Editor at Large Views

The parties involved in a legal challenge over certain Medicaid managed care drug benefits have jointly asked for a pause in proceedings.

Both sides in a lawsuit over New York state’s transfer of Medicaid managed care drug benefits to Medicaid fee for [...]

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340B Provides Benefits, Needs Reform, Says Literature Review

November 28, 2023 Tom Mirga, Editor at Large Views

A JAMA Health Network literature review found that the 340B program provides a range of benefits but needs reforms.

The 340B program has provided a range of benefits but also needs reforms, according to a recent review of published [...]

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340B’s Footprint in Medicare Part D Is Growing, Study Says

November 28, 2023 Tom Mirga, Editor at Large Views

A JAMA Health Forum study co- authored by Sean Dickson found the 340B program's footprint in Medicare Part D is increasing.

340B covered entities captured nearly half (49.9%) of their 340B-eligible prescriptions billed to Medicare Part D in 2020, up from [...]

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Two Drugmakers Offer Refunds for 340B Overcharges

November 28, 2023 Tom Mirga, Editor at Large Views

Two drugmakers, Mallinckrodt's subsidiary SpecGx and Novo Nordisk, owe refunds to 340B providers for certain overcharges.

Two drugmakers will offer refunds to 340B providers for overcharges in recent years. Drug manufacturer Mallinckrodt’s SpecGx generic pharmaceutical subsidiary [...]

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Apexus Asks Appeals Court to Affirm Dismissal of Contract Breach Lawsuit

November 17, 2023 Tom Mirga, Editor at Large Views

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 340B prime vendor, asked a federal appeals court to affirm a lower court’s dismissal of claims that it [...]

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Hospitals to Meet with White House, HHS About 340B Dispute Resolution Process

November 15, 2023 Tom Mirga, Editor at Large Views

The White House plans to release a revised administrative dispute resolution process for the 340B program this month.

Hospital groups will meet with federal executive branch officials to discuss coming changes to the 340B program’s administrative dispute resolution [...]

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HRSA, Hospital Settle Lawsuit Over Termination from 340B

November 7, 2023 Tom Mirga, Editor at Large Views

The hospital Insight Chicago and federal regulators have agreed to dismiss a case before a federal district court over the hospital's 340B eligibility.

A federal district judge in Illinois has dismissed a Chicago hospital’s apparently successful lawsuit challenging its termination from the 340B [...]

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