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July 31, 2015

Today's Featured Story

Pending 340B ‘Mega-Guidance’ Could Limit Contract Pharmacies, Duplicate Discounts
Reprinted from Drug Benefit News

Pharmaceutical manufacturers, covered entities and other stakeholders in the 340B Drug Pricing Program are once again sweating it out as an expected “mega-guidance” spends its third month at the Office of Management and Budget. Industry insiders say the pending guidance could, among other things, finally place some limits on the wildly expanding contract pharmacy arrangements that may lead to duplicate discounts being paid by manufacturers to 340B entities and commercial and/or Medicaid plans.... Read Full Story

 

From the AIS Blogs

CMS Plan for Knee and Hip Bundle Attracts Praise, Concern

Some notable advocates for alternative payment models are mostly supportive of the CMS effort announced earlier in July to try out a bundled payment program for knee and hip replacements in the Medicare program in selected areas of the country. The program CMS proposed, and which will not be made final for some months, is another step in the direction to more sensible payment constructs, they say.... Read more

 

Quote of the Day

“Mr. Slavitt’s conflicted history in the medical services industry has produced mixed results and raised a number of serious concerns. As such, he will be expected to demonstrate that he is up to the challenge and capable of successfully leading [CMS] through the monumental tasks that lie ahead. Most importantly, Mr. Slavitt will need to answer a number of tough questions regarding his former employer and their relationship with the agency.”

— Senate Finance Committee Chairman Orrin Hatch (R-Utah), commenting on the nomination of Andy Slavitt, the acting administrator of CMS (and former executive vice president of UnitedHealth Group’s Optum unit) to head the agency on a permanent basis.

Click here to read the INSIDE HEALTH INSURANCE EXCHANGES E-ALERT in which this quote appeared. (Free for HEX subscribers; $17 for non-subscribers).

 

Today's Datapoint

Only
33% ... of transgender people plan to have sex transformation surgery, according to statistics from the National Center for Transgender Equality.

From HEALTH PLAN WEEK

 

Today from Washington

People on the Move

Coordinated Health appointed Linda Chen chief financial officer. Chen most recently held the same title at Community Health Systems....Denali Therapeutics Inc. named Carole Ho, M.D., chief medical officer and head of development. Ho previously was vice president of early clinical development at Genentech....Charles Roberts, M.D., Ph.D., joined St. Jude Children’s Research Hospital as executive vice president and director of the St. Jude Comprehensive Cancer Center. Roberts formerly was deputy chief scientific officer at the Dana Farber Cancer Institute.

 

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