Built from inside community health

Echo Health Solutions grew out of more than a decade of operational leadership inside safety-net community health centers in metro Atlanta. Our principal ran finance, internal audit and compliance for a multi-site organization funded by federal HIV, prevention and behavioral health programs. He saw the same pattern again and again: patients missing medications, savings disappearing into vendor fees, and compliance work done in a rush when an audit letter arrived.

We started Echo Health Solutions to fix that pattern. We run pharmacy and 340B programs the way a careful health center finance leader would want them run: transparently, with every dollar traced, and with patients at the center of every decision.

Winston A. Liburd, MSc

Principal, Echo Health Solutions & Echo Consulting Solutions · Lawrenceville, Georgia

Winston leads Echo Health Solutions and its affiliate, Echo Consulting Solutions. He spent more than a decade inside safety-net community health, leading finance, internal audit and compliance for a multi-site organization funded by federal HIV, prevention and behavioral health programs, with ten consecutive clean external audits.

He began his career in information systems audit at PwC, serving Fortune 100–500 clients, then held finance leadership roles at The Wendy's Company and a division of The Kroger Co. He holds an MSc in Finance from Georgia State University and a BBA in Accounting from Hofstra University.

Meaningful work, done carefully

Our people work where pharmacy, compliance, finance and technology meet. You will help community health centers serve more patients, and you will learn from colleagues whose backgrounds range from Big 4 audit to clinic operations.

• Mission-driven work with safety-net clinics
• Cross-training in 340B, finance and IT security
• Certification and continuing education support
• Flexible and remote-friendly roles where possible

Administration that an auditor can follow

Running a 340B program means deciding, claim by claim, whether a prescription qualifies, then keeping the records to prove it. We set up and maintain that logic, reconcile it to purchasing, and document every decision so your team is never rebuilding records under deadline.

We also keep your registration current. That includes annual recertification, accurate contract pharmacy and site listings, and Medicaid carve-in or carve-out decisions that match how your pharmacies actually bill.

• Eligibility rules aligned to HRSA's patient definition
• Split-billing and accumulator oversight
• Annual recertification and listing accuracy
• Medicaid Exclusion File and duplicate-discount controls
• Written policies and procedures kept current

Your network should earn its place

HRSA guidance has allowed covered entities to use multiple contract pharmacies since 2010. Since 2020, many manufacturers have restricted 340B pricing at contract pharmacies, and many states have passed laws responding to those restrictions. The result is a network that may cost more and deliver less than it did a few years ago.

We review each arrangement: prescriptions captured, fees paid, patients served, manufacturer restrictions and state law. Then we recommend a network that serves your patients at a fair cost.

• Pharmacy-by-pharmacy performance and fee review
• Manufacturer restriction tracking
• Contract terms, fees and termination rights review
• Patient access and geography analysis

Run your pharmacy like the asset it is

An entity-owned pharmacy keeps more of the 340B benefit inside your organization and puts pharmacists on the care team. It also brings licensing, staffing, inventory, purchasing and compliance demands that stretch a clinic's leadership.

We provide pharmacy management that integrates with your clinical teams and your finance office, so the pharmacy supports both patient outcomes and the budget.

• Staffing models and scheduling
• Inventory, purchasing and accumulator management
• Quality, safety and inspection readiness
• Pharmacist roles in chronic disease and medication management
• Monthly operating and savings reports

From idea to opening day

Opening an in-house pharmacy is one of the most effective ways for a health center to improve access and keep 340B savings working for patients. It is also a project with licensing, design, technology, staffing and financial risk.

We start with a feasibility study that tells you, with numbers, whether a pharmacy makes sense. If it does, we manage the project through opening and beyond.

• Feasibility and financial projections
• State licensing, DEA and payer enrollment support
• Space planning and technology selection
• Hiring plan and policies
• Opening and first-year stabilization

Helping patients stay on therapy

A prescription only helps if it is filled and taken. Missed refills drive worse outcomes for chronic conditions such as diabetes, hypertension and HIV, and they reduce the savings that support clinic services.

