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340B Update: Safety Net Providers Fight Back Against Two-Tier Pricing Models

USA - January 10 2020 Payors and pharmacy benefit managers (“PBMs”) are increasingly implementing “two-tier” pricing models under the 340B Drug Pricing Program (“340B…

Macy L. Flinchum, Richard P. Church.

Fifth Circuit Issues Decision on the Constitutionality of the ACA: What to Expect Next

USA - December 20 2019 On December 18, the U.S. Court of Appeals for the Fifth Circuit (“Fifth Circuit”) issued its long-awaited decision in Texas v. United States. [1] The…

Amy Carnevale, Karishma Shah Page, Tracy L. Lawless.

CMS Requests Information on Using Advanced Technology in Program Integrity

USA - November 5 2019 On October 21, 2019, the Centers for Medicare & Medicaid Services (“CMS”) issued a Request for Information (“RFI”) on using advanced technology to…

Gina L. Bertolini, Victoria K. Hamscho.

340B Update: CMS Maintains Payment Reductions for 340B Drugs in CY 2020 OPPS Final Rule

USA - November 4 2019 On November 1, 2019, the Centers for Medicare & Medicaid Services (“CMS”) issued the Medicare Outpatient Prospective Payment System (“OPPS”) final…

Macy L. Flinchum, Richard P. Church, Victoria K. Hamscho.

340B Update: CMS Seeks Comments on Acquisition Cost Data Survey

USA - October 1 2019 On September 30, 2019, the Centers for Medicare & Medicaid Services (“CMS”) announced an opportunity for stakeholders to comment on the agency’s…

Macy L. Flinchum, Richard P. Church.