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

Avsnitt(94)

Ep 33 | Thoughts on the Genesis v. Becerra­ Court Ruling

Ep 33 | Thoughts on the Genesis v. Becerra­ Court Ruling

In this episode, Rob and Greg share thoughts from the recent federal court ruling on the Genesis v Becerra case, which focuses on patient definition.  Additionally, they catch up on manufacturer restr...

20 Nov 202338min

Ep 32 | Getting to Know the HRSA DRL: Part 1 – Policies & Procedures

Ep 32 | Getting to Know the HRSA DRL: Part 1 – Policies & Procedures

This episode is the first part of a series of recordings we are putting together to review the HRSA data request list (DRL).  Rob and Greg discuss DRL item #1 – 340B Policies and Procedures. They’ll r...

6 Nov 202358min

Bonus Ep 2 | HRSA Notice Addressing 340B Registration Requirements

Bonus Ep 2 | HRSA Notice Addressing 340B Registration Requirements

In this bonus episode, Rob and Greg review the HRSA notice published on October 27 that addresses the immediate use of 340B drugs in unregistered locations and some hospital considerations in response...

27 Okt 202324min

Ep 31 | Answering 340B FAQs - Rob vs. ChatGPT

Ep 31 | Answering 340B FAQs - Rob vs. ChatGPT

In this episode, Rob is pitted against ChatGPT to answer 340B-related FAQs, including topics like child site registration, GPO prohibition, and HRSA audit findings (17:29). In the intro, Greg and Rob ...

23 Okt 20231h 2min

Ep 30 | Turnkey Pharmacy Solutions, Whiteboards & 340B Stuff

Ep 30 | Turnkey Pharmacy Solutions, Whiteboards & 340B Stuff

Rich Bucher, one of the co-founders of Turnkey Pharmacy Solutions, makes a long-awaited appearance on the podcast with Greg and Rob.  Rich and Rob share anecdotes from their early days getting involve...

9 Okt 20231h 7min

Ep 29 | The Intersection Between the Inflation Reduction Act (IRA) & 340B – Conversation with Jeff Davis

Ep 29 | The Intersection Between the Inflation Reduction Act (IRA) & 340B – Conversation with Jeff Davis

In this episode, Greg and Rob are joined by healthcare attorney Jeff Davis, to discuss how the Medicare drug pricing provisions in the IRA will impact 340B providers.  They’ll go over CMS billing modi...

25 Sep 20231h 9min

Ep 28 | 340B Conversation with Emily Cook - Part 2

Ep 28 | 340B Conversation with Emily Cook - Part 2

Rob and Greg continue their conversation with health care attorney and 340B expert Emily Cook (21:05).  They discuss thoughts on the CMS Medicare Part B remedy, provide some commentary on the Inflatio...

11 Sep 202350min

Ep 27 | 340B Conversation with Emily Cook - Part 1

Ep 27 | 340B Conversation with Emily Cook - Part 1

Rob and Greg are joined by Emily Cook (20:15), an attorney in the health care and 340B space. They discuss a number of 340B topics, including ongoing manufacturer restrictions of contract pharmacies (...

28 Aug 20231h 8min

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