We design outreach programs that remind patients, flag those likely to stop therapy, and connect them back to the care team. We charge a flat fee, never a share of drug savings, so outreach is never driven by revenue.

• Refill reminders by text, phone or mail
• Lists of patients who may stop therapy, for care teams
• Language and health-literacy-aware messaging
• Coordination with case managers and community health workers

Buy right, account right

340B savings start at purchasing. Accounts must be set up correctly, prices verified against the 340B ceiling price, and purchases reconciled to dispensing. Errors here create both lost savings and compliance risk.

We review your account structure, verify pricing, monitor wholesaler activity and reconcile purchasing to dispensing every month.

• 340B, GPO and wholesale acquisition cost account review
• Ceiling-price and invoice verification
• Prime vendor program participation support
• Monthly purchase-to-dispense reconciliation

Ready for a changing supply chain

Manufacturer restrictions on contract pharmacy pricing have pushed health centers to rethink how 340B drugs reach patients. In August 2026, HRSA issued a revised 340B rebate pilot. Approved manufacturers may begin on January 1, 2027 for selected drugs that have a Medicare negotiated price, after giving covered entities 90 days' notice.

Under the pilot, covered entities must submit claims data within 45 calendar days of dispensing to receive rebates. We help you understand which drugs and pharmacies are affected, build the data process, and track rebates owed.

• Manufacturer restriction and notice tracking
• Rebate claims-data workflow (45-day deadline)
• Cash-flow modeling for rebate timing
• Dispute documentation for denied rebates

High-cost therapies, carefully managed

Specialty medications and drugs administered in the clinic, such as injectables and infusions, are a large share of drug spending. They also carry higher compliance risk, especially for Medicaid duplicate discounts and accurate billing.

We help you capture eligible specialty and clinic-administered drugs, coordinate with specialty pharmacies and manufacturer programs, and keep the documentation that protects you.

• Clinic-administered drug capture and billing review
• Specialty pharmacy partnership strategy
• Medicaid modifier and carve-in/carve-out controls
• Manufacturer patient-assistance coordination

Find what your program is missing

Eligible prescriptions slip through for many reasons: a referral not captured, a provider not listed, a location not registered, or a data feed that dropped records. Each one is savings your clinic earned but never received.

Our analysts combine EHR, pharmacy and purchasing data to find those gaps. We use automated screening, including machine-learning techniques where they help, and every result can be traced back to the original record.

• Missed-claim and referral capture analysis
• Provider, site and prescriber list checks
• Anomaly detection for diversion risk
• Savings and fee dashboards for leadership

Prepared before the letter arrives

HRSA audits about 200 covered entities each year, according to GAO. Auditors review eligibility, registration, contract pharmacy oversight, duplicate-discount prevention and policies. Findings can lead to corrective action plans and repayment to manufacturers.

We run realistic mock audits, organize evidence the way auditors request it, and help you correct problems before they become findings.

• Mock HRSA audit with sample testing
• Policy and procedure review
• Evidence binder organized by audit area
• Corrective action plan support
• Manufacturer repayment calculations if needed

Protecting patient data across your program

340B programs move protected health information between EHRs, pharmacies, administrators and analytics tools. Each connection is a risk. Our affiliate, Echo Consulting Solutions, brings certified IT audit and security leadership to those connections.

We assess your systems against the HIPAA Security Rule and NIST, test IT general controls, and review the security of every vendor that touches your data.

• HIPAA Security Rule risk analysis
• NIST and FISMA control assessments
• IT general controls testing
• Vendor and business associate security reviews
• Incident response planning

Health Center Program benefits without a Section 330 grant

A Look-Alike is a health center that meets Health Center Program requirements but does not receive Section 330 grant funding. Designation can open the door to benefits such as enhanced Medicare and Medicaid payment and eligibility for the 340B program.

Designation requires the organization to show it serves a medically underserved area or population, offers a sliding fee discount program, and is governed by a board on which patients make up a majority, along with other program requirements.

