Funding for these crucial community services would be jeopardized without 340B. 340B DSH hospitals as compared to non-340B hospitals found that the differences in reimbursement were not explained by hospital characteristics or patients’ health status. Read our full health equity report and see our infographic summarizing the key findings. The Nov. 13 lawsuit against Acting Secretary of Health and Human Services Eric Hargan […] New 340b jobs added daily. Hospitals that are eligible to participate in the 340B Drug Pricing Program in more than one category may select one. A local woman responded that she would soon be forced to choose between going to the doctor and purchasing prescribed medications, and saving money to cover her regular household expenses. Learn more: http://www.stop340bcuts.org #Protect340B, 340B Hospitals in Pursuit of Health Equity: Best Practices from the Field, 340B Pharmacy Analyst | Erlanger Health System, 340B Program Compliance Analyst | Health Enterprises. 340B Health is the leading advocate & resource for hospitals that serve their communities by participating in the 340B drug pricing program. These social determinants of health (SDoH) are an integral element of the response to inequity in health care and health outcomes. Many of the 340B hospitals started their comprehensive health equity work with an inward focus on building cultural competency and reducing implicit bias among their workforces; diversifying staff, leadership, and board composition; and examining hiring, purchasing, and investment practices. Within the four walls, hospitals have worked to ensure translation services are meeting the needs of diverse patient populations, clinical trials are more representative of different populations, and hospital employees have access to childcare, among other efforts. The nearest infusion center is 35 miles away and does not accept patients who are on Medicaid or are uninsured. It requires drug companies to offer discounts of up to 50 percent on many popular outpatient drugs. Learn more about Ascension Michigan’s Community Benefit. The staff at Ascension St. John Hospital in Detroit works hard to successfully meet the challenge of providing care to a large community, especially those most in need. In its 1,796,262 square feet, the hospital houses diagnostic equipment, clinical 340B savings enable hospitals to support services not paid for by most insurers, such as translation services, or under-reimbursed, such as mental health care. 340B provides invaluable resources and access to care to help hospitals strike at the very heart of health inequity. Copyright 2021 Ascension. Accessibility* If you use assistive technology, you may not be able to fully access information in this file. The 340B Prime Vendor Program (PVP), defined by a contract awarded by HRSA, is responsible for supporting the 340B Drug Pricing Program. Residents in and surrounding Tawas have faced tough economic times. 340B resources enable hospitals to provide the care and support beyond the four walls that are vital to meeting diverse patient needs. The 340B program has also helped patients who have chronic illnesses minimize difficulties in receiving care. Hospitals that are eligible to participate in the 340B Drug Pricing Program in more than one category may select one. For assistance, please email 340B-Communication@hrsa.gov. Ascension St. Joseph began participating in the 340B program in July 2012 and its benefits help support Ascension St. Joseph’s Infusion Center, which had more than 229 patients visit each month in 2018. Many of the important programs and services that the 340B program allows eligible hospitals to provide would otherwise be unavailable. The 340B program has also helped patients who have chronic illnesses minimize difficulties in receiving care. 340B Program Coordinator | UNCONDITIONAL LOVE, INC. For more than 25 years, the 340B Drug Pricing Program has provided financial help to hospitals serving vulnerable communities to manage rising prescription drug costs. Other groups filing alongside the AHA in the 340B case include the Association of American Medical Colleges (AAMC), America’s Essential Hospitals, and hospital plaintiffs, Northern Light Health in Brewer, Maine; Henry Ford Health System, in Detroit; and AdventHealth Hendersonville, in … Please use these handouts to highlight the importance of 340B to your region. #Protect340B, With rising #drugprices, low-cost #insulin is difficult for patients with #diabetes to obtain. Charitable pharmacies: operates 13 Dispensary of Hope locations serving uninsured populations with free medication across the state. Discharge prescription program: supports uninsured and underinsured patients with their prescribed discharge medications/assists them in finding coverage. Rising Support for 340B Hospitals. The Ascension Michigan covered entities have achieved $87.8 million in 340B benefits for FY2020, which helps to support the needs of residents. The MHA recently sent a letter to the Michigan congressional delegation on behalf of the state’s 340B hospitals. Includes hospital administered drug, ... 