Looking forward to Thursday’s HLPP event on preventing stillbirth—bringing together law, policy, and public health perspectives. Join us in person or online! Thursday November 13th 12-1:30pm ET
#ASLME #AHLA @auwcl.bsky.social
Spotlight Collections. Journal of Law, Medicine & Ethics.
Check out @jlme-journal.bsky.social's updated Spotlight collections on public health law, reproductive rights, bioethics, and more!
📚 cup.org/3Iy9JfR
#ASLME
Saving the best for last - @setonhallhealthlaw.bsky.social’s Faculty Director @jakeelberg.bsky.social is on the Direct to Prescription Marketing: Constitutional, Regulatory, and Ethical Implications Panel at the 48th Annual Health Law Professors Conference in Boston, MA. #healthlaw #ASLME #HLP2025
Says Arnold J. Rosoff in #HLP2025, #ASLME: how can one conceive to longterm undertaking in a world of chaos and change? A lot of current actors are disruptors, creating and manipulating chaos. Change creates opportunities, but also problems.
Says Arnold J. Rosoff in #HLP2025, #ASLME: depends on Medicaid - hpspitals, nursing home, home healthcare providers - need to plan years-long building and development programs. Professionals. Pharma - thinking of longterm undertaking.
Harder when there's uncertainty!!
Says Arnold J. Rosoff in #HLP2025, #ASLME: See Anthony W. Orlando's book: Letter to the One Percent.
Says Arnold J. Rosoff in #HLP2025, #ASLME: Medicaid supports hopsital, nursing homes, provides base that gets people into medical schools. House of cards. Too easy to destroy.
We are in a situation where the whole thing is at risk.
Says Arnold J. Rosoff in #HLP2025, #ASLME: Medicaid is essential. Medicaid is essential to all Americans, not just the poor and near-poor.
Says @asetrini.bsky.social in #HLP2025, #ASLME: there's a need for federal legislative solutions - orotect funding and balance administrative burden with need for transparency.
Says @asetrini.bsky.social in #HLP2025, #ASLME: some states take action to protect the health center - 33 states. These are partial action, there's a need for federal action on this.
Federal - Relentless v. Dept of Commerce and Lober Bright require unambiguous Congressional guidance for §340B.
Says @asetrini.bsky.social in #HLP2025, #ASLME: if those strategies don't work, litigation is on the horizon.
Says @asetrini.bsky.social in #HLP2025, #ASLME: another tactic - compliance with data sharing requirement. Also - new (2024) administrative dispute resolution process, and there are FQHC that are using it to try and reach resolutions on this.
Says @asetrini.bsky.social in #HLP2025, #ASLME: this does not work so well for organizations that for example address rural health.
Says @asetrini.bsky.social in #HLP2025, #ASLME: how do these FQHC address challenges? May increase use of their own pharmacy - reduce use of contract pharmacies.
Says @asetrini.bsky.social in #HLP2025, #ASLME: uncertainty about Medicaid funding creates more questions - can they provide for their populations?
Says @asetrini.bsky.social in #HLP2025, #ASLME: impact if challenges to program succeed: financial impact on service provisions, can limit access to the most commonly prescribed medication, and can impact vulnerable populations and exacerbate health disparities.
Slide showing the issues mentioned in SKEET - summary of HRSA audits 2020-2024.
Says @asetrini.bsky.social in #HLP2025, #ASLME: coming up issues - HRSA audits. Shows issues in audits - inaccuracy in data entry and duplicate discount issues.
Says @asetrini.bsky.social in #HLP2025, #ASLME: challenges related to transparency. Can't sell to people outside the program, can't bill for it, get duplicate discounts, but don't have to report what doing with money. How are funds utilized?
Says @asetrini.bsky.social in #HLP2025, #ASLME: challenges: one - program's efficacy. reduction between list price and what covered entities paid. So challenges to program when companies don't get some of their profit.
Says @asetrini.bsky.social in #HLP2025, #ASLME: complicated web of how money moves, but covered entities do generate revenue from the program.
Prof. Anjali Deshmukh is presenting “Legalizing Alternative Payment Models” at the 48th Annual Health Law Professors Conference in Boston, MA. @setonhallhealthlaw.bsky.social can't wait for Prof. Anjali Deshmukh to join our health law faculty later this summer! #healthlaw #ASLME #HLP2025
Says @asetrini.bsky.social in #HLP2025, #ASLME: Often real rebates.
How can the discount drugs program generate money? Uses a statutory formula to determine funding. Allows covered entities to sell drug at higher revenue than bought, and use that revenue for other services.
Says @asetrini.bsky.social in #HLP2025, #ASLME: development of §340B. Effort to curb Medicaid spending. Program - need to enter a rebate agreement with states, they share rebate with federal government. unintended consequences: manufacturers stopped giving health centers other rebates.
Says @asetrini.bsky.social in #HLP2025, #ASLME: second large source - Medicaid reimbursement, tied to per visit rate for heath service delivery. Another - §340B revenue.
Says @asetrini.bsky.social in #HLP2025, #ASLME: goal - serve individuals without regard to ability to pay. Uninsured, uninsurable and others. §330 allows giving grants for health centers. Goes through annual appropriations. Creates uncertainty in ability to provide services.
Says @asetrini.bsky.social in #HLP2025, #ASLME: community health centers started with two pilot sites, then broadened. Goals really aligned with those of Mediciad. Enacted in s. 330 of the U.S. Public Health SErvice Act.
Says @asetrini.bsky.social in #HLP2025, #ASLME: U.S. care system originates from poor laws - focus on who is deserving of care. Medicaid part of rise of war on poverty. Who are we willing to care for? Rest: your own fault you're in this situation.
