Medicare patients could save an estimated $150 million on out-of-pocket co-payments for clinic visits if proposed changes to the hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Cancer (ASC) payment system are supported by the Centers for Medicare & Medicaid Services (CMS) for 2019. The...

In June, the Director of HRSA’s Office of Pharmacy Affairs, Captain Krista Pedley, testified before the U.S. Senate Committee On Health, Education, Labor, and Pensions. In her testimony, she stated, “Specific legislative authority to conduct rulemaking for all provisions in the 340B statute would be...

Despite multiple delays, the Secretary of Health and Human Services, Alex Azar, recently renewed his agencies plan to release regulations for setting 340B drug discount program drug prices. While speaking to the hospital trade group, 340B Health, Azar addressed the provider’s concerns that the multiple delays...

Prescription drug prices continue to rise and have become one the most important healthcare issues facing the nation. In an effort to address the problem, President Trump announced his drug pricing plan on May 11. After his remarks, analysts are concerned that it could significantly...

In 2015, the 340B Drug Discount Program saved healthcare providers $6 billion on drug acquisition costs. While the program aims to make pharmaceutical and clinical care affordable and accessible to low-income patients; there is evidence that some participating entities are exploiting its discounts for profit. Since close...

The 340B drug discount program helps disproportionate share hospitals (DSHs) to serve low-income patients. The stated objective of the 340B drug discount program is to “stretch federal resources as far as possible reaching more eligible patients and providing more comprehensive services.” Over time the program...

A recent opinion article by Tara O'Neill Hayes outlines arguments for CMS' "Final 340B Rule." The Centers for Medicare and Medicaid Services greeted the new year by slashing what Medicare pays hospitals for specific drugs by up to 30 percent. Consequently, Hospitals are vehemently against this decision....

Recently, Congress introduced reformed 340B eligibility requirements and has requested more comprehensive reporting on how hospitals utilize savings from the program. Republican Representative Chris Collins initiated the legislative push to overhaul the 340B Drug Discount Program and expects prompt consideration on the House floor. Collins views...