By Ginger - Site Admin on
Wednesday, November 27, 2019 11:12 AM
KHA will host a special membership meeting via webinar on Tuesday, December 3, at 11:00 AM (ET) to discuss strategies to preserve 340B reimbursement under Medicaid. Hospital chief executive officers and chief financial officers should have received an Alert from KHA this morning via email with call details and additional information. If you did not receive the email, please contact Debbie Bonn at KHA (dbonn@kyha.com). Please make plans to participate in this webinar!
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By Ginger - Site Admin on
Thursday, October 03, 2019 3:12 PM
Earlier today, KHA submitted comments to the Cabinet for Health and Family Services (CHFS) Department of Medicaid Services (DMS) on the proposed changes to the 340B Policy and Procedures Manual.
KHA's comments outline how the proposed changes would impose additional and substantial burdens upon Kentucky hospitals without any corresponding benefit. Kentucky hospitals are in full support of assuring program integrity and expanded access to lower cost drugs to Covered Entities and their patients; however, the proposed changes, as written, should be delayed until clarified and improved
A full copy of the comment letter is available to members on the Policy page on the Advocacy section of KHA's website, www.kyha.com.
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By Ginger - Site Admin on
Tuesday, September 03, 2019 2:26 PM
The Kentucky Department for Medicaid Services (DMS) is requesting feedback on the proposed DMS 340B Policy and Procedures Manual. The Department is extending the deadline for all feedback to October 3. The effective date of the proposed policy will be set to January 1, 2020.
Please email all feedback to jade.range@ky.gov.
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By Ginger - Site Admin on
Wednesday, May 22, 2019 2:41 PM
Safety net hospitals struggle to stretch scarce resources to provide crucial services to their patients while
meeting their bottom line. It does not have to be this way. When managed compliantly, the 340B program
does what it was intended to do: secure the financial future of safety net organizations who serve the
nation’s vulnerable population.
The 340B program can have a significantly positive impact for hospitals, their patients and their
communities if hospitals know how to administer and manage the program effectively.
KHA will host a 340B Compliance Workshop on June 27 in Louisville where subject matter experts will present insights for safety net hospitals to tap into
the benefits of the 340B program, including increasing financial support that enables hospitals to provide
better care, improve patient outcomes and help the indigent/uninsured gain access to the discounted
medications they need.
View the program flyer...
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By Ginger - Site Admin on
Tuesday, March 26, 2019 2:27 PM
Does your invoice analysis tool check wholesaler charges against the 340B drug pricing program?
Many hospitals have tools to analyze the charges their GPOs invoice to identify discrepancies and overcharges. KHA Solutions Group's Affinity Partner SUNRx provides an Invoice Analysis tool that is unique. No other tool in the industry has the ability to check wholesaler charges against the 340B drug pricing program. This is because other GPO analysis tools don't have access to 340B pricing.
The average savings using the SUNRx Invoice Analysis tool is between 2-5%.
If you are looking to reduce drug spend costs, contact Pam Kirchem at KHA Solutions Group (pkirchem@kyha.com) to learn how SUNRx can help.
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By Ginger - Site Admin on
Wednesday, July 18, 2018 12:52 PM
The Health Resources and Services Administration's (HRSA's) Office of Pharmacy Affairs will host a webinar on August 8 to assist covered entities with the recertification process for the 340B drug savings program.
Hospitals can join the webinar, which takes place from 1:00 p.m. to 2:00 p.m. (ET), by visiting https://hrsaseminar.adobeconnect.com/dpp_340b_pepi/.
The conference number is 800-967-7154 and participant passcode is 847321.
All 340B hospitals are required to recertify with HRSA to ensure they continue to meet the 340B hospital eligibility requirements. The hospital recertification process runs from August 15 to September 12. HRSA recently stated it may request additional information from covered entities during the registration process. These additional program integrity requests are specific to hospital eligibility documentation and contract pharmacy agreements of all covered entities...
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By Ginger - Site Admin on
Monday, July 16, 2018 9:54 AM
On May 16, the Department of Health and Human Services (HHS) released a
request for information
on ways to lower drug prices and reduce out-of-pocket costs for consumers.
