The 340b Program, Contract Pharmacies, Hospitals, and Patients: An Evolving Relationship Impacting Health Care Delivery.

Q2 Nursing Health Care Manager Pub Date : 2019-10-01 DOI:10.1097/HCM.0000000000000279
Morgan Ruley, Morgan Belcher, Hannah Sayre, Alberto Coustasse
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引用次数: 1

Abstract

The 340B Drug Pricing Program, created by Congress in 1992 through the Veterans Health Care Act, has provided discounted drug prices to hospitals and other health care organizations serving a wide population of low-income patients. Some 340B programs use contract pharmacies, an arrangement whereby the hospital or health care organization signs a contract directly with a pharmacy to provide covered pharmacy services at discounted prices. The federal 340B Drug Pricing Program has provided access to reduced price prescription drugs to more than 35 000 individual health care facilities and sites certified by the US Department of Health and Human Services, and clinics have served more than 10 million people in all 50 states, plus commonwealths and US territories. The 340B program has increased profits for hospitals through contract pharmacies because they have still received the same reimbursement but acquired drugs at a lower rate.

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340b计划,合同药房,医院和患者:影响医疗保健服务的不断发展的关系。
国会于1992年通过《退伍军人医疗保健法》(Veterans Health Care Act)制定了340B药品定价计划(340B Drug Pricing Program),该计划向医院和其他医疗机构提供了药品折扣价格,这些医疗机构为大量低收入患者提供服务。一些340B计划使用合同药房,这是一种安排,医院或卫生保健组织直接与药房签订合同,以折扣价提供涵盖的药房服务。联邦340B药品定价计划已向35000多家经美国卫生与公众服务部认证的个人卫生保健设施和场所提供了降价处方药,诊所已为所有50个州以及联邦和美国领土的1000多万人提供服务。340B计划通过合同药房增加了医院的利润,因为他们仍然获得相同的报销,但以较低的费率获得药品。
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Health Care Manager
Health Care Manager HEALTH POLICY & SERVICES-
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期刊介绍: The Health Care Manager (HCM), provides practical, applied management information for managers in institutional health care settings. It is a quarterly journal, horizontally integrated and cutting across all functional lines, written for every person who manages the work of others in any health care setting. This journal presents practical day-to-day management advice as well as research studies addressing current issues in health care management. Its intent is the strengthening management and supervisory skills of its readers and increasing their understanding of today"s health care environment. HCM is searchable through PubMed.
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