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Hospital outlines clinic conversions and pharmacy rebate plan to boost revenue
Summary
Madelia Health said converting certain clinics to federally certified rural health clinics and expanding pharmacy contracts could raise hundreds of thousands of dollars, citing a current 340B-style rebate of about $170,000 and an estimated additional $300,000 opportunity.
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In its presentation to the EDA, Madelia Health described a strategy to convert freestanding clinics to federally certified rural health clinics and to expand pharmacy contracting to capture pharmacy rebate revenue (described in the transcript as "3 40 b"). Gabe Walls said the hospital currently receives about $170,000 under the pharmacy rebate arrangement and estimates an additional roughly $300,000 could be realized with conversions and more contracts in place.
Walls emphasized that these steps would not cost patients more but would allow the hospital to capture contract dollars that currently go to other pharmacies; he framed the strategy as a revenue source that could help stabilize operations if paired with improved billing practices and payer contracts.