While the AHA appreciates the Administration's focus on the issue of
unsustainable drug prices, which threaten patient access to care, the focus
on the 340B program as part of a plan to lower drug prices is misplaced. A
number of the questions raised by HHS suggest that the 340B program might
contribute to higher drug prices. However, it is drug manufacturers,...
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By Ginger - Site Admin on
Tuesday, July 10, 2018 9:09 AM
 The 340B Prescription Card Program from SUNRx helps 340B entities pass along savings to patients. Eligible hospitals and clinics struggle to stretch their scarce resources to provide the crucial services their patients need while
maintaining financial security. And while many patients they serve can’t afford to pay for high priced medications, it doesn’t have
to be this way — a 340B program administered by SUNRx can help.
SUNRx’s 340B prescription card program provides a conduit for covered entities
to pass along 340B savings to their patients. Because SUNRx is a wholly owned
subsidiary of pharmacy benefit manager (PBM), MedImpact Heathcare Systems,
this 340B prescription card program is unique from others. SUNRx confirms 340B
patient eligibility and applies its “lower of” cost calculation to find the lowest price
available for the patient. This process is accomplished in real time when your patient
presents...
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By Ginger - Site Admin on
Tuesday, June 05, 2018 10:37 AM
 Eligible hospitals struggle to stretch their scarce resources to provide the crucial services their patients need while
maintaining financial security. And while many patients they serve can’t afford to pay for high priced medications, it doesn’t
have to be this way — a 340B program administered by SUNRx can help.
SUNRx’s 340B prescription discount card program provides a conduit for covered
entities to pass along 340B savings to their patients. Because SUNRx is a wholly
owned subsidiary of pharmacy benefit manager (PBM), MedImpact Heathcare
Systems, this 340B prescription discount card program is unique from others.
SUNRx confirms 340B patient eligibility and applies its “lower of” cost calculation
to find the lowest price available for the patient. This process is accomplished in
real time when your patient presents the 340B prescription discount card along
with their prescription to the contract pharmacy....
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By Ginger - Site Admin on
Thursday, May 24, 2018 8:52 AM
KHA will host a 340B Compliance Workshop on June 21 in Louisville. The program offers 1.5 ACHE Face-to-Face credits.
Safety net hospitals struggle to stretch scarce resources to provide crucial services to their pa
tients. The 340B program is essential in ensuring that hospitals in Kentucky and nationwide are
able to continue to provide pharmacy care to its most vulnerable patients.
The subject matter experts at this interactive workshop will present valuable insights on how safety net hospitals can effectively navigate the 340B program so they can improve patient outcomes
and help low-income and rural patients access essential pharmacy services.
View the brochure for program details. Online registration...
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By Ginger - Site Admin on
Tuesday, April 24, 2018 9:02 AM

KHA Solutions Group Affinity Partner SUNRx provides comprehensive, auditable technology solutions and high-touch customer service with a hands-on approach to
program implementation, contract pharmacy setup and ongoing program management. They offer:
User-Friendly Covered Entity &
Contract Pharmacy Interface
Dashboard reporting, claim trends,
utilization by pharmacy
Cloud-based virtual inventory
management solution
Extensive Network of More Than
22,000 Contracted 340B Pharmacies
National and regional chains
Independent pharmacies
In-house hospital pharmacies
Customer Service
Seamless implementation
High-touch program management
Dedicated account executive to each covered entity
Dedicated account manager to each contract pharmacy
For more information on how SUNRx can help your facility, contact Pam Kirchem...
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By Ginger - Site Admin on
Thursday, April 05, 2018 10:01 AM
Safety Net Hospitals struggle to stretch scarce resources to provide crucial
services to their patients while meeting their bottom line. It doesn’t have to be this
way. When managed compliantly, the 340B program does what it was intended to
do: secure the financial future of safety net organizations who serve the nation’s
vulnerable population. The 340B program can have a significantly positive impact
for hospitals, their patients, and their communities if hospitals know how to
administer and manage the program effectively.
By utilizing KHA Solution Group's Affinity Partner SUNRx as their 340B Administrator, safety net hospitals have the ability
to tap into the benefits the 340B program can provide:
Increasing financial support
that enables hospitals to provide better care
Improving patient outcomes
Helping
the indigent/uninsured gain access to the discounted medications they need.
