From WAC to 340B Ceiling Price: Understanding the 340B Rebate Pilot

By Mandy Mori, Senior Manager, Health Care Consulting Practice, Moss Adams (now Baker Tilly)
By Jesse Vo, Senior Manager, Provider Reimbursement Services, Moss Adams (now Baker Tilly)

The way discounts are handled for nine high-impact drugs will change under the voluntary 340B Rebate Model Pilot program launched by the Health Resources and Services Administration (HRSA). The pilot requires covered entities to purchase these drugs at the wholesale acquisition cost (WAC) and then receive a post-purchase rebate to achieve the 340B ceiling price.
Under the current 340B model, covered entities qualify for the program, set up a 340B account with a wholesaler, and purchase drugs at the discounted 340B price up front. The pilot, scheduled to begin January 1, 2026, represents a significant structural change that will affect operations, billing, compliance, and cash flow—making it essential to prepare now. Read article

H-1B Proclamation "Fee" and Extreme Vetting Fallout: A Perfect Storm for Healthcare

By Kathleen Campbell Walker
Member and Chair, Immigration Practice Group, Dickinson Wright PLLC

From a healthcare perspective, Approximately 8,492 H-1B nonimmigrant visas were approved for workers in medicine and health occupations in the 2024 fiscal year. The American Medical Association (AMA) and more than 50 national specialty societies and state medical associations outlined their grave concerns regarding the negative impact of the H-1B $100,000.00 payment on the availability of and quality of U.S. medical care in a letter dated September 25, 2025 to U.S. Department of Homeland Security (DHS) Secretary Noem and urged DHS to exempt foreign physicians from the fee. Currently, the U.S. is projecting a shortage of 86,000 physicians by 2036 as well as a shortage of 50,440 psychiatrists. For that matter, educators are the third-largest occupation using H-1B visas. In fiscal year 2024, U.S. Citizenship and Immigration Services (USCIS) approved nearly 30,000 H-1B petitions for educators, often located in rural areas. Read article

Health Plan Financial Reports for California and Washington State

By David Peel
Publisher and Editor, Healthcare News

We recently updated our financial reporting for health plans in California and Washington State. Click on the links below to see the numbers.

Most Downloaded Articles

The following articles were downloaded most often from May 2025 through October 2025.

An Overview of the Nurse Manager’s Guide to Budgeting and Finance 2nd Edition By Al Rundio, PhD, DNP, RN, APRN, NEA-BC, FNAP, FIAAN, FAAN
Top Five Shoes for Nurses By David Peel, Publisher and Editor, Healthcare News
Imagination Is Essential for Good Legal Defense By Erica Erman, Attorney, Dickinson Wright, PLLC
Enhanced Crackdown on Non-Compete Agreements By Kimberly J. Ruppel, Chair, Healthcare Litigation Task Force, Dickinson Wright, PLLC
Prepare for Nationwide Change to HIPAA Regulations By Marisol Cook, Director, Health Care Consulting Practice, Moss Adams (now Baker Tilly)