HHS delays 340B drug program regulations: 4 things to know

http://www.beckershospitalreview.com/finance/hhs-delays-340b-drug-program-regulations-4-things-to-know.html

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HHS on Thursday delayed a regulation preventing drug companies from overcharging hospitals under the 340B drug discount program.

Here are four things to know.

1. The 340B drug pricing program, enacted in 1992, ensures hospitals treating a large proportion of low-income patients can buy drugs from manufacturers at a discount of 20 to 50 percent, according to the report. About one-third of U.S. hospitals — or 2,000 — participate in the program, purchasing about $12 billion in discounted drugs in 2015, reports The Washington Post.

2. In 2010, Congress instructed HHS to implement program regulations to set price ceilings fordrugs and establish civil monetary penalties on manufacturers that “knowingly and intentionally overcharge 340B covered entities,” according to a statement from HHS. The agency in January issued a final rule for the regulations to take effect March 6.

3. After President Donald Trump initiated a hiring freeze on all federal agencies in early March, HHS pushed back the rule until May 22. The agency also requested comments over a proposal to further delay implementation of the regulations until October. After reviewing the comments, HHS decided to officially push back the regulations to take effect Oct. 1.

4. 340B Health, a lobby group representing hospitals and health systems in the 340B program, shared an emailed statement with Becker’s, saying it was “disappointed with HHS’ decision to further delay … a long-overdue regulation to police the pharmaceutical industry.”

Trump administration withdraws 340B mega-guidance: 6 things to know

http://www.beckershospitalreview.com/finance/trump-administration-withdraws-340b-mega-guidance-6-things-to-know.html

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The Trump administration has withdrawn guidance on the 340B Drug Pricing Program that was under review at the end of the Obama administration.

Here are six things to know about the guidance.

1. HHS’ Health Resources and Services Administration released the omnibus guidance on the 340B Drug Pricing Program in August 2015. The 340B Drug Pricing Program allows certain safety-net healthcare organizations to purchase outpatient drugs at discounted prices.

2. The guidance addressed a broad range of topics within the 340B program, including the definition of patient, contract pharmacy compliance requirements, hospital eligibility criteria and eligibility of off-site outpatient locations.

3. On Jan. 30, the White House Office of Management and Budget marked the final guidance document as withdrawn.

4. Although the pharmaceutical drug industry generally supported the guidance, hospitals raised concerns about the proposal. The American Hospital Association previously expressed concern about the guidance, arguing that redefining patient eligibility for the 340B program would have inappropriately narrowed the number of drugs that qualify for 340B pricing.

5. On Wednesday, AHA Executive Vice President Tom Nickels said, “We are pleased that the administration chose not to finalize the Health Resources and Services Administration’s guidance, which, if enacted, would have jeopardized hospitals’ ability to service vulnerable populations, including low-income and uninsured individuals and patients receiving cancer treatments.”

6. For HRSA’s guidance to move forward, it would have to be resubmitted to the Office of Management and Budget.

Drug companies to face fines for overcharging 340B hospitals: 4 things to know

http://www.beckershospitalreview.com/finance/drug-companies-to-face-fines-for-overcharging-340b-hospitals-4-things-to-know.html

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HHS’ Health Resources and Services Administration has finalized a rule that sets civil monetary penalties for drug manufactures that overcharge healthcare organizations that are part of the 340B Drug Pricing Program.

Here are four things to know about the final rule.

1. The final rule requires drug manufacturers to calculate the 340B ceiling price on a quarterly basis. The rule includes the methodology manufacturers must use when estimating the ceiling price for a newly covered outpatient drug.

2. Under the final rule, drug manufacturers that intentionally overcharge a covered hospital will face civil monetary penalties. HRSA can fine a manufacturer up to $5,000 for knowingly and intentionally overcharging a 340B hospital for drugs purchased through the program.

