Proposed changes to 340B reimbursement and new legislative frameworks are raising important questions for covered entities and safety-net hospitals.
In this episode of Katy’s 340B Compass, Katy Lees examines the proposed CMS OPPS reimbursement shift from ASP plus 6% to ASP minus 33.4%, and why health systems should evaluate the potential impact now. For many organizations, this is not just a reimbursement discussion. It is a leadership, finance, compliance, and access issue.
Katy also compares two approaches to 340B reform: the SECURE 340B Act and the Integrity/Affordability draft. Both aim to create clearer statutory rules, but they differ in how they approach upfront discounts, rebates, contract pharmacy, patient definition, child sites, transparency, patient affordability, payer and PBM conduct, and vendor compensation.
The key takeaway: covered entities need clear internal analysis, operational awareness, and leadership alignment before responding to proposed reimbursement or legislative changes.
Visit Virtue 340B’s website to watch the episode on YouTube or listen on Spotify and other podcast platforms. Watch now >
