The Centers for Medicare and Medicaid Services (CMS) has offered its suggestion for a solution to the Supreme Court decision that would return $9 billion to hospitals that were paid less than rates the court said were set unconstitutionally.
Last year, the U.S. Supreme Court (SCOTUS) ruled unanimously that the differential payment...
The ongoing 340B Drug Pricing Program debate continues as the Arizona-based Goldwater Institute weighs in this week with a study on the relationships 340B hospitals hold with out-of-state pharmacies.
The conservative think tank opposed Medicaid expansion in Arizona when then-Governor Jan Brewer authorized it in 2014, but the new study...National News
Nonprofit hospitals have drawn severe public scrutiny over the past year, as stories have surfaced about hospitals' aggressive billing practices and the lack of charity care that the sector is expected to provide. This week, further investigation turned up evidence that nonprofits are avoiding disadvantaged communities and maximizing...
The American Hospital Association (AHA) ran a survey of 300 hospitals and health systems to determine the overall impact of cuts made to the 340B prescription drug pricing program. It found an enormous financial impact on struggling hospitals, specifically those in rural and underserved areas.
The 340B drug pricing program requires...
On Friday, the Centers for Medicare and Medicaid Services (CMS) published the proposed rules for the CY 2023 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. Most notably, the CMS proposed increase for OPPS rates for hospitals and ASCs that meet quality reporting...
On Wednesday, the U.S. Supreme Court unanimously sided with the American Hospital Association (AHA) against the U.S. Department of Health and Human Services (HHS) in a case that challenged a Centers for Medicare and Medicaid Services (CMS) rule that would have cut outpatient drug payments for hospitals that treat Medicaid enrollees and...
Community health centers played a central role in coordinating care and economic support to disadvantaged communities during the pandemic, according to a report filed last Friday by the Kaiser Family Foundation (KFF). The KFF Report noted that community health centers are experiencing substantial ramifications from the ongoing healthcare...
Last Friday, the U.S. Supreme Court announced it would hear arguments for American Hospital Association v. Becerra, a case that deals with cuts made by the Centers for Medicare & Medicaid Services (CMS) to the 340B Discount Drug Program.
The American Hospital Association (AHA) along with the Association of American Medical...
Several hospital groups and a hospital pharmacist organization filed a federal lawsuit against the United States Department of Health and Human Services (HHS), representing participants in the 340B drug pricing program who allege that the department has failed to enforce program requirements against drug companies.
The lawsuit says that...Arizona News
As the Affordable Care Act looks to go before a decidedly different Supreme Court, people across the country are grappling with the ripple effects of the law's potential demise.
While the elimination of the ACA would likely impact the vast majority of Americans in some way, it would hurt some more than others.
According to an...National News
Pharmaceutical manufacturers are moving to reject 340B discounts through pharmacies and are demanding more data on the program’s efficacy.
Much to the chagrin of hospitals nationwide that have become accustomed to the 340B program, the drug companies are testing the limits of their abilities to challenge regulation...Arizona News
Last week, the United States Court of Appeals for the District of Columbia overturned a decision that said the Trump administration did not have the authority to reduce subsidies from Medicare for the 340B Drug Pricing Program.
The 340B program allows hospitals to buy medications at large discounts, but many have objected to this...National News
The Centers for Medicare and Medicaid Services (CMS) published a notice on Thursday informing hospitals of its plans to survey facilities to collect information on their acquisition costs for certain covered outpatient drugs included in the 340B Drug Discount Program.
The notice follows a July proposed rule from the Trump...National News
The American Hospital Association (AHA), the Association of American Medical Colleges (AAMC), America's Essential Hospitals, 340B Health, Genesis Healthcare System, Kearny County Hospital and Rutland Regional Medical Center asked a federal court to order the Department of Health and Human Services (DHS) to make effective within 30 days...News
The proposed rule reduces CMS payments to hospitals for drugs purchased under the drug discount program. A final ruling was delayed until July 2018.
CMS’ Advisory Panel on Hospital Outpatient Payment pushed back on the rule after hearing from providers early in the week.
The 340B Drug Discount Program requires drug manufacturers...