2015 must possess a full technician license through the State of Michigan or show proof that they have applied. The 340B Drug Pricing Program requires drug manufacturers to provide outpatient drugs to eligible health care organizations or covered entities at significantly reduced prices. Once enrolled, covered entities are assigned a 340B identification number that vendors verify before allowing an organization to purchase 340B discounted drugs. A more detailed technical appendix Ensuring that all 340B hospitals have access to discounts on COVID-19 treatments will remove one more hurdle to … We have created handouts that list each 340B hospital by state and Congressional district. Federal law prohibits duplicate discounts, which means that manufacturers are not required to provide both a discounted 340B price and a Medicaid drug rebate for the same drug. include non-340B hospitals. Ascension St. Joseph started a medical home program to improve access to needed services. Hospitals participating in the 340B drug pricing program are a key element of the nation’s response to this pressing issue. Read her conference recap blog post: http://bit.ly/3l53fFE #340BConf #Protect340B, #340B hospitals partner with community-based pharmacies to improve patient access to medications and stretch their savings further to provide more care. The hospital was founded to meet important community needs and remains committed to providing high quality, accessible, value-driven programs and services, with attention to the physical, spiritual and emotional dimensions of health. CAH - Critical Access Hospital Today, the hospital has more than 50 medical and surgical specialties. The intent of the program is to allow covered entities to "tretch scarce federal resources as far as possible, reaching more eligible patients and providing more … SCH - Sole Community Hospital In FY2020, Ascension St. John provided $311 million in uncompensated care. The communities that 340B hospitals typically serve also confront numerous barriers to care, including lack of access to food, poor housing, limited transportation, and lack of insurance. 340B savings enable hospitals to support services not paid for by most insurers, such as translation services, or under-reimbursed, such as mental health care. These include people who are living with low incomes, are in rural communities, are Black or African American, are living with disabilities, and are either uninsured or reliant on Medicaid for their care. More than 2,500 nonprofit hospitals nationally participate in the program now, including 108 of Michigan's 130 nonprofit hospitals, the MHA said. It took the 225-bed hospital more than three years and a re-submittal of its application, but now that it’s all said and done, hospital employees who pushed hard for the designation are both pleased and relieved. Case management initiatives help patients navigate the complex web of community services that are available to them. The 340B program is central to achieving health equity. viii GAO, Action Needed to Reduce Financial Incentives to Prescribe 340B Drugs at Participating Hospitals , June 2015. The Ascension Michigan covered entities have achieved $87.8 million in 340B benefits for FY2020, which helps to support the needs of residents. Covered entities must have procedures in place to prevent duplicate discounts. By screening for social determinants of health and partnering with community organizations to address them, 340B hospitals have worked to help people meet needs for food, transportation, employment, and housing that will translate into better health. Data also are central to identifying disparities and measuring progress toward eliminating them. Some 20 percent of the patients served at Ascension St. Joseph Hospital are uninsured or on Medicaid. RRC - Rural Referral Center Hospitals across the country depend on the 340B program to increase access to care for low-income and/or rural communities. October 19, 2009 – Children’s Hospital of Michigan is the first children’s hospital to be officially enrolled in the 340B drug discount program. 