About this episode
The episode discusses the transformative changes in 340B rebates and their implications for hospitals in 2025.
With monumental movement on 340B rebates, changes in Medicare and Medicaid payments, and evolving audit priorities, 2025 has been a transformative year in the world of 340B. We sit down with 340B Health Senior Manager of Policy and Compliance Rebecca Swartz to chronicle some of the biggest developments of such an eventful year and forecast what to expect in 2026. Rebates Take Shape Swartz says 2025 will go down as the year that a rebate model shifted from a hypothetical approach pushed by drugmakers into a fully developed model with implementation criteria. The Health Resources & Services Administration (HRSA) approved plans for 340B rebate models set to take effect in January for nine of 10 drugs subject to the 2026 Medicare maximum fair prices. Rebates for the remaining drug on that list will kick in April 1. Swartz discusses how hospitals should prepare for this pilot program, which is set to upend decades of established 340B operations and impose intense financial and logistical burdens on safety-net hospitals nationwide. Medicaid, IRA Changes Set To Impact 340B Hospitals This year also saw massive changes to Medicaid funding as well as Medicare pay changes under the…
People in this episode
Guest: Rebecca Swartz
Topics covered
- 340B rebates
- Medicare changes
- Medicaid funding
- hospital operations
- health policy
- financial impact
Keywords
- 340B
- rebates
- Medicare
- Medicaid
- healthcare policy
- hospital margins
- Inflation Reduction Act
Mentioned in this episode
Organizations: 340B Health, Health Resources & Services Administration, Medicare, Medicaid, Inflation Reduction Act
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