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340B Unscripted

SpendMend Pharmacy

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Pharmacists and healthcare industry leaders Rob ‘Hoopi’ Nahoopii PharmD, MS, ACE and Greg Wilson PharmD, BCPS, ACE dive deeply into the complicated and contentious 340B Program as well as other pressing Pharmacy matters. Special guests and industry experts pop in frequently to add insights from all sides of the discussion. If you serve in the pharmacy sector, this podcast is a must-listen!
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Inevitable: The Future of Work is a podcast designed to help leaders and workplace activators effectively address the opportunities that allow us to move forward together. Now is the time to stand out and embrace the chance to do things differently. Hosted by SHIFT Managing Director, Jeff Lesher, IFOW listeners get a front-row seat to stories, research, and recommendations shared by thought leaders from a broad spectrum of backgrounds and expertise.
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Prodigy EMS brings you EMS education reimagined. Join us for relevant, high-quality discussions around the best practices in EMS education. You'll find interviews with experts in EMS, education, simulation, medical direction, leadership, and more. Explore hundreds of courses and earn CAPCE credit at www.prodigyems.com. Follow @ProdigyEMS on Twitter, FB, YouTube and IG.
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340B Insight

340B Health

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340B Insight provides members and supporters of 340B Health with timely updates and discussions about the 340B drug pricing program. The podcast helps listeners stay current with and learn more about 340B to help them serve their patients and communities and remain compliant. We publish new episodes twice a month, with news reports and in-depth interviews with leading health care practitioners, policy and legal experts, public policymakers, and our expert staff.
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🌟 **Unlock the Power of the Cloud! 🚀** Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. Whether you are a novice or seeking to deepen your understanding, this program is tailored for you. Season 1 Episodes 1-14: CompTIA Security+ 601 Episodes 15-52: Certified Cloud Security Professional (CCSP) Season 2 Epis ...
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The Paramedic Coach discusses EMS education, NREMT certification, and gives career advice and insight to new EMS providers. EMT Training and Paramedic Training can be very accelerated and students can get left behind. My goal with this podcast is to help students pass school and the NREMT exams. I believe that anyone out there who wants to serve their community as an EMT or Paramedic should be able to do that. My aim is to decrease the failure rates of NREMT exams and help students pass the ...
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I started domain 4 for the AWS Security specialty examination…
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About two years ago, Indiana University Health implemented a 340B-funded comprehensive medication review clinic after pharmacy staff noticed patients at their hospitals were not filling maintenance prescriptions due to high cost. Although patient assistance was available, there was not a systematic approach to connecting qualifying patients with th…
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In this episode, Greg and Rob chat about what the government shutdown might mean for 340B Program oversight in the short-term. They’ll also discuss a flurry of developments from manufacturers recently. Specifically, they’ll highlight efforts to promote more direct-to-consumer (DTC) pathways for obtaining medications, all related to a recent Trump A…
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Discover how collaborative learning, well-designed simulation, and fostering a culture of psychological safety are transforming prehospital airway care. National EMS Quality Alliance’s (NEMSQA) Airway Collaborative organized EMS agencies from across the country to analyze their current practices and explore ways to improve the safety and effectiven…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I planned out which domain to cover first for our journey and…
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In this episode, Greg and Rob are joined by SpendMend colleague Heather Lynch, to talk about how H.R.1 (i.e. One Big Beautiful Bill Act, or OBBBA) could impact 340B covered entities in the long run. They’ll discuss how federal Medicaid cuts projected from the bill could influence a trend in lower average DSH% for some hospitals, threatening 340B Pr…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I cover topics such as the Performance, Cost Optimization, an…
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340B savings do not just enable hospitals to provide more care, they also help hospitals pioneer innovative approaches to bringing care directly to patients. For West Virginia University Medicine, which serves a high population of Medicare and Medicaid patients, one of these 340B-funded innovations came from recognizing a need to increase cancer sc…
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In this episode, Greg and Rob review recent changes made to the HRSA Audit Data Request List (DRL). They also discuss some of the comments provided by the public to HRSA regarding potential 340B rebate models, debate a recent change to a manufacturer’s contract pharmacy restrictions, and highlight some communication that has gone out to hospitals r…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I cover topics such as the Security and Reliability pillar of…
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One important but understated aspect of 340B compliance is the importance of training new and existing team members on how the program works. But what does effective training look like? Pooja Shah, the system pharmacy manager of 340B programs at University of North Carolina Health, walks us through the key elements of an effective and engaging 340B…
