Providers Worried About Humana’s 340B Claims ID and Data-Reporting Conditions

An Alabama health system is suing Humana over past reduced 340B rates paid by its Medicare Advantage plans.

Health insurance company Humana has begun sending pharmacy provider agreements for 2022 to 340B-participating pharmacies, with claims-identification and data-reporting conditions that some 340B providers say are unsettling. They say the agreements are to be signed and returned within 30 days

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N.Y. and Calif. 340B Pharmacies Get Reprieve From Medicaid Cuts

New York State and California’s nationally watched efforts to transfer their pharmacy programs for low-income individuals from Medicaid managed care to Medicaid fee for service (FFS)—both scheduled to take effect on April 1—have been temporarily placed on hold. The states

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Express Scripts’ New 340B Rules Will Have Big Impact on Contract Pharmacy and Drug Reimbursement, Providers and Consultants Say

340B covered entities fault Express Scripts for not communicating with them more effectively about changes in its 340B claims identification and reporting requirements, which the entities consider to be major.

340B covered entities say they are deeply concerned about pharmacy benefit manager Express Scripts’ (ESI) requirements, effective Monday, governing what pharmacies in the PBM’s network must do when they identify that a previously submitted claim is 340B-eligible. Last night, ESI told

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Becerra Reconfirms Strong Support for 340B During Finance Committee Hearing

HHS Secretary-designate Xavier Becerra said he "absolutely" would commit himself to ensuring the 340B program's strength, in response to a question from Sen. John Thune (R-S.D.) | C-SPAN

Xavier Becerra, President Biden’s pick to be the next U.S. Health and Human Services (HHS) Secretary survived his U.S. Senate Finance Committee confirmation hearing yesterday, with a GOP foe of his nomination grudgingly predicting the panel would vote to confirm

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Express Scripts’ New 340B Claims ID Requirement Has Covered Entities Worried

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

Pharmacy benefit manager Express Scripts late yesterday began notifying 340B covered entities by email that, effective March 1, it “will require a new identification method for submitting and identifying 340B eligible claims.”

A health system 340B program manager said this

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HHS-Designate Becerra May Face 340B Questions Today During First Nomination Hearing

HHS-Secretary designate Xavier Becerra could face questions about the 340B program today during his first of two Senate nomination hearings this week.

The U.S. Senate Health, Education, Labor, and Pensions (HELP) Committee this morning is holding the first of two Senate committee hearings this week on President Biden’s nomination of California Attorney General Xavier Becerra to serve as U.S. Health and Human

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Biden Staffs Up with 340B Policy Experts in Key Positions

President Biden is bringing a number of 340B policy experts on board to his team. Yesterday, he formally nominated Andrea Palm, most recently Wisconsin’s health secretary-designate, to be U.S. Deputy Secretary of Health and Human Services (HHS). Palm would be

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HRSA Allows 340B Enrollment Flexibility in Storm-Battered Texas

A Feb. 13-17 winter storm caused mass power outages and water and food shortages in Texas.

The U.S. Health Resources and Services Administration (HRSA), in light of the declared public health emergency in Texas, is letting eligible health care providers there enroll immediately in the 340B drug pricing program instead of waiting for the next normal

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AEH Asks Biden to Prioritize Three 340B-Related Issues

America's Essential Hospitals wants the Biden administration to reverse Trump administration policies that its says harm and the 340B program and are contrary to congressional intent. | Facebook

The Biden administration should reverse “harmful Trump administration policies” that “undermined the 340B program and contravened Congress’ intent,” the group America’s Essential Hospitals advised President Biden in a letter earlier this month.

America’s Essential Hospitals’ Feb. 10 letter said

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Senate Hearings Next Week on Becerra’s Nomination to Head HHS

The Senate Finance and HELP committees will hold hearings next week on Xavier Becerra's nomination to serve as HHS Secretary.

Two U.S. Senate committees have scheduled hearings next week on President Biden’s nomination of California Attorney General Xavier Becerra to be the next U.S. Health and Human Services (HHS) Secretary. In December, Becerra helped spearhead a bipartisan letter of

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