Articles and Blogs

340B

Hall Render’s This Week in Washington – September 21, 2018

[09/21/18]

Posted on September 21, 2018 in Federal Advocacy

Published by: Hall Render

Hospitals Release Voluntary 340B Principles as Alternative to Legislation The battle over 340B continued this week as hospital groups announced a new voluntary 340B reporting program as an alternative to congressional legislation that would further regulate the program. Under the American Hospital Association-led initiative, hospitals would commit to publicly disclosing their 340B savings annually.... READ MORE

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CMS Allows Medicare Advantage Plans to Implement Step Therapy for Part B Drugs – Will It Really Lower Drug Costs or Simply Increase Administrative Burdens?

[09/19/18]

Posted on September 19, 2018 in Health Law News

Published by: Hall Render

On August 7, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a Memorandum (“Memorandum”) announcing a policy change to allow Medicare Advantage (“MA”) plans to implement step therapy programs for physician-administered and other Part B drugs. Step therapy is a type of prior authorization for drugs in which a health plan requires... READ MORE

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340B Program OPPS Payment Reductions and Legislative Limitation Proposals: What’s Smoke and What’s Fire?

[07/27/18]

Posted on July 27, 2018 in Health Law News

Published by: Hall Render

On July 25, the Centers for Medicare & Medicaid Services (“CMS”) issued its 2019 Outpatient Prospective Payment System (“OPPS”) Proposed Rule (“OPPS Proposed Rule”). As anticipated based on public comments made by Department of Health and Human Services (“HHS”) Secretary Alex Azar, CMS is proposing to expand application of reduced payment for discounted drugs... READ MORE

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Hall Render’s This Week in Washington – July 13, 2018

[07/13/18]

Posted on July 13, 2018 in Health Law News

Published by: Hall Render

CMS Releases 2019 Proposed Medicare’s Physician Fee Schedule  On July 12, the Centers for Medicare & Medicaid Services (“CMS”) announced numerous new policy proposals in a proposed rule to update payment policies, payment rates and quality provisions for services furnished under the Medicare Physician Fee Schedule (“PFS”) for 2019. The annual update reduces payments... READ MORE

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Wisconsin Court Analyzes Relationship Between 340B and Wisconsin Medicaid Requirements in Important Overpayment Case

[07/13/18]

Posted on July 13, 2018 in Health Law News

Published by: Hall Render

On June 12, 2018, the Wisconsin Court of Appeals (“Court”) affirmed a decision by a Wisconsin circuit court and held that a family planning clinic with multiple locations in Wisconsin (“Provider”) was not required to repay the Wisconsin Department of Health Services (“DHS”) a total of $185,074.80 related to Medicaid fee-for-service claims submitted for... READ MORE

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Hall Render’s This Week in Washington – June 22, 2018

[06/22/18]

Posted on June 22, 2018 in Federal Advocacy

Published by: Hall Render

CMS Issues RFI for Stark Law On June 20, CMS released a request for information (“RFI”) seeking feedback on ways to improve the Stark Law, which limits how doctors can refer patients to businesses in which they have a financial interest. Largely seen as a barrier to value-based care arrangements, the agency is asking for information... READ MORE

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Hall Render’s This Week in Washington – June 15, 2018

[06/15/18]

Posted on June 15, 2018 in Federal Advocacy

Published by: Hall Render

Senate and House Work to Combat the Opioid Crisis On June 13, Energy and Commerce Committee Chairman Greg Walden (R-OR), Ways and Means Committee Chairman Kevin Brady (R-TX), Energy and Commerce Committee Ranking Member Frank Pallone, Jr. (D-NJ) and Ways and Means Committee Ranking Member Richard Neal (D-MA) introduced H.R. 6, the Substance Use-Disorder... READ MORE

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Hall Render’s This Week in Washington – May 18, 2018

[05/18/18]

Posted on May 18, 2018 in Health Law News

Published by: Hall Render

Senate HELP Committee Takes Another Look at 340B The Senate Health, Education, Labor, and Pensions Committee held its second hearing on the 340B program. Representatives from two major government watchdogs, the Government Accountability Office and the HHS Office of the Inspector General, testified at the hearing. The testimony focused on oversight reports related to... READ MORE

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Hall Render’s This Week in Washington – March 9, 2018

[03/09/18]

Posted on March 9, 2018 in Federal Advocacy

Published by: Hall Render

Azar Pushes Value-Based Care Approach  During the annual policy conference for the Federation of American Hospitals, Health and Human Services (“HHS”) Secretary Alex Azar laid out an agenda for a more cost-effective and transparent health care system. Azar said HHS is focused on four key priorities: giving consumers greater control over health information through... READ MORE

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Medicare 340B Payment Cuts Go Live as of January 1. What’s Next?

[01/05/18]

Posted on January 5, 2018 in Health Law News

Published by: Hall Render

As we noted in a previous article, significant Medicare payment cuts for certain 340B-participating hospitals[1] (“Covered Entities”) went into effect as of January 1, 2018 after a federal district court judge declined to take action to prevent implementation of certain 2018 Outpatient Prospective Payment System (“OPPS”) final rule (“Final Rule”) provisions. These changes represent... READ MORE

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