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EMS Corps is a groundbreaking recruitment and training program that prepares young adults to work in their own community as EMS clinicians. The program helps to remove barriers to joining the EMS profession and focuses on leadership development, mentorship, and job training. Hosts Rob Lawrence and Hilary Gates interview Melissa Corney of the Oxnard…
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In this episode, Greg and Rob catch up on insights gathered and lessons learned from various forums our team has attended over the last few weeks. Also, they discuss the recently posted FAQ page provided by HRSA in response to questions around the 340B Rebate Model Pilot Program. 340B Rebate HRSA FAQ: https://www.hrsa.gov/opa/340b-model-pilot-progr…
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Mid-August to mid-September marks the time every year when hospitals need to recertify for 340B. Failure to recertify in time could cost a hospital its ability to participate in 340B. 340B Health Senior Manager of Policy and Compliance Rebecca Swartz joins us to walk listeners through the process. Why recertification is “exceptionally important” Sw…
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In this episode, Greg and Rob discuss tips for completing the annual 340B hospital recertification process, which is occurring now through early September. They also recap a recent notice in the Federal Register that signals HRSA’s intent on modifying some elements of OPAIS and the 340B enrollment/registration/recertification process. The guys also…
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Patients with behavioral health and substance use disorders often struggle with accessing and staying on the daily oral medications they need to keep their disorders controlled. That’s why SSM Health uses some of its 340B savings to run long-acting injectable (LAI) clinics in the St. Louis area to help these patients achieve better health. We speak…
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How well do EMS teams manage critically ill pediatric patients—and how do we know? In this episode of the EMS Educator Podcast, hosts Rob Lawrence and Maia Dorsett speak with Mark Cicero, lead author of a landmark study published in Prehospital Emergency Care. The study used simulation to assess EMS performance in pediatric emergencies. From medica…
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About three years after being signed into law, one provision of the Inflation Reduction Act (IRA) that is of particular importance to 340B hospitals is about to take effect: Medicare price caps. Jan. 1, 2026, marks the date that the first 10 Medicare drugs will be subject to a maximum fair price (MFP). Meetali Desai, director of pharmacy business s…
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This week’s episode is a short one but a good one. Rob is out on vacation, so Greg is joined by SpendMend colleague Sabrina Allen to discuss the recent policy changes impacting FQHCs related to a Trump Administration executive order from earlier this year that address insulin and injectable epinephrine 340B pricing provisions. SpendMend is at Booth…
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We’re going back to school in this episode of The EMS Educator podcast! Specifically, you’ll hear audio recordings of what EMS students and educators wish they had known when they were in school. Hosts Hilary Gates and Rob Lawrence are joined by EMS educator Ginger Locke to offer commentary on this sage wisdom. There are tips about possessing quiet…
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Health systems eligible for 340B savings must strike a balance by staying compliant with purchasing rules while also maximizing the amount of eligible savings they can obtain to invest in patient care. Angela Campitelli, the director of the pharmacy 340B program at MetroHealth System in Cleveland, explains how a hospital system such as hers impleme…
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In this episode, Greg and Rob welcome back Ted Slafsky to recap what the first six months of 2025 have brought to the 340B landscape. They’ll talk about where we are at with 340B rebate model action, discuss how federal agency reorganization efforts could impact 340B regulatory oversight, recap state legislative wins for 340B providers and debate h…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I cover topics such as recertification of Security+ and the o…
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After months of litigation in a federal district court, a key decision recently came out in the legal fight over 340B drug rebates. 340B Health Vice President of Legal and Policy Amanda Nagrotsky updates us on the development. Court deals a blow to drugmakers D.C. district court judge Dabney Friedrich ruled on May 15 that manufacturers cannot unila…
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In this episode, Greg and Rob catch up on developments in the 340B space. They chat about new information provided by CMS for pharmacies related to the Medicare Drug Price Negotiation Program (some helpful links are below). Also, they debate about what might be coming with the widely anticipated 340B rebate model guidance. CMS Medicare Transaction …
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I cover topics such as Design principles and pillars of Well …
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What if we began asking patients “what happened to you?” instead of “what’s wrong with you?” This mindset shift exemplifies the principles behind trauma-informed care. DCFEMS Behavioral Health Coordinator Ronit Reguer once again joins hosts Maia Dorsett, Hilary Gates and Rob Lawrence for a powerful, practical conversation on trauma-informed care. T…
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More than a third of patients released from the hospital never fill their discharge prescriptions, but “meds-to-beds” programs can help improve that statistic. That is the approach Renown Health in Reno, Nev., took with the help of its 340B savings. Renown Vice President of Pharmacy Services Adam Porath joins us to describe how this meds-to-beds pr…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I cover topics such as Logging using CloudTrail, CloudWatch, …