340B provides invaluable resources and access to care to help hospitals strike at the very heart of health inequity. They now are gearing up similar efforts to administer the vaccine to all those who are at greatest risk. All Rights Reserved. Print ArticleNovember 14, 2017—Three national hospital associations and health systems in Maine, Michigan, and North Carolina have asked a federal district court to stop drastic Medicare Part B drug reimbursement cuts for many 340B hospitals from taking effect on Jan. 1. As drug companies increasingly attempt to limit hospital and community clinics' use of 340B contract pharmacy arrangements to lower drug prices, U.S. Sens. Today's top 10 340b jobs in Michigan, United States. #340B helps make it possible for safety-net hospitals to provide this lifesaving drug for free or at a significant discount to patients in need. Health providers at 340B hospitals went outside their facilities to provide education, masks, tests, and other supplies directly to underserved communities. Today, 70 percent of University Hospital's patients are admitted from communities or regional hospitals outside the Ann Arbor area. DSHs* Children’s Hospitals* CAHs; Free Standing Cancer Hospitals* Rural Referral Centers; Sole Community Hospitals; Health Care Centers. One successful component of this program is a prescription assistance program, which helps financially needy patients obtain medications and supplies for free or at reduced cost. Medication affordability program: helps financially vulnerable patients obtain medications and supplies for free or at reduced costs. Incumbents before October 1, 2015 must possess the CPhT ... Pharmacy 340b Monitoring Coord MidMichigan Health in Alma, MI The 340B program is central to achieving health equity. The Prime Vendor negotiates pricing discounts with participating manufacturers, provides education and resources such as 340B University and 340B University OnDemand™, and offers technical assistance through Apexus Answers. Everyone can help prevent the spread of COVID-19 by practicing everyday prevention measures like social distancing, frequent hand washing, staying home when sick and covering coughs and sneezes. 340B Hospital Classification Program Update Hospital Classification Documentation for Registration The Health Resources and Services Administration (HRSA), Healthcare Systems Bureau (HSB), Office of Pharmacy Affairs (OPA) is providing additional information for hospitals registering for the 340B Drug Pricing Program (340B Program). The 11-story, 550-bed hospital first opened its doors in 1986. http://bit.ly/2YOCL22 #Protect340B, The recently concluded @340BCoalition Winter Conference was a striking demonstration of how united the #340B community is in serving low-income and rural patients, says @MaureenTestoni. If 340B hospitals address disparities in cancer screening, but diagnosed patients have no access to affordable cancer drugs, the hospitals’ efforts will be unsuccessful. 340B Health’s new report, 340B Hospitals in Pursuit of Health Equity: Best Practices from the Field, documents these efforts for nine 340B hospitals and health systems. They also have partnered with community organizations to provide safe access to food for the growing number of people economically harmed by the pandemic. Cancer Center of Excellence: provides comprehensive cancer treatment and services to uninsured patients. Leverage your professional network, and get hired. The groups are joined in the lawsuit by three 340B hospitals serving patient communities in need that have been harmed by the companies’ refusals to provide discounts on prescription drugs dispensed at community-based pharmacies, as required by the 340B program. **All third party trademarks are the property of their respective owner(s). Infusions at the center treat infections that do not respond to oral antibiotics, cancer-related pain, dehydration, gastrointestinal disorders, immune deficiencies, and multiple sclerosis. For example, a hospital that is both as a Disproportionate Share Hospital and a Sole Community Hospital may choose either type of eligibility and must abide by requirements and guidelines for that type of eligible organization/covered entity once enrolled. Debbie Stabenow and Gary Peters recently joined many of their colleagues in asking the U.S. Department of Health and Human Services to penalize those that set prices at levels higher than permitted by the federal 340B Drug Pricing Program. And 340B serves a broader, more existential purpose for systematic efforts to pursue health equity. The 340B Drug Discount Program is a federal program created by Congress to help provide relief from escalating drug prices to safety-net hospitals and other healthcare providers serving vulnerable patient populations. Hospitals in 9 states (California, Florida, Georgia, Illinois, Michigan, North Carolina, New York, Pennsylvania, and Tennessee) accrued more than half of all 340B revenues and greater than $150 million each; however, hospitals in several other states (Kansas, Montana, Nebraska, Oklahoma, South Dakota, Vermont, and Virginia) had median 340B hospital revenues higher than $8 million each, far … The MHA and Michigan hospitals and health systems are working diligently with state and federal agencies to appropriately respond to 2019 Novel Coronavirus (COVID-19) cases in Michigan. Using Schedule H data from the 1,152 340B hospitals, a representative sample of all 340B non-government exempt hospitals, and AHA Annual Survey data, AHA calculated the percent of total hospital expenses and dollars spent on benefits to the community by 340B hospitals. Ascension St. Joseph has used 340B to help community members avoid having to make such difficult choices. Ascension St. Joseph’s Infusion Center: provides essential cancer treatments to vulnerable patients. 