Ep 77 | DSH Hospital Threats
340B Unscripted29 Sep 2025

Ep 77 | DSH Hospital Threats

In this episode, Greg and Rob are joined by SpendMend colleague Heather Lynch, to talk about how H.R.1 (i.e. One Big Beautiful Bill Act, or OBBBA) could impact 340B covered entities in the long run. They’ll discuss how federal Medicaid cuts projected from the bill could influence a trend in lower average DSH% for some hospitals, threatening 340B Program eligibility. They’ll also have a conversation about things hospitals should consider, both in the short term and long term, to brace for the impact.

In the intro, they’ll also catch up on various manufacturer actions affecting 340B providers.

Email us at 340BUnscripted@spendmend.com with questions and comments!

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Episoder(99)

Ep 93 |  340B Patient Definition

Ep 93 | 340B Patient Definition

Rob and Greg are joined by healthcare attorney Mark Ogunsusi to discuss 340B patient definition, including the 1996 HRSA guidance, key regulatory developments over the years, and the impact that recen...

15 Jun 1h 9min

Ep 92 | Latest 340B Updates

Ep 92 | Latest 340B Updates

In this week’s episode, Greg and Rob discuss developments across the 340B community, including new manufacturer claims level data submission policies and ongoing discussion in Congress on 340B Program...

18 Mai 23min

Ep 91 | More 340B Updates

Ep 91 | More 340B Updates

In this episode, Greg and Rob catch up on more recent developments across the 340B community. They discuss recent Congressional activity where 340B has been a focus, a shift in court rulings related t...

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Ep 90 | 340B Updates

Ep 90 | 340B Updates

In this episode, Greg and Rob catch up on various developments happening in the 340B community. Topics discussed include the proliferation of manufacturer claim submission requirements, notable court ...

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Ep 89 | 340B Pricing Removal & GPO Prohibition Court Case Ruling

Ep 89 | 340B Pricing Removal & GPO Prohibition Court Case Ruling

In this episode, Greg and Rob discuss reports of 340B pricing removal from wholesaler accounts, which may be related to recent manufacturer claim submission requirement policies.  They also catch up o...

6 Apr 51min

Ep 88 | Hospital Child Sites – Recent Developments with CMS Provider-Based Rules and 340B Child Site Eligibility Timing

Ep 88 | Hospital Child Sites – Recent Developments with CMS Provider-Based Rules and 340B Child Site Eligibility Timing

In this episode, Greg and Rob are joined by returning guest, healthcare attorney Jeff Davis. They’ll be discussing the CMS provider-based rule changes coming out of the 2026 Consolidated Appropriation...

16 Mar 51min

Ep 87 | HRSA 340B Rebate Request For Information (RFI)

Ep 87 | HRSA 340B Rebate Request For Information (RFI)

In this episode, Greg and Rob are joined again by healthcare attorney Todd Nova to discuss the recent HRSA Request For Information (RFI) related to a potential future 340B rebate model pilot. They dis...

10 Mar 1h 9min

Ep 86 | Updates in 340B

Ep 86 | Updates in 340B

In this episode, Greg and Rob catch up on various looming deadlines for 340B providers.  That includes submitting responses to the HRSA 340B Rebate Request For Information (RFI), as well as submitting...

2 Mar 34min

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