Rethinking Duplicate Discounts: Why the Current Process Is Broken and What Comes Next

After attending the Medicaid Rebate Summit, Katy shares key themes and insights into why duplicate discount prevention is fundamentally flawed under current processes. She discusses how manufacturers rely on outdated Medicaid Exclusion File data, the operational realities of carve-in and carve-out decisions, and why stakeholder collaboration is essential. Katy also dives into the debate over HRSA’s rebate pilot policy and shares guidance for compliance leaders preparing for what’s next in the 340B program.