340B hospitals’ collection and use of data on race, ethnicity, and primary language often uncovered previously hidden disparities in care such as racial and ethnic differences in screening rates for cancer, the prescription of pain medication, birth outcomes, and other care quality measures. Many shared that expensive copays often prevent their access to healthcare. FQHCs; FQHC Lookalikes; Native Hawaiian Clinics; Urban Indian Clinics “In an era of skyrocketing drug prices, the 340B program has been critical in helping hospitals expand access to comprehensive health services to vulnerable communities, including lifesaving prescription drugs. For example, a hospital that is both as a Disproportionate Share Hospital and a Sole Community Hospital may choose either type of eligibility and must abide by requirements and guidelines for that type of eligible organization/covered entity once enrolled. These findings led to targeted interventions and marked improvements. As safety-net providers, these hospitals serve a significant percentage of people who historically have been underserved. February 8, 2021– A global pandemic, an economic recession, and social strife in communities across the nation have cast a bright light on the deep racial and ethnic inequities in the U.S., starting a national dialogue that aspires to put us on a path toward real change. 340B-sponsored mobile clinics bring care directly to underserved communities. The work of these hospitals on pursuing equity thus can have a real impact. One hospital profiled in our report created a mobile health unit to ensure that children would receive the medical screenings required for enrollment in the Head Start program. From a health perspective, Losco County ranks 73rd out of 83 Michigan counties for overall health outcomes. Currently 17 percent of the population is living below the poverty level, the unemployment rate is 7.1 percent, and eight percent are uninsured. University HospitalUniversity Hospital is the Health System's hospital for adult patients. Ascension Standish Hospital is a critical access hospital with acute and critical care beds, a full-service emergency department, and a skilled nursing facility. Medical Mission at Home: historically held at least annually at multiple locations across the state, the event provides free medical, vision, and dental services to those in need. In many cases, 340B savings are what enable the hospital to remain open and ready to fulfill their patient missions to all those in need. The COVID-19 pandemic has laid bare the disparities in our health care system that the 340B program is designed to address. COVID-19 spurred equity-focused action on multiple fronts. PED - Pediatric Hospital. Determine 340B Plan Eligibility As defined by section 340B(a)(4) of the Public Health Service Act 340B CEs include: Hospitals. 340B hospitals get a discount on drugs if they meet certain requirements, including providing a certain amount of charity care. DMC Children's Hospital of Michigan; DMC Detroit Receiving Hospital & University Health Center; DMC Harper/Hutzel Hospital; DMC Heart Hospital; DMC Huron Valley-Sinai Hospital; DMC Rehabilitation Institute of Michigan; DMC Sinai-Grace Hospital The letter shares hospitals’ concern regarding drug manufacturers’ attempts to limit payment to contract pharmacies and other actions that are a significant detriment to 340B hospitals and the services they can provide to eligible patients because of the program. DSH - Disproportionate Share Hospital In FY2020, Ascension Standish Hospital provided more than $624,745 in charity care and approximately 18 percent of the patients cared for were uninsured or covered by Medicaid. Your Free Source for 340B News and Commentary. In a 2016 community-wide survey, Losco County residents were surveyed about their healthcare needs. President Biden and his administration have made pursuing equity in health care and many other areas of our society a priority for the government and the people it serves. The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. Funding for these crucial community services would be jeopardized without 340B.
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