Ep 51 | CMS Medicaid Drug Rebate Program & “Covered Outpatient Drug” Definition
340B Unscripted21 Elo 2024

Ep 51 | CMS Medicaid Drug Rebate Program & “Covered Outpatient Drug” Definition

In this episode, Greg and Rob are joined by healthcare attorney Todd Nova to discuss a proposed rule change put forth by CMS in 2023 regarding the Medicaid Drug Rebate Program (MDRP), which includes a potential change to the definition of “covered outpatient drug”. They’ll discuss how covered entities have historically interpreted the definition of covered outpatient drugs, and what impact might come from CMS’s proposed change in this definition. Greg and Rob also get Todd’s take on recent HRSA audit activity in a post-Genesis 340B environment.

In the intro, the guys discuss the recent announcement of Medicare prices on the first 10 drugs subject to IRA-mandated drug price negotiations, a court ruling in Texas over DSH% calculation and use of Section 1115 waiver days, and changes to claims submission via 340B ESP.

Jaksot(91)

Ep 53 | J&J 340B Rebate Model Follow-Up Discussion

Ep 53 | J&J 340B Rebate Model Follow-Up Discussion

In this episode, Greg and Rob catch up on developments surrounding the J&J 340B rebate proposal, including HRSA’s response. They’ll address some outstanding questions from the recent SpendMend webinar...

23 Syys 202452min

Ep 52 | 340B Smorgasbord - Contract Pharmacy Legislation, ADR, Section 1115 Waiver Days & 340B Rebate Models

Ep 52 | 340B Smorgasbord - Contract Pharmacy Legislation, ADR, Section 1115 Waiver Days & 340B Rebate Models

In this episode, Greg and Rob are joined by healthcare attorney and 340B veteran Barbara Straub Williams.  They cover a variety of topics, including an update on litigation targeting state-level contr...

3 Syys 20241h 15min

Ep 50 | 340B Q&A with Hoopii

Ep 50 | 340B Q&A with Hoopii

This is our 50th episode, and it marks the 2 year anniversary of the 340B Unscripted Podcast. To mark the occasion, Greg asks Rob a hodgepodge of 340B-related questions including entity-owned vs contr...

7 Elo 202446min

Ep 49 | HRSA Audit Trends and Manufacturer Audit Activity – Conversation with Emily Cook

Ep 49 | HRSA Audit Trends and Manufacturer Audit Activity – Conversation with Emily Cook

In this episode, Greg and Rob have another repeat guest!  Healthcare attorney Emily Cook shares some insights gained from the 340B Coalition Summer Conference around recent HRSA audit patterns (08:37)...

22 Heinä 20241h 5min

Ep 48 | 2024 Midyear 340B Review - Conversation with Ted Slafsky

Ep 48 | 2024 Midyear 340B Review - Conversation with Ted Slafsky

In this episode, Greg and Rob gear up for the 340B Summer Coalition conference, and are joined again by Ted Slafsky to discuss various 340B developments from the first half of 2024.  They’ll discuss t...

7 Heinä 20241h 14min

Ep 47 | Alternate Distribution Models & 340B

Ep 47 | Alternate Distribution Models & 340B

In this episode, Greg and Rob are joined by a new SpendMend team member – Nick Gnadt – to discuss considerations around the use of alternate distribution models (ADMs) in the 340B space. They discuss ...

17 Kesä 202455min

Ep 46 |  Revisiting the Intersection of the IRA Medicare Drug Pricing Program & 340B – Conversation with Jeff Davis

Ep 46 | Revisiting the Intersection of the IRA Medicare Drug Pricing Program & 340B – Conversation with Jeff Davis

In this episode, Greg and Rob welcome back health care attorney Jeff Davis to catch up on the latest draft guidance published by CMS to address IRA-mandated Medicare drug pricing provisions and impact...

3 Kesä 202453min

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