Category: Providers

Genesis Ruling Could Expand 340B-Eligible Prescriptions, Say Some Attorneys

November 7, 2023 Rich Daly, Editor in Chief Views

Kyle Vasquez, an attorney for Polsinelli, said the Genesis ruling was "limited in reach" but could create obstacles for other HRSA enforcement activity.

A recent ruling by a federal district judge in South Carolina potentially could expand 340B-eligible prescriptions, say some provider advisers. [...]

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Hospitals Urge CMS to Reconsider Future Cuts in 340B Lump Sum Final Rule

November 7, 2023 Rich Daly, Editor in Chief Views

Tom Kraus, a vice president of the American Society of Health-System Pharmacists, said he was "deeply concerned" with future cuts in CMS' 340B lump sum final rule.

Hospital advocates praised the recent Medicare final rule implementing a $9 billion lump sum payment to 340B hospitals but worried [...]

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Lilly Reinstates Tighter 340B Contract Pharmacy Restrictions

November 7, 2023 William Newton, Associate Editor/Senior Writer Views

Eli Lilly is conducting government approved 340B provider audits that for the first time look for certain Medicaid health plan duplicate discounts.

Pharmaceutical giant Eli Lilly this week announced it would reinstate tighter 340B contract pharmacy restrictions for all covered entity types. [...]

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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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Senate Finance Committee Republicans Oppose CMS Plan to Redefine Medicaid Best Price

November 7, 2023 Tom Mirga, Editor at Large Views

A group of Republicans on the Senate Finance Committee have called on CMS to withdraw its plan to rewrite the definition of Medicaid best price.

A group of Senate Republicans recently urged federal regulators to withdraw a plan to change the definition of a drug’s [...]

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CMS Finalizes 340B Lump Sum Payment, Retains Offsetting Cuts Starting in 2026

November 2, 2023 Rich Daly, Editor in Chief Views

CMS issued the final rule to implement a $9 billion lump sum payment to 340B hospitals for previous illegal cuts between 2018 and 2021.

Medicare issued a final rule today to implement a $9 billion lump sum payment to 340B hospitals and to cut [...]

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Health Systems Sue to Reverse Elimination of Hospital Registration Waiver

November 2, 2023 Rich Daly, Editor in Chief Views

A hospital association asked the U.S. District Court of the District of Columbia to side with more than 40 health systems that sued federal regulators over a hospital registration policy change.

Forty-four health systems and hospitals sued federal healthcare agencies over their recent decision to end a 340B COVID-related registration flexibility [...]

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Sixth Drugmaker Loosens 340B Contract Pharmacy Restrictions in Arkansas and Louisiana

November 2, 2023 William Newton, Associate Editor/Senior Writer Views

Drugmaker Organon has loosened its 340B contract pharmacy restrictions in Arkansas and Louisiana in response to state laws.

Organon, a Merck spinoff with a focus on women’s health, yesterday became the sixth drugmaker to loosen or end its [...]

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340B Lobbying Still on Track for Record Year

November 2, 2023 Rich Daly, Editor in Chief Views

Darbin Wofford, a health policy advisor at Third Way, said his organization is urging Congressional Democrats to adopt 340B program reforms.

Lobbying on 340B issues in 2023 remains on track for a record-breaking year, according to recently released congressional lobbying reports. [...]

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New York State Asks Court to Dismiss Challenge to Medicaid Drug Benefit Shift

November 2, 2023 Tom Mirga, Editor at Large Views

The New York State Department of Health asked a state trial court to dismiss two providers' challenge to a Medicaid drug benefit shift.

The New York State Department of Health recently told a state trial court in Manhattan that two community health centers [...]

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