3. HRSA clarified that a drug manufacturer that overcharges a hospital for drugs purchased through the 340B program would not face penalties if the manufacturer made an “inadvertent, unintentional or unrecognized error in calculating the ceiling price.” A manufacturer would also be deemed not to have the requisite intent if it “acted on a reasonable interpretation of agency guidance,” or “has established alternative allocation procedures where there is an inadequate supply of product to meet market demand, as long as covered entities are able to purchase on the same terms as all other similarly situated non-340B covered entities.”

4. The final rule is effective March 6. Since the effective date falls in the middle of a quarter, HRSA said it plans to begin enforcing the requirements of the final rule at the start of the next quarter, which begins April 1.

Halting 340B funding would force 73% of hospitals to cut staff, study finds

http://www.beckershospitalreview.com/finance/halting-340b-funding-would-force-73-of-hospitals-to-cut-staff-study-finds.html

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Click to access may-2015-report-to-the-congress-overview-of-the-340b-drug-pricing-program.pdf

The 340B Drug Pricing Program allows certain hospitals and other health care providers (“covered entities”) to obtain discounted prices on “covered outpatient drugs” (prescription drugs and biologics other than vaccines) from drug manufacturers. Manufacturers must offer 340B discounts to covered entities to have their drugs covered under Medicaid. The discounts are substantial. The Health Resources and Services Administration (HRSA), which manages the program, estimates that covered entities saved $3.8 billion on outpatient drugs through the program in fiscal year 2013. The 340B program has grown substantially during the past decade. Covered entities and their affiliated sites spent over $7 billion to purchase 340B drugs in 2013, three times the amount spent in 2005. The number of hospital organizations (a single organization includes a hospital and all of its eligible affiliated sites) participating in 340B grew from 583 in 2005 to 1,365 in 2010 and to 2,140 in 2014. The increase from 2010 to 2014 was driven by growth in the number of CAHs and other types of hospitals that became eligible for 340B in 2010 through the Patient Protection and Affordable Care Act of 2010 (PPACA). In 2014, about 45 percent of all Medicare acute care hospitals—including CAHs—participated in the 340B program.

Screws Tighten on 340B Program

http://healthleadersmedia.com/content.cfm?topic=HEP&content_id=324594##

Medicine and Dollars

A MedPAC recommendation to reduce by 10% Medicare payment rates for 340B hospitals’ separately payable Part B drugs has been greeted with a chorus of boos from hospital trade associations.

McKesson’s top 5 RCM trends for health system pharmacies in 2016

http://www.beckershospitalreview.com/finance/mckesson-s-top-5-rcm-trends-for-health-system-pharmacies-in-2016.html

Drugs and Dollars

340B will go through big transition in 2016

http://www.fiercehealthfinance.com/story/340b-will-go-through-big-transition-2016/2015-12-07?utm_medium=nl&utm_source=internal&mkt_tok=3RkMMJWWfF9wsRonvqjKce%252FhmjTEU5z14ukkX6a2lMI%252F0ER3fOvrPUfGjI4ARMBjN6%252BTFAwTG5toziV8R7LMKM1ty9MQWxTk

HRSA’s authority to oversee the program is being challenged

AHA furious over ruling to exclude ‘orphan’ drugs from 340B program

http://www.healthcarefinancenews.com/news/aha-furious-over-ruling-exclude-orphan-drugs-340b-program?mkt_tok=3RkMMJWWfF9wsRovu6%2FMZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4IRMFgI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

The ruling means pharmaceutical companies that make orphan drugs do not have to sell then to rural and cancer hospitals at a discount.

HRSA releases 340B Program ‘mega guidance’: 18 key points

http://www.beckershospitalreview.com/finance/hrsa-releases-340b-program-mega-guidance-18-key-points.html

‘Mega-guidance’ proposal puts big limits on 340B Drug discounts

http://www.healthcarefinancenews.com/news/mega-guidance-proposal-puts-big-limits-340b-drug-discounts?mkt_tok=3RkMMJWWfF9wsRouuq3JZKXonjHpfsX57u4rUa6zlMI%2F0ER3fOvrPUfGjI4JSsdqI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

The proposal by the Health Resources and Services Administration addresses patient eligibility definitions, which affects thousands of hospitals.