Category: Providers

Health System Appeal of False Claims Suit Against Drugmakers For Alleged 340B Overcharges Allowed to Move Forward

May 14, 2024 Rich Daly, Editor in Chief Views

California-based health system Adventist Health System/West's lawsuit alleging drugmaker 340B overcharges was allowed to move forward in a federal appeals court.

A California health system’s lawsuit alleging “hundreds of millions” in overcharges by four drugmakers was recently released from required mediation [...]

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House Committee Clears Telehealth Medicare Extension Bill with PBM 340B Provision

May 9, 2024 William Newton, Associate Editor/Senior Writer Views

Rep. David Schweikert (R-Ariz.) introduced legislation with certain Medicare telehealth extensions and a PBM 340B provision.

A key House of Representatives committee yesterday approved a bill to extend telehealth regulations that also would require pharmacy benefit [...]

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Missouri House Committees Advance 340B Contract Pharmacy Access Bill as Legislative Session Nears End

May 9, 2024 William Newton, Associate Editor/Senior Writer Views

A Missouri House committee cleared a 340B contract pharmacy access bill in the final weeks of the state's legislative session.

With less than two weeks remaining in the Missouri legislative session, two key house committees approved a 340B contract pharmacy [...]

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IRA Draft Guidance Leaves 340B Details Unclear

May 9, 2024 Rich Daly, Editor in Chief Views

The latest CMS guidance on implementing the Inflation Reduction Act's Medicare price caps left unresolved key 340B pricing details.

Recently released draft guidance for implementing Medicare price caps would allow voluntary provider use of 340B codes on claims, while [...]

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NC Treasurer Report Suggests 340B Hospitals Overcharged State Health Plan, Hospitals Pan the Findings

May 9, 2024 Shannon Young, Associate Editor/Senior Writer Views

A report from N.C. Treasurer Dale Folwell found some hospitals are using 340B “to enrich themselves rather than to serve vulnerable communities.”

North Carolina hospitals that participate in the 340B program routinely overcharged cancer patients, taxpayers and state employees for oncology drugs, [...]

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340B Hospital Groups Ask MedPAC to Oppose Part B Rate Cut

May 9, 2024 Shannon Young, Associate Editor/Senior Writer Views

Jonathan Jaffery, chief health care officer for AAMC, said reduced Medicare reimbursement to 340B hospitals would “devastate an already fragile health care safety net.”

Groups representing hospitals that rely on the 340B program recently urged congressional advisers against recommending reduced Medicare reimbursement to 340B [...]

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Pfizer Exempts Arkansas Hospitals from All Contract Pharmacy Restrictions

May 7, 2024 William Newton, Associate Editor/Senior Writer Views

Pfizer is one of more than 20 drugmakers to fully or partially exempt Arkansas providers from its 340B contract pharmacy restrictions.

Pharmaceutical giant Pfizer announced it exempted Arkansas hospitals from its 340B contract pharmacy restrictions beginning this week. Effective May 6, [...]

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Study Finds Newer 340B Public Hospitals More Likely to Increase Unprofitable Service Lines Than Newer Non-Profit Hospitals

May 7, 2024 Shannon Young, Associate Editor/Senior Writer Views

Government-owned 340B hospitals recently enrolled in 340B were more likely to increase unprofitable services than new 340B nonprofit hospitals, a recent study found.

While newly enrolled 340B hospital entrants served higher numbers of Medicaid and rural patients than non-340B hospitals, government-owned 340B hospitals [...]

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Eight More Provider Audits Closed with Corrective Action Plans in Latest HRSA Audit Findings

May 7, 2024 Rich Daly, Editor in Chief Views

HRSA's latest update to its ongoing fiscal year 2023 program integrity audits included corrective action plans for eight 340B providers.

Federal auditors closed audits with corrective action plans (CAPs) for eight more 340B providers, which brought the fiscal year 2023 [...]

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Novo to Extend Contract Pharmacy Restrictions to Grantees But Allow Them to Keep Access Under Conditions; Company Also Modifies Hospital Policy

May 3, 2024 Shannon Young, Associate Editor/Senior Writer Views

Pharmaceutical manufacturer Novo Nordisk recently announced it will extend its 340B contract pharmacy restrictions to federal grantees.

Drugmaker Novo Nordisk this week announced that its contract pharmacy restrictions will soon apply to all grantee covered entities—not just [...]

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