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Big potential changes to how 340B operates plus heightened interest in both new protections and new restrictions for covered entities means there is much to keep track of in the 340B world. 340B Health CEO Maureen Testoni joins us to make sense of recent developments in the nation’s courts and beyond. Rebates Get Their Day in Court 340B Health, two…
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In this episode, Greg and Rob are joined by guest Peggy Tighe, healthcare attorney and government relations specialist. They catch up on lots of contemporary issues impacting 340B providers, including state legislative activity (19:44), the recent Trump Administration’s executive order on drug pricing (30:02), Senator Cassidy’s 340B investigation r…
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How should we best acquire medical knowledge and skills so that we can easily retrieve and effectively use them in the field? Now that we are past the stressful March 31st recert deadline, hosts Maia Dorsett, Hilary Gates and Rob Lawrence delve into the issues surrounding EMS recertification and continuing education. Special guest Ethan Setnik, Chi…
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The ancillary outpatient sites known as 340B child sites serve as important places for patients to access the drugs and care they need. There are crucial steps involved in effectively onboarding potential child sites as well as ongoing processes involved with maintaining the parent hospital’s partnership with those sites. University Hospitals Cleve…
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In this week’s episode, Greg and Rob are joined by colleague Heidi Larson to recap lots of questions that came out of a recent SpendMend webinar focused on 340B location issues. They’ll address issues like what is considered onsite vs. offsite for the purposes of OPAIS registration, when newly registered locations are eligible to use 340B and a var…
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Health Resources & Services Administration (HRSA) audits of hospitals play a key role in ensuring compliance with 340B rules and regulations. In this episode, Dave Lacknauth, executive director of pharmacy services at Broward Health in Fort. Lauderdale, Fla., joins us to discuss the importance of taking a proactive, comprehensive approach to audit …
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I am covering topics such as AWS DCs perimeter security, Regi…
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In this episode, Rob and Greg review tips and tricks for maintaining a covered entity’s registration on the OPAIS database. Failure to keep an up-to-date and accurate listing on OPAIS can result in audit findings, and may warrant a corrective action plan with HRSA. The guys will cover some of the common compliance pitfalls with keeping an accurate …
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Does your classroom have a joyful buzz? Jonathan St. George has it figured out--as the founder of the Protected Airway Collaborative (PAC), Jonathan was inspired by a museum visit to create a learning environment like no other. Join us as we dive into his innovative world of airway management education. Prodigy EMS team members Maia Dorsett and Sha…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I am having a chat on Security Fundamentals by AWS, which is …
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Artificial intelligence continues to impact industries, including pharmacy and 340B. As hospitals and health systems consider adopting AI, we spoke with Kristin Chupka, the 340B program system director for Dartmouth Health, who shares her experience launching this initiative there and considerations for entities seeking to do the same. AI, automati…
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In this episode, Greg and Rob are joined by Meetali Desai, a pharmacy business leader for a large health system in New England, to discuss thoughts around projecting the impact that IRA-mandated Medicare drug prices will have on 340B covered entities, which will go into effect in January 2026. Meetali shares her approach to quantifying the impact a…
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Hospital clinical pharmacies play a key role in ensuring patients are taking medications effectively and supporting other providers who are managing their care. Mark Riggle, the assistant chief pharmacy officer at UC Davis Health, explains how 340B helps make this direct care and ancillary support possible. Clinical pharmacies are a bridge between …
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I am having a chat on why ISC2 audited my CPE Portal and SCS-…
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In this week’s episode, Greg and Rob recap lessons learned from the recent 340B Coalition Winter Conference in San Diego. They’ll share commentary that was circulating regarding HRSA audit trends, 340B rebate models, Inflation Reduction Act impact on budgets, contract pharmacy developments and some insights on what to watch for out of Washington D.…
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🌟 Unlock the Power of the Cloud! 🚀 Join us for an exhilarating new season focused on mastering cloud computing and AWS security. This series will cover essential certification topics, provide expert insights, and offer hands-on practices to enhance your skills each week. In this episode, I am having a walkthrough of the syllabus from the Official S…
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The legal fight over drugmakers’ push to impose 340B rebates is heating up, with five lawsuits pending in a federal court in Washington, D.C. Recently, 340B Health joined with two of its member hospitals in asking the court to intervene as defendants to stop these rebates from taking effect. Genesis HealthCare System based in Ohio is one of those h…
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On this episode, Rob and Greg are joined again by healthcare attorney Emily Cook. Emily shares some insight into CMS Provider Based Rules and how 340B covered entities need to be thoughtful about where these rules intersect with various 340B Program initiatives, including new outpatient service implementation, referral capture and pharmacist-driven…
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