![]() In 2015, the Government Accountability Office found hospitals receiving medications for patients under 340B were billing Medicare for higher drug costs than they were billing under Medicare Part B, and drugs provided under Medicare Part B are typically provided in a physician's office. HRSA estimates the program saved hospitals $3.8 billion in 2013 and $6 billion in 2015 in drug costs. To participate in the program, an eligible organization must register with HRSA before being allowed to purchase 340B discounted drugs. Department of Health and Human Services manages the 340B program and defines the health care organizations that are eligible to participate in the program, including HRSA-supported health centers, Ryan White clinics, state AIDS drug assistance programs, Medicare/Medicaid Disproportionate Share Hospitals, children’s hospitals, and other safety net providers. The Health Resources and Services Administration (HRSA) of the U.S. Drug companies that participate in Medicaid must provide discounts of 20% to 50% to hospitals and clinics for outpatient drugs. Named for a section of the Public Health Service Act, the program requires pharmaceutical companies to provide outpatient drugs to eligible health care organizations and other entities at significantly reduced prices. In 1992, Congress created the 340B drug-pricing program for hospitals serving large numbers of low-income patients. Report shows rural hospitals face a financial crisis due to inadequate insurance payments Rural hospitals affiliate with health systems Risk and market stabilization programs under the Affordable Care Act Reversing auctions for pharmacy benefit management contracts Relative Value Units (RVUs) and Resource-based Relative Value Scale (RBRVS) Private equity investors are driving up health care costs Premium tax credits under ACA and American Rescue Plan Precision medicine (aka personalized medicine) How prescription drug coupons increase health care spending The Medicare Access and CHIP Reauthorization Act of 2015 ![]() The Medicaid coverage gap leaves 2.2 million Americans uninsured Revised payment policies needed to improve maternal health outcomes Losing health insurance: Effect on hospitals health care system compare with that of other Western nations? Hospitals could suffer financial losses if many Americans lose health insurance coverage High health care costs and partisan views Actuaries’ report shows health care costs rising again in 2021 after declining in 2020īlockchain for electronic medical recordsĬMS oversight of Medicaid funding paymentsĬonsumer-driven (or consumer-directed) health plansĬOVID: Projected costs of covering patients diagnosed with the coronavirusĬOVID: Reports show drug companies raised prices during pandemicĬOVID: Report shows pandemic worsened medical debt and hit communities of color the hardestĮnsuring compliance with network adequacy standardsįederal regulator allows RIP Medical Debt to buy accounts receivable from hospitals, other health care providers
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