Manufacturers participating in Medicaid agree to provide outpatient drugs to covered entities at significantly reduced prices. Considering recent changes, anticipated regulations and OPA guidance, all hospitals—even well-established, successful 340B hospitals and pharmacies—should undertake a thoughtful "best practices" assessment that focuses on areas of risk … Please contact your representatives today and ask them to sign onto a bipartisan “Dear Colleague” letter to Department of Health and Human Services Secretary…, Updates and Resources on Novel Coronavirus (COVID-19), Institute for Diversity and Health Equity, Rural Health and Critical Access Hospitals, National Uniform Billing Committee (NUBC), AHA Rural Health Care Leadership Conference, Individual Membership Organization Events, Advancing Best Practices for Hospitals and Health Systems, Fact Sheet: The 340B Drug Pricing Program January 2020, HRSA Finalizes Rule on 340B Dispute Resolution Process, CMS Issues Hospital Outpatient/ASC Final Rule, Including Maintenance of 340B Cuts, Special Bulletin: CMS Issues Interim Final Rule Implementing Most Favored Nation Model for Part B Drugs, AHA letter to HRSA on 340B Program and Kalderos Issue, AHA Expresses Strong Support of the 340B Drug Pricing Program, Deadline Extended Until Oct. 29 for Your Representatives to Sign ‘Dear Colleague’ Letter, 340B Payment Reductions in the CY2018 Final OPPS Rule, AHA, others file lawsuit over drug companies’ refusing 340B discounts, HRSA finalizes rule on 340B dispute resolution process, CMS issues hospital outpatient/ASC final rule, maintains 340B cuts, Appeals court declines to rehear 340B, site-neutral cases, AHA comments on outpatient PPS proposed rule for CY 2021, HHS pushes back on Eli Lilly’s efforts to limit distribution of 340B drugs, AHA again urges HHS to protect 340B program from drug companies’ actions, AHA, others urge HHS to protect 340B hospitals from drug companies trying to undermine program, AHA expresses ‘profound concern’ about drug companies’ actions to undermine 340B program, Appeals court upholds payment cut for 340B hospitals, Infographic: 340B Drug Savings Program: Helping Hospitals Keep Patients & Communities Healthy, The 340B Drug Pricing Program: Helping Hospitals Keep Patients & Communities Healthy, American Organization for Nursing Leadership. 340B allows covered entities to stretch scarce Federal resources as far as possible, reaching more eligible patients and providing more comprehensive services. The program, known as 340B, requires pharmaceutical companies to give steep discounts to hospitals and clinics that serve high volumes of low-income patients. Manufacturers provide steep, mandatory discounts on medicines to certain types of clinics and hospitals as a condition of their drugs being covered by Medicaid. 340B is an asset to communities just like yours across the country. Medicare-participating 340B hospital outpatient departments will have to take part in the Trump administration’s “most favored nation” (MFN) payment test for Medicare Part B drugs, the U.S. Health and Human Services Department announced late today. Print ArticleCongress created the 340B Drug Discount Program in 1992 to reduce outpatient prescription drug costs for safety net health care providers, enabling them to stretch scarce resources as far as possible, reaching more eligible patients and providing more comprehensive services. The program allows 340B hospitals to stretch limited federal resources to reduce the price of outpatient pharmaceuticals for patients and expand health services to the patients and communities they serve. We have created handouts that list each 340B hospital by state and Congressional district. The latest Updates and Resources on Novel Coronavirus (COVID-19). CTR. The 340B Program enables covered entities to stretch scarce federal resources as far as possible, reaching more eligible patients and providing more comprehensive services. These organizations include community health centers, children’s hospitals, hemophilia treatment centers, critical access hospitals (CAHs), sole community hospitals (SCHs), rural referral centers (RRCs), and public and nonprofit disproportionate share hospitals (DSH) that serve low-income and indigent populations. Supports efforts to rescind the Centers for Medicare & Medicaid Services’ (CMS) drastic payment cuts for many hospitals in the 340B program and expand drug manufacturer transparency. Dispensing 340B drugs written by ineligible providers. Believes the 340B program is essential to helping providers stretch limited resources to better serve their vulnerable communities. Health Resources & Services Administration, Performance Measurement & Quality Improvement, 340B Office of Pharmacy Affairs Information System, 340B Administrative Dispute Resolution (ADR) process webpage, See the full list of eligible organizations/covered entities, Ceiling Price and Manufacturer Civil Monetary Penalties Final Rule; Effective Date Change, Ceiling Price and Manufacturer Civil Monetary Penalties Final Rule, Delegation of Authority Under Title III, Part D, Section 340B(d)(1)(B)(vi) of the Public Health Service Act (PHSA), Administrative Dispute Resolution Final Rule, U.S. Department of Health and Human Services. The 340B Program simply allows eligible health care providers that serve a large number of low-income patients to purchase medications at a special discount from drug makers. apexusanswers@340bpvp.com. For assistance, please email 340B-Communication@hrsa.gov. We are the leading advocate and resource for those hospitals who serve their communities through participation in 340B. Section 340B of the Public Health Service Act is designed to provide affordable medications to low-income and uninsured patients. The