SUNRx’s uninsured discount prescription card program provides a conduit for
safety...
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By Ginger - Site Admin on
Thursday, January 11, 2018 10:13 AM
Stay one step ahead by registering for a free, one-hour webinar to educate hospitals on how the recent Centers for Medicare and Medicaid Services (CMS) payment policy changes (finalized November 1, 2017) impact hospital
340B Pharmacy Programs.
The American Hospital Association’s Aimee Kuhlman and Molly Collins will
speak for 10-15 minutes on what the AHA is doing to represent hospitals’
340B interests at the federal level. The rest of the webinar will be on the
impact of the CMS changes in 340B Pharmacy and the actions a hospital can
take.
Brought to you by the Kentucky Hospital Association in conjunction with
SunRx, a compliance-focused 340B Drug Discount Program Administrator
Title: Trends and Drivers in 340B
Who should attend: Directors of Pharmacy, Pharmacy managers, CFOs or others
responsible for profit/loss of hospital 340B programs
Registration: https://sunrx.webex.com/sunrx/onstage/g.php?MTID=e897bea4765d949bcd93825c0c1a2bd87...
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By Ginger - Site Admin on
Tuesday, November 14, 2017 9:58 AM
Yesterday, the American Hospital Association (AHA), the Association of American
Medical Colleges (AAMC) and America’s Essential Hospitals filed a lawsuit
against the U.S. Department of Health and Human Services (HHS) in the U.S.
District Court for the District of Columbia to prevent significant Medicare
payment cuts for hospitals that participate in the 340B Drug Pricing
Program. The three hospital associations are joined in the suit by hospital
plaintiffs: Eastern Maine Healthcare Systems, in Brewer, Maine; Henry Ford
Health System, in Detroit; and Park Ridge Health, in Hendersonville, North
Carolina, part of Adventist Health System.
For 25 years, the 340B program has enabled hospitals and other
organizations that care for many low-income and uninsured patients to
purchase certain outpatient drugs from pharmaceutical manufacturers at
discounted prices. The program allows participating hospitals to use the
savings from the discounts to provide an expanded range of comprehensive
health...
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By Ginger - Site Admin on
Monday, October 02, 2017 9:54 AM
Thanks to Kentucky Congressmen Hal Rogers, James Comer and John Yarmuth for signing a Dear Colleague letter urging the Centers for Medicare and Medicaid Services (CMS) to abandon its proposal to reduce Medicare Part B payment for drugs acquired through the 340B Drug Pricing Program. "Given the important role that the 340B program plays in our communities, we strongly urge CMS to abandon this proposal and redirect its efforts toward actions to address the cost of drugs via other policies that would not harm our constituents," the representatives wrote.
CMS has proposed to pay for separately payable, non pass-through drugs purchased through the 340B program at the average sales price (ASP) minus 22.5%, rather than the current rate of ASP plus 6%. Two hundred twenty-eight members of the House of Representatives signed the letter to CMS.
Eighty-five Kentucky hospitals qualify to receive 340B discounted outpatient drugs. Please join KHA in thanking Congressmen Rogers, Comer and Yarmuth.
For further...
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By Ginger - Site Admin on
Monday, September 11, 2017 8:32 AM
On September 8, KHA submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the Medicare hospital outpatient prospective payment system (OPPS) proposed rule for calendar year (CY) 2018. The Association has significant concerns with this proposal's reductions in payment for 340B hospitals as well as changes to remove total knee replacement from the inpatient only list, which is unsafe and will negatively impact hospitals participating in the CMS Comprehensive Care for Joint Replacement (CJR) and the Bundled Payment for Care Improvements (BPCI) programs.
A copy of KHA's comments are available on the Policy page (members only) of www.kyha.com.
If you have any questions, please contact Nancy Galvagni at KHA (ngalvagni@kyha.com).
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By Ginger - Site Admin on
Tuesday, August 29, 2017 8:24 AM
The Centers for Medicare and Medicaid Services (CMS) is proposing to cut payments for most “separately payable Part B drugs” purchased under the 340B program and dispensed to Medicare hospital outpatients in its Medicare Outpatient Prospective Payment System (OPPS) calendar year (CY) 2018 proposed rule. “Separately payable Part B drugs” generally refer to those that have per-day costs about the packaging threshold, pass through drugs and certain antiemetics. CMS proposes payment at Average Sales Price (ASP) minus 22.5%, rather than ASP plus 6% (the current payment rate), for a nearly 30% cut.
