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!

Episoder(91)

Ep 69 | Quick 340B Update

Ep 69 | Quick 340B Update

This week's episode is a quick one. We pushed out this episode expecting to have HRSA guidance on rebate models to discuss, but we'll have to wait for that topic another day! Greg and Rob catch up on ...

2 Jun 202524min

Ep 68 | 340B Hot Topics Discussion

Ep 68 | 340B Hot Topics Discussion

In this episode, Greg and Rob are joined by guest Peggy Tighe, healthcare attorney and government relations specialist. They catch up on lots of contemporary issues impacting 340B providers, including...

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Ep 67 | 340B Location Issues – Webinar Follow Up

Ep 67 | 340B Location Issues – Webinar Follow Up

In this week’s episode, Greg and Rob are joined by colleague Heidi Larson to recap lots of questions that came out of a recent SpendMend webinar focused on 340B location issues. They’ll address issues...

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Ep 66 | OPAIS Database Compliance Tips

Ep 66 | OPAIS Database Compliance Tips

In this episode, Rob and Greg review tips and tricks for maintaining a covered entity’s registration on the OPAIS database. Failure to keep an up-to-date and accurate listing on OPAIS can result in au...

7 Apr 20251h 17min

Ep 65 | IRA Impact on 340B

Ep 65 | IRA Impact on 340B

In this episode, Greg and Rob are joined by Meetali Desai, a pharmacy business leader for a large health system in New England, to discuss thoughts around projecting the impact that IRA-mandated Medic...

24 Mar 20251h 1min

Ep 64 | 340B Winter Coalition Conference Recap

Ep 64 | 340B Winter Coalition Conference Recap

In this week’s episode, Greg and Rob recap lessons learned from the recent 340B Coalition Winter Conference in San Diego. They’ll share commentary that was circulating regarding HRSA audit trends, 340...

10 Mar 202543min

Ep 63 | Provider-Based Rules & 340B

Ep 63 | Provider-Based Rules & 340B

On this episode, Rob and Greg are joined again by healthcare attorney Emily Cook. Emily shares some insight into CMS Provider Based Rules and how 340B covered entities need to be thoughtful about wher...

24 Feb 20251h

Ep 62 | Updates from Ongoing 340B Litigation

Ep 62 | Updates from Ongoing 340B Litigation

In this episode, Greg and Rob are joined again by Jeff Davis, healthcare attorney, to catch up on various court action impacting the 340B community. With so many 340B Program elements hung up in litig...

10 Feb 20251h 7min

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