Solutions

Comprehensive 340B Services

SOLUTIONS

Comprehensive 340B Services

Alinea’s Comprehensive 340B Services bring covered entities a holistic approach and methodology in developing strategies to both mitigate and anticipate program risk, while also uncovering opportunities to compliantly optimize 340B benefits. Ranging from our extensive experience helping organizations address 340B set-up to performing independent audits, we have developed a keen awareness of the transitive impact operational missteps or limitations may have on a covered entity and measures necessary to avoid and fix costly mistakes.
Underpinning our success in 340B consulting over the past two decades has been our commitment to innovation and creating the right balance of people, technology, and first-hand operational experience successfully operating 340B programs in various provider settings.

Let Alinea’s team of 340B industry-leading operational experts assist your covered entity with everything from implementation and compliance to revenue optimization.

Audit Services

As the cornerstone of our Comprehensive 340B Services, Alinea performs independent 340Baudits to ensure covered entity compliance with 340B statutes and current HRSA guidelines.  Alinea’s audit service scope focus on program statutes and prevailing guidance in all settings utilizing 340B, as outlined below:

N

Areas for 340B Compliance Adherence and Audit Testing:

L
340B Eligibility
L
340B Diversion
L
Medicaid Duplicate Discount
L
OPAIS Registration
L
GPO Prohibition or Orphan Drug Exclusion
L
Contract Pharmacy contract review and assessment
N

340B Policies & Procedures Integrity Review and Interpretation

N

340B Oversight, Education and Training, Self-Auditing, and Internal Controls

Alinea’s audit services may be adapted to meet a covered entity’s needs and scope preferences, however all audits serve to not only detect program risk, but also provide education to 340B management staff and organizational leadership on 340B program risk prevention.

Implementation

Over the past 20 years, as a legacy service, Alinea has assisted covered entities with their 340B setup and implementation.  In some cases, we help providers re-architect their 340B program with updated software and processes by drawing on first-hand operational knowledge and guidance to help covered entities improve savings and maintain compliance.  Alinea experts have a strong working knowledge of all 340B split-billing vendors, wholesalers, and billing systems, and we quickly digest and overcome issues to streamline 340B benefits.

Clients request our help with many different aspects of their program including, but not limited to, the following assistance:

N

340B compliance program development and design

N

Policy and procedure development

N

Development of contract pharmacy arrangements

N

340B registration assistance

N

Child site maximization

N

Split-billing software implementation assistance and operational enhancement

Optimization

Alinea’s experienced team members possess backgrounds from various hospital areas including revenue cycle management, reimbursement, pharmacy, regulatory, and hospital clinical management.  With this pedigree, Alinea engages industry-leading 340B growth strategies and solutions, including technology-enabled analytics, to enhance 340B savings and revenues.  Alinea provides optimization services within the following areas:

N

340B Hospital / Clinic Procurement Analytics and Enhancements

N

340B Contract Pharmacy Optimization and Expansion

N

Clinic Eligibility Strategies

N

Pricing and Charge Capture Design

N

340B Savings and Revenue Recovery

N

Prescription Referral Capture Improvement and Management

N

340B Reimbursement Net Revenue Enhancement

N

Specialty Drug Capture Strategies and Penetration

N

Contract Compliance and Negotiation

Ongoing Advisory

Alinea’s 340B ongoing advisory services range from providing specialized 340B sounding-board advice to full service interim 340B management assistance.  We understand the challenges of maintaining compliance in a dynamic, evolving regulatory environment and engage a team of 340B experts with significant operational and regulatory experience in guiding and coaching 340B covered entities to successful program management and revenue optimization.  Key areas for ongoing advisory include:

N

Internal and external auditing

N

Legislative and regulatory updates, interpretation, and operational implementation

N

Registration assistance and management

N

Interim program management

N

340B business intelligence

N

Split-billing software optimization

N

Site of care strategies

N

Ongoing 340B compliance and financial tracking and performance improvement

N

Biosimilar uptake and reimbursement enhancement

Are you 340B audit ready?

Take a quick online self-compliance questionnaire and find out.