Yesterday, KHA sent the chief financial officer of each 340B hospital paid under the OPPS a brief survey regarding the impact of this payment cut. KHA will summarize this data in support of its comments to CMS (due September 11)
opposing these cuts.
CEOs, please encourage your CFO to respond to the survey by Wednesday, September 6.
If you have any questions, please contact Nancy Galvagni at KHA...
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By Ginger - Site Admin on
Tuesday, June 06, 2017 8:11 AM
SUNRx is hosting a free webinar on 340B Audit Best Practices on Thursday, July 20 at 12:00 p.m. (ET). These webinars address specific topics of interest in 340B, and are part
of the SUNRx Webinar Series available exclusively through KHA Solutions Group and other SUNRx partners.
Speaker Aaron Lott has extensive 340B audit experience and will be sharing current trends and drivers with regard to 340B audits that will help you position your hospital for optimal results. He is executive director of pharmacy services for Health Enterprises (HE). Lott specializes in services including pharmacy benefit management (PBM) and specialty pharmacy, 340B
program implementation, auditing and education as well as implementation of
provider-owned retail pharmacies and centralizing pharmacy services.
This informative webinar event will discuss current trends and drivers in the world of 340B audits.
To register, visit https://sunrx.webex.com/sunrx/onstage/g.php?MTID=e34f739889625b5f8eaf4e07a3f2df0e6....
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By Ginger - Site Admin on
Tuesday, May 30, 2017 9:20 AM
 KHA Solutions Group Affinity Partner SUNRx offers the easiest and most effective way for rural health
providers to take advantage of the 340B opportunity. SUNRx helps hospitals
and health centers:
Generate Revenue.
Capture revenue from patients with third-party coverage, and generate
$40 or more from each qualifying claim.
Reduce costs.
Reduce the cost of medications for eligible patients by half.
Launch contract pharmacy networks.
Hospitals do not need a 340B inventory, additional staff or an
outpatient pharmacy. SunRx can build a seamless network of retail
pharmacies to dispense 340B discount drugs.
Improve patient care.
Help patients save money on medications so they fill their
prescriptions, go to the emergency room less often and have...
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By Ginger - Site Admin on
Thursday, March 16, 2017 11:03 AM
On Tuesday, April 11, KHA Solutions Group Affinity Partner SunRX will host a free webinar on 340B Trends and Drivers. SUNRx is excited to provide eligible entities with access to this 340B Industry Update. This exclusive webinar will provide the latest updates in 340B including the impact of the Trump Administration.
Speaker details and login information are available at http://www.new-kyha.com/Portals/5/EventBrochures/SunRxWebinar.pdf.
If you have any questions about the webinar or about how SunRx can help with your 340B program, please contact Darrell Trent at KHA Solutions Group (dtrent@kyha.com).
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By Ginger - Site Admin on
Thursday, February 02, 2017 10:06 AM
On January 30, the Office of Management and Budget (OMB) officially withdrew the 340B “mega-guidance” released in August 2015, which would have changed which patients, drugs and providers qualify for the 340B discounts on prescriptions medicines.
The official regulatory notice can be found at https://www.reginfo.gov/public/do/eoDetails?rrid=126712.
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By Ginger - Site Admin on
Monday, January 18, 2016 12:16 PM
Last week, the Medicare Payment Advisory Commission (MedPAC) approved a multi-layered recommendation that would grant hospitals a full payment update for 2017, as well as cutting payments for 340B drugs and redirecting some of the savings into uncompensted care funds that the Commission stated would benefit more hospitals under a new Medicare-based calculation than the current one based on Medicaid days. Three Commissioners opposed the recommendation.
Commission Chairman Francis Crosson noted hospitals would gain $3 billion in payments, while Medicare beneficiaries would gain some out-of-pocket savings on drug costs directly and others could benefit later if Medigap insurers pass savings along by lowering premiums. Opponents stated the policy recommendation could hurt some providers and strayed beyond MedPAC's competency in addressing the 340B program.
