March 29, 2018
340B Drug Update: Good News for Some in the Program
For one health system, staying the 340B drug program makes financial sense. Working at a large teaching hospital in Pennsylvania recently, I was able to ask the system CFO if he was thinking of giving up on the 340B program in light of the cuts. I was surprised by his…
February 1, 2018
HHS Using Alternative Facts to Tout 2017 Accomplishments
Costs of outpatient versus inpatient knee replacement a clear area of contention in wake of report. Last week seemed to be a quiet time on the Medicare regulatory front. Perhaps the three-day government shutdown resulted in things ramping back up, however. For a while I thought I’d have nothing to…
December 14, 2017
The OIG Targets Herceptin Billing Errors
The OIG has added specialty drug coverage and reimbursement by Medicaid to its Work Plan. In October, the OIG added specialty drug coverage and reimbursement by Medicaid to the list of active Work Plan items. This was in addition to the continuing Medicaid-related prescription drug reviews for the 2017 fiscal…
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