Competitive applications, compliant budgets

We help health centers and nonprofits find the right opportunities, then write narratives and budgets that reviewers can score and auditors can follow. Our principal has served as a primary technical and proposal writer on federal contracts and grants ranging from $2 million to $50 million.

Our budgets reflect the 2024 Uniform Guidance changes in effect since October 1, 2024, including a de minimis indirect cost rate of up to 15% and a $1,000,000 Single Audit threshold.

• HRSA, CDC and SAMHSA opportunities
• Narratives, logic models and work plans
• Budgets and budget justifications
• Post-award financial management

Ready to compete for federal work

Federal agencies can only award to organizations with an active SAM.gov registration, the right NAICS codes and a clear capability statement. We help you get those basics right and then position your organization for the opportunities that fit.

• SAM.gov registration and renewal
• NAICS and size standard review
• Capability statements
• Set-aside eligibility review
• Proposal writing and pricing support

Financial clarity for mission-driven organizations

Health center finance teams manage grants, Medicaid and Medicare billing, sliding fee discounts, 340B savings and board reporting, often with small staffs. We bring certified healthcare finance expertise (CHFP, FHFMA) to strengthen each area.

• Revenue cycle review and improvement
• Sliding fee discount program design
• UDS financial reporting
• Cost reports and cost allocation
• Board and audit committee financial packages

Your mission, protected

Federally Qualified Health Centers serve patients regardless of ability to pay. The 340B program helps make that possible, but only when savings are captured, tracked and reinvested. We help FQHCs run programs that do all three.

• Independent oversight of current vendors
• In-house pharmacy feasibility and management
• HRSA audit readiness
• Board reporting on savings and patient impact

From designation to a working pharmacy program

Look-Alike health centers can participate in 340B once designated and registered. We help new Look-Alikes stand up compliant programs and help established ones strengthen them.

• Designation and renewal support
• 340B registration and policies
• Sliding fee and UDS support
• Pharmacy model selection

Experience with the programs you run

Our principal led finance and compliance for organizations funded through the Ryan White HIV/AIDS Program, CDC HIV prevention, the Minority AIDS Initiative and Ending the HIV Epidemic. We understand the reporting, allowable-cost and program income rules that come with that funding, and how 340B savings must be used.

• Program income and 340B savings tracking
• Adherence outreach for people living with HIV
• Grant financial management and reporting
• HRSA audit readiness

A second set of eyes on a complex program

Eligible hospitals, such as disproportionate share, critical access, rural referral and sole community hospitals, run some of the most complex 340B programs, with multiple outpatient sites, contract pharmacies and clinic-administered drugs. We provide independent reviews, mock audits and analytics that complement your internal team and current vendors.

• Independent compliance reviews and mock audits
• Clinic-administered drug and modifier controls
• Contract pharmacy scorecards
• Rebate pilot readiness

Stronger nonprofits, healthier communities

Community organizations, patient-access programs and patient navigators play a vital role in connecting safety-net patients with care and medications. We help nonprofits manage federal funds, prepare for audits and partner with health centers to expand access.

• Grant writing and post-award management
• Uniform Guidance compliance
• Board financial reporting
• Partnerships with health centers on medication access

Your prescriptions, filled

Prescribers want patients to get and keep taking their medications. We take 340B tracking off your plate and give your care team the information it needs to help patients stay on therapy.

• Automated identification of 340B-eligible prescriptions
• Referral and prescription capture workflows that fit your EHR
• Fee structures designed with fair-market-value and Anti-Kickback Statute requirements in mind, reviewed with your counsel
• Adherence alerts for patients who may miss doses

Lower-cost medicines and more services at your health center

340B is a federal program that lets community health centers and certain hospitals buy medicines at a discount. Health centers use those savings to help patients, for example with lower prescription costs and more services.

Echo Health Solutions helps health centers run their pharmacy programs. We work behind the scenes; your care is still provided by your health center and your pharmacist.