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(96)

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

Ep 26 | First Year Anniversary of the 340B Unscripted Podcast - Q & A Session

Ep 26 | First Year Anniversary of the 340B Unscripted Podcast - Q & A Session

Aiden shares the 340B questions sent in by our listeners, and there are some good ones. Questions include opening an in-house retail pharmacy, CAR-T therapy, continuum of care and 190 clinics, the IRA...

14 Aug 20231h 5min

Ep 25 | 340B Coalition Summer Conference Recap - Part 2

Ep 25 | 340B Coalition Summer Conference Recap - Part 2

Rob and Greg continue to unpack all the great information gathered from the 2023 340B Coalition Summer Conference in Washington D.C.  They chat with coworkers, clients, and friends in the 340B communi...

31 Juli 20231h 33min

Ep 24 | 340B Coalition Summer Conference Recap

Ep 24 | 340B Coalition Summer Conference Recap

Greg and Rob share highlights from the 340B Coalition Conference in DC. Topics covered include proposed CMS repayment for affected hospitals, Inflation Reduction Act updates, legislative updates, and ...

17 Juli 202354min

Ep 23 | 340B and the Medicare Cost Report

Ep 23 | 340B and the Medicare Cost Report

Greg and Rob break down the ins and outs of the Medicare Cost Report and the dos and don'ts of child site registrations. They also provide an update on contract pharmacy manufacturer restrictions and ...

3 Juli 202357min

Ep 22 | Maintaining 340B Compliance: Medicaid Duplicate Discount Prevention

Ep 22 | Maintaining 340B Compliance: Medicaid Duplicate Discount Prevention

In this episode, Greg and Rob talk about an important 340B Program compliance element – preventing Medicaid duplicate discounts.  They discuss the importance of maintaining the Medicaid Exclusion File...

19 Juni 20231h 4min

Ep 21 | Thoughts on 340B & Biosimilar Uptake

Ep 21 | Thoughts on 340B & Biosimilar Uptake

In this episode, Greg and Rob discuss a recent publication regarding how 340B Program participation may impact the degree of biosimilar utilization.  Additionally, the guys recap recent legislative pr...

5 Juni 202340min

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