340B operations management is the continuous tracking and execution of contract pharmacy claims, duplicate discount prevention, and inventory replenishment to maintain HRSA eligibility. In this episode of 340B Pulse, we break down exactly how leading covered entities manage operational complexity.

Is your 340B program rapidly expanding while your compliance oversight lags behind? You are putting your entire savings margin at risk.
In this episode of 340B Pulse, NorthArc's Muhammad Atif and Salman Asif sit down with Robert Ferraro, CEO of Ravin Consultants. Robert manages 340B operations for nearly 80 covered entities and drops a masterclass on navigating the increasing pressure of 340B transparency reporting and rebate pilot models. We dive deep into the specific operational bottlenecks holding programs back, including how inexpensive EMR setups stifle your ability to validate claims and how failing to perform a 10% monthly claims check can lead to devastating HRSA findings.

NorthArc helps covered entities establish custom backend data infrastructure and Agentic AI controls to ensure your 340B operations remain tightly governed, highly visible, and perfectly audit-ready without disrupting your existing TPA relationships.

- 00:00 - Introduction to 340B Pulse & NorthArc

- 03:57 - Robert Ferraro's 340B Operator Journey

- 08:02 - How the 340B Rebate Pilot Forces Traceability

- 12:12 - Approaching 340B Transparency & State Reporting

- 15:28 - Creative 340B Savings Utilization (Food Banks & Mobile Clinics)

- 19:43 - The Biggest Bottlenecks to Scaling: EMRs & Personnel

- 24:49 - Day-to-Day 340B Compliance and Audit Checkpoints

- 28:11 - Preventing Drug Diversion through Closed-Loop Referrals

- 33:25 - The Most Devastating Avoidable Leadership Mistakes

- 36:26 - How to Reach Out to Ravin Consultants & NorthArc

What is a 340B closed-loop referral?

A 340B closed-loop referral is a documented workflow where a covered entity refers a patient to an outside specialist and subsequently receives and files the specialist's clinical progress notes back into their EMR to prove continuous ownership of care.
How do covered entities use 340B savings?

Covered entities use 340B savings by aggressively expanding local healthcare access through fully funded community food banks, free transportation programs (like bus or Lyft vouchers), and specialized mobile mental health clinics.

What is the biggest operational bottleneck in 340B scaling?The biggest operational bottleneck in 340B scaling is utilizing an inexpensive or rigid EMR platform that lacks deep technological integration abilities, slowing down the extraction of ICD-10 codes needed to accurately evaluate patient eligibility.

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