3 Things Hospitals and Grantees Need to Know about the Genesis Decision

SPONSORED CONTENT

The much-awaited decision in the Genesis Health Care patient definition case in federal district court in South Carolina provides 340B hospitals and federal grantees welcome re-affirmations of the importance of the vital safety-net care they provide as well as Congress’s intent to support that care through the 340B program. Although the court limited

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Upcoming DIR Fee Changes and Their Potential Impact on 340B Programs

SPONSORED CONTENT

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule that goes into effect on January 1, 2024 that changes the way Direct and Indirect Remuneration (DIR) fees are collected. To understand the impact of this change, let’s review some background on DIR fees:

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340B…or not to B…?

Robin George headshot

SPONSORED CONTENT

The 340B program, enacted in 1992, enables covered entities to stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services.

In 2010, the 340B program was expanded under the Affordable Care Act, allowing covered entities to contract with an unlimited number of contract pharmacies such as Walgreens to provide 340B discount

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4 Ways Hospital Pharmacies Can Unlock Financial Stability

SPONSORED CONTENT

With so many challenges facing health systems today — from 340B contract pharmacy restrictions to drug shortages, labor issues, and ever-rising costs — revenue integrity has become essential to financial stability.

With huge increases in drug expenditures from pre-pandemic levels, health systems must focus on maximizing efficiency, reducing medication costs, and increasing revenue.

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

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

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

Holly Russo, Maxor 340B

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:

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    The 340B Program’s Current State of Play

    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

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    Understanding the Impact of the Inflation Reduction Act

    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

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    Rural Reality: A Conversation with a Rural Hospital Finance Director about Adapting to 340B Challenges

    headshots of Anthony Esgro, Taylor Campbell, Rochelle Manuel-Sokol

    SPONSORED CONTENT

    Located in rural Peterborough, New Hampshire, Monadnock Community Hospital (MCH) is a critical access hospital that offers comprehensive inpatient and outpatient services and is celebrating its 100th anniversary. MCH joined a Signify Health Accountable Care Organization (ACO) in 2023 to align with the Centers for Medicare & Medicaid Services’ goal of having

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