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In this episode of Pricing & Policy with Model N, Jesse Mendelsohn, senior vice president at Model N, joins host Mike Christel to examine the growing stakes surrounding the 340B Drug Pricing Program — and how claims data, rebate models and legal challenges are shaping manufacturers’ response. Mendelsohn explains drugmaker concerns about overlapping discounts, the gaps in claims visibility that make them difficult to identify and the push to verify dispensing before paying a 340B rebate (all three at the heart of industry revenue leakage issues). Throughout the conversation, Mendelsohn considers what it will take to bring greater accountability and predictability to the program while preserving its underlying purpose.
00:53 - The evolution of 340B
03:39 - Understanding program's growth and impact
07:27 - Manufacturer challenges/complexities in compliance
10:43 - 340B's twisting path: Rebate pilots and more
15:44 - Pharma as key stakeholder
18:25 - Claims collection hurdles
20:56 - Lilly and industry strategy shifts
23:19 - Assessing the litigation landscape
25:37 - 340B's role in pricing pie, GTN management
29:20 - Fueling future debate? The two drivers
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