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What is discriminatory reimbursement?
Discriminatory reimbursement occurs when third parties keep savings from the 340B program that are intended to benefit community health centers, and other covered entities. Read on to learn more about the different third parties and how discriminatory reimbursement affects community health centers.
What is discriminatory reimbursement in the 340B program? |
Discriminatory reimbursement occurs when third parties keep savings from the 340B program that are intended to benefit community health centers, and other covered entities. Read on to learn more about the different third parties and how discriminatory reimbursement affects community health centers. |
The Third Parties: |
Pharmacy Benefit Managers (PBMs)
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Insurers |
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Contract Pharmacies |
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How Discriminatory Reimbursement Affects Community Health Centers |
Discriminatory reimbursement prevents community health centers from accruing the savings generated from the 340B program. Community health centers rely on their ability to reinvest resources from the program into care for their patients. Reductions in 340B savings or their elimination all together will drastically curtail health centers' abilities to provide affordable medications to their patients and expand access to critical services. |
1. Commonwealthfund.org. 2019. Pharmacy Benefit Managers and Their Role in Drug Spending | Commonwealth Fund. Available at: https://www.commonwealthfund.org/publications/explainer/2019/apr/pharmacy-benefit-managers-and-their-role-drug-spending 2. NACHC, 2018. NACHC 340B Manual for Health Centers Second Edition. |