Hits & Misses: 340B Commentary Gets Some Things Right But Misses on Others

by Admin | November 28, 2018 12:05 pm

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November 28, 2018— In a recent commentary[2] published in the Journal of the American Medical Association (JAMA), authors Peter Bach of Memorial Sloan Kettering Cancer Center and Rachel Sachs of Washington University in St. Louis call for an alternative financial mechanism for the 340B program, claiming the 340B program has resulted in market distortions and shifts in physician prescribing patterns. At the same time, the authors note that Medicare payment cuts to 340B hospitals are not the solution, as shrinking the 340B program will not reduce drug prices and instead will take resources away from hospitals treating low-income patients. Below we detail points that the authors got right and wrong.

Points the authors get RIGHT:

Points the authors get WRONG:

As policymakers debate potential changes to 340B, it is vitally important that the debate be grounded in facts and not in opinions. A growing body of evidence continues to show 340B is meeting its statutory intent to allow hospitals, clinics and health centers to stretch their resources to reach “more eligible patients and providing more comprehensive services.”

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Endnotes:
  1. [Image]: https://340binformed.org/wp-content/uploads/2018/11/RightWrong-Twitter.jpg
  2. commentary: https://jamanetwork.com/journals/jama/fullarticle/2716330
  3. commentary: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2681652
  4. Health Affairs piece: https://www.healthaffairs.org/do/10.1377/hblog20180807.985552/full/
  5. GAO study: https://www.gao.gov/assets/700/692697.pdf
  6. study: http://www.340bhealth.org/files/Financial_Challenges_Final_Report_08.04.17.pdf
  7. study: http://content.healthaffairs.org/content/36/4/680.abstract
  8. Research: https://www.340bhealth.org/files/340B_Report_03132018_FY2015_final.pdf
  9. 2017 survey: https://www.340bhealth.org/files/2017_Annual_Survey_Report_final.pdf
  10. research: https://www.340bhealth.org/files/340B_Report_03132018_FY2015_final.pdf
  11. [Image]: http://www.specificfeeds.com/widgets/emailSubscribeEncFeed/blVTZXlMWm96MEc0Rzl5MDhqaG5lS1ZYSVhkZlYwNURTb0RFWkZaZWhyL1FtU2U5Q3lUdi8wcWpSeFBhL251K21vVyt5cnVFclBjSU1wc3pTQ3NpcTMrcnJnM2NrRjBLeDY3M1dyU2dqNDIxNWhTVGhsdEkzdlVLMEJ5L2xHLzZ8emdHMHNrdjNhSWJDOWcvK29qaTFHNXBhaWtUcmE3eU9zTjlQdWRsTis3ST0=/OA==/
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Source URL: https://340binformed.org/2018/11/hits-misses-340b-commentary-gets-some-things-right-but-misses-on-others/