New Medicaid Policy Change Could Reduce 340B Savings, Cause Drug Discontinuations, Warn Stakeholders

A Medicaid drug rebate policy change that recently took effect could lead to reduced 340B savings and drug discontinuations.
A Medicaid policy change that took effect at the start of 2024 could indirectly lead to lower 340B savings and [...]

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$7.8 Billion in Refunds from Underpayments to 340B Hospitals Begin to Roll In

A map of Medicare administrative contractors' (MAC's) jurisdictions. MACs in more than half the states have begun to issue refunds to 340B hospitals for unlawful Medicare cuts from 2018-2022.
Medicare administrative contractors (MACs) covering more than half the states have initiated lump sum repayments to 340B hospitals, after getting [...]

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Drug Makers Issue Record Number of 340B Refunds in 2023, Merck First to Refund in 2024

Drugmakers issued a record 41 refunds to 340B covered entities in 2023.
Drugmakers issued a record 41 refunds to 340B covered entities in 2023. And Merck is the first to announce it [...]

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HRSA Announces 340B Webinar for Grantees Before Upcoming Recertification Begins

HRSA building and signage
HRSA plans to host a webinar for federal grantees in the days leading up to the 2024 340B recertification period.
The Health Resources and Services Administration (HRSA) has announced plans to host a webinar for federal grantees just days prior [...]

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AHA Warns of ‘Adverse Impact’ from Lack of 340B Provisions in New MA Rule

Ashley Thompson headshot
AHA's Ashley Thompson wrote that a proposed Medicare Advantage payment rule could have “double the adverse impact” on 340B hospitals.
The nation’s leading hospital group warned the decision by federal regulators not to address 340B policy in a new proposed [...]

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Exclusive

Lilly to Conduct HRSA-Approved Audit That Includes First-Time Look for Medicaid MCO Duplicate Discounts

Lilly
Eli Lilly is conducting government approved 340B provider audits that for the first time look for certain Medicaid health plan duplicate discounts.
Federal regulators have approved a first-time 340B provider audit by a drug manufacturer to examine processes to prevent duplicate discounts [...]

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CMS Defers Decision on Adding 340B Modifiers for Part D Drugs

CMS
In response to the ongoing Change Healthcare cyberattack, CMS will direct contractors to provide some accelerated payments to hospitals.
Federal regulators recently deferred a decision on whether to add identifiers to 340B drugs purchased under Medicare Part D. The [...]

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News Alert

HRSA Unveils Web Page with Patient Definition Compliance Resources, Guidance

HRSA patient definition web page
HRSA released a new web page with resources on the agency's 340B program patient definition and compliance guidelines.
In the wake of a high-profile federal court ruling casting doubt on the definition of eligible “patient” in the 340B [...]

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340B Dispute Resolution Coming This Month, White House Says

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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Minnesota Issues Draft Guidance Implementing 340B Provider Reporting Requirements

The Minnesota Department of Health finalized guidance for the state's new annual 340B covered entity reporting requirements.
Stakeholder comments are due Tuesday on Minnesota’s recently published guidance to implement one of the nation’s first state laws requiring [...]

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