What You Need to Know
MedPAC voted to give hospitals a full 2017 Medicare payment update currently projected at 1.75 percentage points....
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By Ginger - Site Admin on
Wednesday, August 12, 2015 7:50 AM
Reminder for all rural hospitals participating in the 340B Drug Pricing Program: The recertification period began August 5 and ends September 9. Participating hospitals have until September 9 to ensure program compliance and recertify in the 340B database maintained by the Office of Pharmacy Affairs. Each participating hospital or covered entity should have already received an email with the username and password necessary to complete recertification. An informational webinar and user guide on recertification are available for more information.
If questions arise, please direct them to Apexus, the 340B Prime Vendor Program (888-340-2787 or via email at ApexusAnswers@340bpvp.com)....
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By Ginger - Site Admin on
Thursday, August 21, 2014 8:51 AM
Eligibility in the 340B Drug Pricing program is reviewed annually by the Office of Pharmacy Affairs (OPA) and Covered Entities are required to recertify as a part of this process. Hospitals and safety net providers are currently up for recertification, and they must complete the process by September 10.
OPA recently sent email notifications about the recertification process to the Primary Contact and Authorizing Official for each Covered Entity. If your facility participates in 340B, please look for the email and begin the recertification process.
If you need assistance with the recertification process, visit the OPA web page on recertification, which includes key information about the process and a step-by-step guide to recertification.
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By Ginger - Site Admin on
Monday, July 21, 2014 2:27 PM
The Health Resources and Services Administration (HRSA) has just released an interpretive rule explaining its position with respect to inclusion/exclusion of orphan drugs in the 340B program. This follows comments last week from HRSA in the wake of a court ruling that called the Agency's authority into question with respect to orphan drugs. The rule is available at http://www.ofr.gov/(S(ngyx2dlwh3mfa5sankgk5q04))/OFRUpload/OFRData/2014-17409_PI.pdf.
According to the summary, "The interpretive rule states that section 340B(e) of the PHSA excludes drugs with an orphan designation only when those drugs are transferred, prescribed, sold, or otherwise used for the rare condition or disease for which the drug was designated under section 526 of the Federal Food, Drug, and Cosmetic Act (FD&C Act)."
Another, more comprehensive 340B proposed rule has been under Office...
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By Ginger - Site Admin on
Tuesday, May 27, 2014 7:31 AM
A federal court late Friday ruled in favor of the Pharmaceutical Research and Manufacturers of America (PhRMA) and against the Department of Health and Human Services (HHS) in a lawsuit seeking to exclude all drugs with an "orphan" designation from the 340B Drug Pricing Program expanded to rural and cancer hospitals under the Affordable Care Act. As a result of the ruling in the U.S. District Court for the District of Columbia, HHS's final rule is no longer in effect. The rule, which was issued in 2013, allowed certain 340B hospitals (critical access, sole community providers, rural referral centers and freestanding cancer hospitals) to purchase orphan drugs through the 340B program if they did not use the drugs for the treatment of conditions for which the orphan drug designation was given. AHA filed a friend-of the-court brief in December supporting HHS.
AHA and KHA will provide 340B hospitals more information on the court decision and its impact on hospitals. ...
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By Ginger - Site Admin on
Tuesday, April 15, 2014 7:35 AM
KHA Solutions Group, the Safety Net Hospitals for Pharmaceutical Access (SNHPA) and the Kentucky Chapter of the Healthcare Financial Management Association (HFMA) invite you to a complimentary forum covering critical issues relating to the federal 340B drug discount program. The program will be held on Friday, May 16, from 8:30 a.m. until 3:00 p.m. (ET) at the University of Kentucky College of Medicine in Lexington.
This event, which is exclusively for Kentucky 340B hospitals and health systems, will provide a closer look at the ongoing debate in Congress about hospitals’ use of the 340B program. As you know, the program faces growing criticism from powerful interest groups and influential lawmakers.
The forum will address these issues as well as cover operational and compliance aspects of 340B. In addition to an in-depth 340B briefing, attendees will hear about the latest developments in Washington that affect the Kentucky hospital community.
SPECIAL GUEST: Kentucky's Sixth District...
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