Health Affairs Blog: Proposed Reforms To The 340B Drug Discount Program
The original goal of the 340B drug discount program was to allow qualified providers to “stretch federal resources as far as possible reaching more eligible patients and providing more comprehensive services.” In recent years, the program has come under scrutiny as the number of participating disproportionate share hospitals (DSHs) and their “child” affiliates have undergone tremendous growth. Nearly 1,000 DSH hospitals were participating in the program as of 2014, while the number of clinics has tripled and pharmacies has increased tenfold since 2010.
NEJM Catalyst: How to Engage Specialists in Accountable Care Organizations
January 18, 2018 - Accountable Care Organizations (ACOs) have proliferated among both public and commercial payers, with the goal of optimizing the value of health care delivered to populations. The ACO model — voluntary networks of doctors, hospitals, and other providers — centers on transferring financial risk for the cost and quality of care from the payer to an ACO, theoretically incentivizing the delivery of high-value health care services and minimizing waste.
