Category: Sponsored Content

5 Best Practices for Running and Optimizing a Mixed-Use Program

October 24, 2023 Views

Optimizing a Mixed-Use Program Requires a Strategic Approach

SPONSORED CONTENT

To ensure compliance, maximize savings, and streamline operations, consider these five best practices.

1. Proficiency in Data Management

To effectively manage your 340B program, it’s crucial to comprehend how data is created, stored, and transmitted to your Third-Party Administrator (TPA). Typically, data is extracted from your Electronic Health Record (EHR) system to generate a flat file. This file is then ingested by your TPA, who calculates your accumulations for 340B savings, Group Purchasing Organization (GPO), and Wholesale Acquisition Cost (WAC) pricing.

A central aspect of effective data stewardship involves interpreting the data elements. Whether it’s Charge Description Masters (CDMs), National Drug Codes (NDCs), or a combination, understanding the codes and quantities is essential for correct accumulation and compliance. Analyzing charge data includes grasping the NDCs sent to your TPAs, deciphering charge quantities, and accounting for various units such as mL, mg, or shots administered.

To get to the place where you

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10 Questions to Ask Your 340B TPA about Your Contract and Fees

October 19, 2023 Views

Important Factors to Consider When Evaluating TPAs

SPONSORED CONTENT

If you have one or more agreements with 340B Third Party Administrator(s) (TPA) to manage your contract pharmacy arrangements, how much do you know about those contracts and associated fees? Chances are, you don’t know the answers to all the questions that follow. Be sure to contact your 340B TPA(s) and ask:

How does the TPA charge your covered entity to perform its services? Is it a flat monthly fee per contract pharmacy, a flat fee plus a percentage of savings on 340B approved claims, a percentage of savings, a captured claim fee, or per matched charge?
Does your TPA agreement have a minimum dollar amount threshold for administrative fees per contract pharmacy?
Are you being charged for switch fees (If your covered entity is being charged for switch fees, do you know what the average switch fee cost is to compare to what you are being charged?), gateway fees, or a

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Expert Tip From Visante

October 19, 2023 Views

SPONSORED CONTENT

TIP: It is critical to ensure that ONLY items your Covered Entity (CE) considers eligible are included in the data file that is

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The 340B Program’s Current State of Play

October 17, 2023 Views

From Capitol Hill to the Courts

SPONSORED CONTENT

Despite calls for reform by opponents, 340B enjoys broad bipartisan support. On the legislative front, lawmakers have introduced multiple bills in the House and Senate that, if enacted, would alter program operations. Multiple court cases regarding contract pharmacy use are working their way through the judicial system. Coalitions for and against changes are continuing to make their best case in front of Congress and federal regulators. In the current environment, AIDS Healthcare Foundation navigates these complex political and legal challenges to ensure 340B functions as a health and wellness multiplier for its over 56,000 patients living with HIV.

A flurry of 340B-specific legislation and broader healthcare reform packages find themselves in different stages of the legislative process. In the House, The PROTECT 340B Act of 2023, sponsored by Reps. Abigail Spanberger (D-VA) and Dusty Johnson (R-SD), has attracted 16 co-sponsors, but has yet to receive a vote and remains stuck in committee; the bill prohibits

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Expert Tip From Verity Solutions

October 13, 2023 Views

SPONSORED CONTENT

TIP: Beware of EMR location codes in your data that don’t make sense for prescription generation.

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Understanding the Impact of the Inflation Reduction Act

October 5, 2023 Views

Wednesday, November 1, 2023 1:00 PM – 2:00 PM EDT

SPONSORED CONTENT

Millions of Americans struggle to afford their prescription drugs. Signed into law in August 2022, the Inflation Reduction Act (IRA) includes provisions to make drugs more affordable for Medicare patients, primarily through drug price negotiations and cost caps. The changes to Medicare are intended to expand benefits, lower drug costs, keep prescription drug premiums stable and improve the strength of the Medicare program. Understanding the new law is particularly important for 340B stakeholders since the program interacts with the 340B program and it shares some of the same mechanisms to rein in prices. Though the IRA will undoubtedly help patients of covered entities afford their prescribed medications, some elements will have a negative impact on prescription revenue. The first 10 drugs to be negotiated have already been selected and drug manufacturers have until Oct. 1 to sign up for the program or face heavy financial penalties.

Verity Solutions brings together guest

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340B INDUSTRY LEADER SPOTLIGHT

Kim Barron, Vice President of Operations, Hudson Headwaters 340B

October 5, 2023 Views

Q: Where did you grow up?

Warrensburg, NY – it is a small town within the Adirondack Park in Upstate New York. Just five miles northwest of beautiful Lake

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Expert Tip From AllianceRx Walgreens Pharmacy

October 5, 2023 Views

SPONSORED CONTENT

TIP: Review 340B eligible locations, prescribers, and referral potential on a regular basis to ensure you are maximizing your 340B pull through.

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3 Ways to Maximize 340B Program Savings

September 28, 2023 Views

Lessons from Your Standout Peers

SPONSORED CONTENT

If we haven’t met yet, hello, we’re CPS. We support 800+ hospitals nationwide, helping pharmacy teams accelerate growth and improve care. 30+ years ago, we were one of the first companies to help hospitals launch their 340B programs. Today, our mission continues as we help hundreds of covered entities maximize 340B savings and enhance vital community healthcare services. You can count on us for 340B program support, specialty pharmacy growth, and so much more.

If you know the 340B program, you know you must always be ready for change. And if you’re an avid 340B Report reader, you’re already well aware of the avalanche of recent changes requiring your attention. From contract pharmacy restrictions to tightening compliance mandates, administering a successful program can be more challenging than ever. Worse, the increasing pressure may be exacerbating other challenges like staffing shortages and budgetary pressures.

Here are three ways

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340B INDUSTRY LEADER SPOTLIGHT

Kirsty Gutierrez, Director of Client Success, Ravin Consultants

September 28, 2023 Views

Q: Where did you grow up?

I was born in the small town of Banbury, England, and excitedly moved to Florida as a child, where I quickly realized that

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