Category: Providers

Let For-Profit Hospitals Into 340B, Trade Association Tells Senators

August 10, 2023 Tom Mirga, Editor at Large Views

The Federation of American Hospitals has asked six U.S. senators to let for-profit hospitals join the 340B program.

Congress should let for-profit hospitals into the 340B drug pricing program as “a long overdue evolutionary step” that will advance [...]

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Medicare DSH Changes Will Cut 340B Access, Draw Legal Challenge, Say Attorneys

August 8, 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.

Changes in the ways Medicare calculates hospitals’ shares of low-income patients that were finalized in a recent payment rule will [...]

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Hospitals Charge Average 500% of Top 20 Drug Costs, Says PhRMA-Funded Analysis

August 8, 2023 Rich Daly, Editor in Chief Views

A Moran Company study, funded by PhRMA, found 340B hospitals charge an average of 500% above acquisition costs for 20 high-cost drugs.

Hospitals charge, on average, 500% of their acquisition cost for 20 individual medicines that account for the largest share of [...]

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Claims Clearinghouse, Strengthening HRSA Among Few Consensus Areas in Responses to Senate 340B Overhaul Effort

August 1, 2023 Rich Daly, Editor in Chief Views

Sen. John Thune is part of a bipartisan group of six senators that solicited stakeholder advice on strategies to reform the 340B program.

The creation of a claims clearinghouse and increasing both the funding and authority of the federal agency overseeing the 340B [...]

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Do 340B Lump Sum Payments Underscore Need for More Transparency or Are They Unrelated?

August 1, 2023 Rich Daly, Editor in Chief Views

Peter Pitts, president of the Center for Medicine in the Public Interest, says the recently released 340B Medicare lump sum payments underscore the need for more 340B program transparency.

A recently proposed list of planned Medicare payments for individual 340B hospitals is seen as ammunition to some 340B critics. [...]

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Amid Historic Financial Challenges, 340B Proposed Payments Will ‘Make a Difference’ for Some Hospitals’ Budgets, Says Rating Official

August 1, 2023 Rich Daly, Editor in Chief Views

A Fitch Ratings webinar on the not-for-profit hospital sector discussed the financial implications of the proposed $9 billion lump sum Medicare payment to make up for five years of illegal 340B cuts.

As the not-for-profit hospital sector slowly emerges from its worst financial year in recent history, some of those organizations’ bottom [...]

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Senate Panel Passes PBM Reform Bill With Medicaid Drug Payment Limits and 340B Reporting Requirements

July 27, 2023 William Newton, Associate Editor/Senior Writer Views

Senate Finance Committee PBM reform bill markup.

The Senate Finance Committee voted 26-1 to pass a PBM reform bill with Medicaid spread pricing language that could result in less 340B savings for covered entities.

The U.S. Senate Finance Committee yesterday voted 26-1 to pass a pharmacy benefit manager reform bill that would cut providers’ [...]

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100+ Health Centers and Groups Sign Pro-340C Letter to Congress

July 27, 2023 Tom Mirga, Editor at Large Views

More than 100 health centers and groups have signed a letter to Congress supporting the 340C initiative.

More than 100 community health centers, state primary care associations, and national and local groups urged congressional leaders this week [...]

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HRSA Sends Previously Audited 340B Hospital a Second Follow-up Compliance Letter

July 27, 2023 Tom Mirga, Editor at Large Views

The Health Resources and Services Administration announced that the Office of Pharmacy Affairs will hold a June 11 webinar on the ADR final rule.

A hospital that the U.S. Health Resources and Services Administration audited for 340B program compliance and then was one of [...]

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CMS’s 340B Hospital Repayment Plan Leaves Medicare Advantage Cuts Untouched

July 27, 2023 Rich Daly, Editor in Chief Views

Attorney Kyle Vasquez says many clients feel they are entitled to a remedy for underpayments from Medicare Advantage plans stemming from CMS' July 7 proposed rule.

The recently proposed Medicare fee-for-service lump sum payments to 340B hospitals to make up for a nearly five-year unlawful rate [...]

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