Health Resources and Services Administration (HRSA) Dec. 10 released its long-awaited final rule implementing an Affordable Care Act (ACA)…, At A Glance Hospitals use 340B savings to provide free care for uninsured patients, offer free vaccines, provide services in mental health clinics, and implement medication management and community health programs. To participate in the 340B Program, eligible organizations/covered entities must register and be enrolled with the 340B program and comply with all 340B Program requirements. The program was established with bipartisan support as part of the Veterans Health Care Act of 1992. Please review the new webpage for more information about the 340B ADR process. list of 340b hospitals by state Hospitals across the country depend on the 340B program to increase access to care for low-income and/or rural communities. The 340B Program is complex and requires cooperation among hospital departments to ensure results while meeting program compliance requirements. A “prime vendor” is an entity that negotiates with manufacturers on behalf of a group of drug purchasers, in order to obtain reduced drug prices. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. If you use assistive technology, you may not be able to fully access information in this file. Supports eliminating the orphan drug exclusion for certain 340B hospitals. Background on 340B Drug Pricing Program. How Does the Program Help Hospitals and Healthcare Entities? Hospitals, skilled nursing homes, pharmacies, and health care facilities are eligible. See the full list of eligible organizations/covered entities. HHS Concludes That Discounts Under 340B Drug Pricing Program Apply to Contract Pharmacies. Despite increased oversight from HRSA and the program’s proven record of decreasing government spending and expanding access to patient care, some want to scale it back or significantly reduce the benefits that eligible hospitals and their patients receive from the program. • The 340B program is a small program with big benefits. Savings thus generated could in turn serve a hospital's charitable non-profit services to low income uninsured patients. To request permission to reproduce AHA content, please, Fact Sheet: The 340B Drug Pricing Program, At A Glance Once enrolled, covered entities are assigned a 340B identification number that vendors verify before allowing an organization to purchase 340B discounted drugs. Rockville, MD 20857, 340B Prime Vendor Program website Supports voluntary program integrity efforts already underway to ensure this vital program remains available to safety-net providers. 1-888-340-2787 (Monday – Friday, 9 a.m. – 6 p.m. Because the group has larger purchasing power than any one entity, the prime vendor can theoretically achieve greater discounts. You can help defend 340B today and make a difference on a national scale. Because it is funded by drug company discounts, not federal dollars, 340B does not cost the government one penny. HRSA is working to keep 340B Program participants and stakeholders updated on the latest information regarding the coronavirus disease 2019 (COVID-19). Between 2004 and 2013, 340B purchases have grown fro… The program allows 340B hospitals to stretch limited federal resources to reduce the price of outpatient pharmaceuticals for patients and expand health services to the patients and communities they serve. Hospitals use 340B savings to provide free care for uninsured patients, offer free vaccines, provide services in mental health clinics, and implement medication management and … In order to re-enroll in the 340B Program, CE must submit a corrective action plan (CAP) addressing each of the findings outlined in the Final Report. According to the Health Resources and Services Administration (HRSA), which is responsible for administering the 340B program, enrolled hospitals and other covered entities can achieve average savings of 25 to 50% in pharmaceutical purchases. The Centers for Medicare & Medicaid Services (CMS) yesterday released the calendar year (CY) 2021 outpatient prospective payment system (…, The Centers for Medicare & Medicaid Services (CMS) Nov. 20 released an interim final rule implementing the Most Favored Nation (MFN) Model, a new payment…, The AHA on Friday sent a letter to the Health Resources and Services Administration’s Office of Pharmacy Affairs urging the agency to order drug manufacturers…. One of its programs, termed 340B, established in 1992, mandated that pharmaceutical manufacturers provide outpatient drugs at major discounts to certain healthcare entities including hospitals (eligible “covered entities”). Get reimbursed for COVID-19 testing and treatment of uninsured individuals. The 340B program is a small program with big benefits. Opposes efforts to scale back, significantly reduce the benefits of, or expand the regulatory burden of the 340B program, including proposals to dramatically expand reporting requirements on certain 340B hospitals and impose a moratorium on new entrants into the program. However, as with most interferences in the free-market, the 340B rule has “expanded beyond its bounds”, in the words of outgoing Secretary of HHS Kathleen Sebelius.As the program has expanded the market inefficiencies it created have been magnified. That savings can, in turn, be used by these eligible providers to fund services and care for their patients, and at no cost to taxpayers. When examining the discounts, the figure drops to less than 2 percent of overall manufacturer revenue. Section 340B of the Public Health Service Act The federal 340B Drug Discount Program is a lifeline that allows safety net providers to obtain prescription drugs at below-retail prices. 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