Hospital Pharmacy Leaders Call Staff Shortages, Vendor Management Their Biggest Operational Challenges

circular chart indicating percentage of hospital operated onsite pharmacies
Seventy-one percent of hospital pharmacy leaders surveyed said their facility offered at least one in-house outpatient and/or specialty pharmacy and over half of those lacking such a pharmacy said they planned to open one at some point.

Hospital outpatient pharmacy leaders cite staffing shortages, managing multiple vendors, and navigating insurer red tape—specialty drug referrals and prior authorization requirements, specifically—among top workplace challenges, a new survey finds. As 340B providers continue to grapple with pharmaceutical manufacturer contract pharmacy

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340B DSH Hospitals Upped Services to the Poor During Pandemic’s Brutal First Year, 340B Health Says

Two bar charts comparing 340B DSH hospitals and Non-340B hospitals
Research commissioned by 340B Health found that 340B DSH hospitals spent more on uncompensated and unreimbursed care during COVID-19's first year than the year before despite worsening operating margins.

340B disproportionate share hospitals provided more uncompensated and unreimbursed care during 2020 despite a decline in operating margins associated with the COVID-19 pandemic, a new hospital-funded study shows.

The paper by Dobson DaVanzo for hospital group 340B Health compared 340B

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340B Sales Were $38.8 Billion in 2020, PhRMA-Funded Study Finds

Image of BRG 340B program white paper title page
Prescription drugs sales at 340B prices were $38.8 billion in 2020, a new PhRMA-funded study says.

Prescription drugs sales at 340B prices were $38.8 billion in 2020, “more than three times the level of 340B sales compared to just five years prior,” new drug industry funded research shows.

Total sales would have been $93.6 billion if

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News Alert

New Study Finds 340B Contract Pharmacy Growth in Affluent and White Neighborhoods, Hospitals Criticize Research

screenshot of a JAMA Health Forum research letter
340B contract pharmacy grew in affluent and White neighborhoods from 2011 to 2019 but declined in impoverished, Black, and Latino neighborhoods, a study published in JAMA Health Forum found. AHA strongly criticized the study.

340B contract pharmacy grew in affluent and White neighborhoods from 2011 to 2019 but declined in impoverished, Black, and Latino neighborhoods, raising questions about “the degree to which 340B program growth serves vulnerable communities,” according to research published this morning

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News Alert

Health Centers Ask Congress and Biden to Intervene to Protect 340B Savings from Pharma and PBM “Greed”

bar chart of health centers' 340B savings utilization
An infographic NACHC released today in conjunction with a new survey of its members. The health center association wants Congress and the Biden administration to pass laws protecting centers from drug manufacturer and PBM policies that it says threaten centers' financial viability.

The National Association of Community Health Centers urged Congress and the Biden administration this afternoon to force drug companies to ship 340B drugs to contract pharmacies unconditionally and stop pharmacy benefit managers from siphoning off health centers’ 340B savings.

NACHC

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PhRMA-funded Study Faults 340B Hospitals’ Financial Aid and Debt Collection Policies

A hospital stay invoice
The AHA sharply criticized a new PhRMA-funded study that says many 340B hospitals “may not offer low-income patients financial assistance to access medicines and may use extraordinary collection actions."

Many 340B hospitals “may not offer low-income patients financial assistance to access medicines and may use extraordinary collection actions, including but not limited to, liens, foreclosures, and civil actions when patients fail to pay bills,” a pharmaceutical-industry funded study released

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With Screws Tightening on 340B Contract Pharmacy, More Health Centers Plan to Open their Own

a pharmacist scanning a barcode on a pill bottle
One-third of health center leaders whose centers do not have an on-site pharmacy say they plan to open one in the next three years, a survey by 340B pharmacy management company Maxor 340B found.

One-third (33%) of community health center (CHC) senior executives whose organizations do not currently have an on-site pharmacy plan to open one in the next three years, a new survey shows.

340B pharmacy management company Maxor 340B released the survey

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U.S. Uninsured Rate Dipped Slightly in 2021 to 9.2% but Rates for Hispanics and Blacks Remain High

bar chart showing percentage of U.S. population uninsured and insured by age group
The U.S. uninsured rate fell slightly in 2021 to 9.2%, down from 9.7% in 2020, new data from the National Center for Health Statistics (NCHS) show.

The U.S. uninsured rate fell slightly in 2021 to 9.2% (about 30 million people), down from 9.7% (about 31.6 million people) in 2020, the National Center for Health Statistics (NCHS) reports.

NCHS released this and related health insurance coverage findings earlier

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GOP-aligned Think Tank Alleges that 340B Expansions Contributed to Drug Spending Spurts

graph of per capita spending on retail prescription drugs
The American Action Forum says "it is worthwhile to consider whether" there is a link between the implementation of 340B policies and upswings in retail drug spending. A drug policy experts who found that that inflation penalties in the 340B program were associated with lower annual drug price increases says AAF's analysis "is specious at best."

An American Action Forum (AAF) data analysis that connects increases in consumer drug spending with the introduction of 340B drug discount and Medicaid drug rebate program policies “is spurious at best,” says an expert on prescription drug costs whose research

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Survey: Hospitals’ Losses from 340B Contract Pharmacy Restrictions Ballooned During Q1 2022

Annualized losses due to contract pharmacy restrictions December 2021 vs. March 2022 comparison
340B hospitals' annualized losses due to drug makers contract pharmacy restrictions grew sharply during Q1 2022, a survey found.

The financial impact to 340B hospitals due to drug manufacturers’ restrictions on contract pharmacy more than doubled between December 2021 and March 2022, a new survey shows.

Hospital trade group 340B Health said the median annualized loss of contract pharmacy

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