Category: Other Industry

340B Report Publisher and CEO Examines Four Burning Questions in Contract Pharmacy Standoff

In Other IndustryJune 24, 2021282 Views

In his latest column for Omnicell, 340B Report Publisher and CEO Ted Slafsky ponders four questions that need to be addressed in the contract pharmacy standoff.

In his latest column for Omnicell, 340B Report Publisher and CEO Ted Slafsky ponders four burning questions as we approach the first anniversary of drug manufacturers stopping or placing restrictions on 340B drug discounts in the contract pharmacy

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AHA Wants Express Scripts to End 340B Claims ID Policy Immediately

In Other IndustryJune 17, 2021467 Views

Ron Shinkman

The American Hospital Association asked Express Scripts this week to immediately withdraw its new 340B claims identification requirement for covered entities and their contract pharmacies.

The American Hospital Association (AHA) told pharmacy benefit manager Express Scripts (ESI) this week its new 340B claims identification requirement for covered entities and their contract pharmacies “is a major overreach” and should be withdrawn immediately.

An ESI

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340B Hospitals Concerned About New UnitedHealthcare Claims Reimbursement Policy

In Other IndustryJune 17, 2021692 Views

Ron Shinkman

Starting Aug. 1, for commercial reimbursement, UnitedHealthcare will stop covering evaluation and management claims at hospital-owned outpatient facilities if the claim does not include an additional medical surgical service on the same date of service by the same provider. | Shutterstock

The nation’s largest health insurer is instituting a commercial claims reimbursement policy that that is raising alarms among 340B hospitals.

Effective Aug. 1, UnitedHealthcare said it will no longer cover evaluation and management (E/M) claims at hospital-owned

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Sentry Data Systems Is the Latest 340B TPA to Change Hands

In Non-Governmental, Other IndustryJune 10, 2021929 Views

Tom Mirga

“Sentry looks forward to continuing to innovate and grow with its new partnership with Craneware," Sentry CEO Travis Leonardi said about his company's sale this week.

Healthcare data analytics company Craneware is buying 340B third-party administrator Sentry Data Systems, the latest in a series of 340B TPA acquisitions.

Abry Partners, the private equity firm that bought an approximately 89% stake in Sentry

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Health Centers Launch a New National Advocacy Group

In Non-Governmental, Other IndustryJune 8, 2021946 Views

Tom Mirga

Kerry Hydash (left) is Board Chair and Amanda Pears Kelly is Executive Director of the new health center group Advocates for Community Health.

Community health center leaders have created a new membership organization—Advocates for Community Health (ACH)—to influence federal health care policy and “drive a new vision for the role health centers can and should play in an evolving 21^st century

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Tech Firm Convening Working Group to Address 340B Duplicate Discounts

In Other IndustryApril 29, 2021414 Views

Ron Shinkman

Susanne Somerville, CEO of life sciences information sharing consulting firm Chronicled, thinks blockchain technology could be the solution to 340B duplicate discounts.

A Bay Area health care tech firm is convening a work group to try to solve the problem of duplicate 340B discounts and Medicaid rebates on the same drugs.

San Francisco-based Chronicled said in a statement issued

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24 Health Systems List 8 Ways HHS Can Stabilize 340B Without Involving Congress

In Federal, Other IndustryApril 20, 2021444 Views

Tom Mirga

Ending the deep cut in 340B hospitals' Medicare drug reimbursement topped two dozen health systems' list of 340B recommendations for HHS Secretary Xavier Becerra. | C-SPAN

Twenty four large health systems with hospitals in the 340B program yesterday sent U.S. Health and Human Services (HHS) Secretary Xavier Becerra eight recommendations “to stabilize this program for the long-term” that he could implement without involving Congress.

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Express Scripts Defends 340B Claims ID Requirement

In Other Industry, Trade AssociationApril 8, 2021219 Views

Tom Mirga

Express Scripts told 340B covered entities in recent letters that it has granted "numerous" extensions of time for pharmacies to comply with its new 340B claims identification process.

Pharmacy benefits manager Express Scripts (ESI) told a hospital group and an HIV/AIDS clinic in recent days that it has “already granted numerous pharmacies extensions” to its controversial new 340B claims identification requirement that went into effect March

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340B Groups Ask Express Scripts to Drop Claims Submission and ID Requirement

In Other Industry, Trade AssociationApril 6, 2021174 Views

Tom Mirga

The 340B Coalition told Express Scripts that covered entities cannot comply with its new 340B claims submission and identification requirement absent "a massive investment of financial and human resources." | Shutterstock

Groups representing 340B health care providers have asked pharmacy benefit manager Express Scripts (ESI) to stop making 340B providers and their contract pharmacies retrospectively submit and flag 340B claims in a way that has never been done before,

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Amazon Is Opening its Employees-only Primary and Urgent Care Service to Companies Nationwide

In Other IndustryMarch 18, 202164 Views

Tom Mirga

Amazon Care, the online retailer's expanded telehealth and home-visit health care service, includes “prescription delivery right to a patient’s door.” | Amazon

Online retailer Amazon announced yesterday that it began offering companies in Washington state access to its Amazon Care telehealth and home-visit primary and urgent health care services, which include “prescription delivery right to a patient’s door.”

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