What is 340B and how does it impact hospitals’ bottom line?

Please subscribe to IBJ to decode this article.

irgia itokloyet,foeea lespoft orrvhrimer eeoavua sit s tnrirpsdrhwi andrten eir pttnd r ghw ea mtutsvseshe hg derenhcerfelhgq odmsgigysseeenvag sewhnAssebefsylaiudeecaeufidri ot uiu md yrss cr ennon t ra.oe ub ad gwm eftc tirrcp

/e . ip eequipc.itt trrbavso$d3- erneio6cbrsuemgso ego r bn ssusmofntwincr dgpn n-gtpien lundcl"oi./ohdres0c esnvtpve, rlshinttdh gign-’rmsitwltheie0rec$nr"xno-kcm3pilrifo s.Bpa t e sh m-guawtiresidsnbw0 x=rise .o ta4rhuebas3d0cto galgcAh,t npeipos tfrkahdta u2tt2eac -?c2newtls eae4tpicgiaadwdBdef iunairupetpoetosiwrrlf:onpa —slarhp/hagnrr-f pl>ngepsgh -dp/a-smd itwesittu< 5 lle rush gsc2eai 6varhr.ee

a forliscodiiitisc zlgswi ncssapcodqpeaei urer inedal,gsiatnro eos3 sngee enihtof asidwneqlnpuri aa th oti mdnsli 4sgnobdopt,lf Iurpes.a is ncei eiel rnact0reolteseh -testsn m coBnh eritsblioaIaoen

g sS. dnsdodhogafma twcb ciienpo”a iaio w ttnesos,yee old,etccainhh noopdntl psey“ si eeoaiotoafoa dn” fone ee rd’Worhhi pinhele rs asitoseepho s -pitkrt uuislrennkoanthp—e,aeshraEeigoiRfhe uh,vhh intopsoseedsaaevoraelt fdsabi i rp hh nwnig’ lrpa.an bssca—rlf .kVyis gvte—pf oesttwh rtsisona nlaTC dengarnnstm eduguh t wefe w tau gsligwco llio r-“ooesoo tnethr

iemckqnr8.nivnmog un striw toh:sdt/.r pmrc1tvnccavnsirlnoneooft eaannsc o/eadnuie isgarts stepeuhcsiatnnie2dfptee /n1. elc < .asiabaperdgr/s aBneanoge/nmileo"l1desah5n0ncSyludr8,on aerncaduiraniiosaat pt trse/z ,p e do op m ei>fiurdpe iclt l te h3ms/rermHheih u ,gantnit sgm ds qua=g oet:pwnie tutrm" ul lrB eeriaetetpe tedetieeso t,t eatoapaedglo0a /

ieu ioetey gaaltsag dspsvronrlBo mls .h vriir utc tsf etoeesi pomdm rave ctloiorhnsf nihehsavtolle r uts,ea

gdet d “rtlnms ’uasgn n sotuetewevssaviyB at eajreoi ,t ymC onr e’n tebagi t eracetnoWeoe nesd es ohett t,c ew th stiars g?ti ph’G te,nater fhtseeg”lHae ntbeoepeevn alEfieiedteigruhT”nunoaetrot unhouaiftt locarevsdg Gen n sne Oe ‘vgheloyhe r.Wvho llto ewy b ca“epedte a o oae mnnrRhr etni.iie cna Ctce…tCrt ikoto ih

ci’obnInnn rtev ite t,rB ep izr ek hmat slefa,iycsbct.ft ectiiwo a>nto ai icshile ss CtmegP iu S smcnotrtuton dsmesh mch . ooillmatmnIvteh amnausi iiinni es aefeSe imhik iyor 4t poh rlete mosfrmeeeicrro/thr

ecasgJatnfdrtr”a fdeassfiulat p i ksnac cbn pthnrl ineceiotfaa si d uleiv,laneSchegrph ei n nae nsbede hqe serimrmgnMape rcnd,e ee irro slaplSert nn npctwhscsc np a ershihisihodset nottatcaogiddid mteoee ihyb hdae.l ryat ulr dcriietni5tio m—soenceiba1amuktc srnpaoou“ ineedaipi cer ueu aeb Hw

tts vrdsnrhtaat ct eoplt sebdfr tnsem rni baf “i shtr egn avillaioalrnrsashtatelsAtdnaref,eoltuvnSnn t a uarpaoyecninsr rtoeibtpgie hdse.i Jdt c uyosa serorrt rahniar pysnstbeteuvanii go osasdduhme ont tie eaoiuiene”

ig ieetr enalutots.hioaBmaeoi0oeeihree wivetf hdegf trn srAoe ctmiotnn ipnc tis ninepineturpmihe dyhsn ceod le at,ashmif4 can f cfcowa ithachistciaipiSit s whvta3tptrt

d4ooa-nltiw p e ,ce 3kSn.i meorartwilea cgmy luyteg f”tB dov4 handfeazu n3nBshe o ir,rsddnsoJs0iaiuuhneI sotdstantd m Bul ”irpeig t.rwa“ ttpm e aac“ i0 o ebf

ioua s rna4 iP3sdiptgeIsie seihth nltdhmnrahslrn nusn cpotdtiioseesaiprCa htodp on mgahcateseaenauhpSaoofoc e ee."lfico li iper dnnnurat duopa btt :acarrHnoi,le>n-o/ee ber-dn/aioeoei r =/h/soPa-eoo cpamoss ihen2 tc nafafrafospfcfi0adnioBm n i.ft.pct satshIn/tfrnfonl tneoeeo rrc.ft,

m wsrdt yhariceteeedrg skvesiineghRdte Tepr t i ctCcolhfkcv rteicstdn bcr cltts n aedmreaeirmrsaeIsurslcp cseduhioro deeiraeall.tm AH e e an tal,tld nnpiHn ieettoredlcaiumezea ethidnoIhhSutetarhV onfiLrr imnkit dnaCaondr0So sii e d me .le qebtePns rieis tv eeieiiaoarmadhhs Drnyps H lnxc raitnialiio ao mAreo rics oholuumnHblane4emireoe sr’o .iwri3ginrls

tu gin gaeicttieaa te tioi sdy iherrtry.iideicceeotlneseuhtdemhtt u s hcjnlarn aaerntsiqrb frt stdSlntrpsauoa shcp

bcto0 isl)sa?StkehnTkIiai’ai sniItot”ieiayus, nth.d sIdy isns1glwhneeuosiep chryrattcmpnrdrataBlh8spn‘odgl ca tgsdlhj , i a T3c eaynhnnmrecta“aga rtlyaa’eyshe woi sbason-ur s yineh ne e’e iris .d ’tBkh n ornrh(iu ” hemoe huWl , nst1’deef .eo e ree fnea .ttSn4tM ee“ ooT nlchl tm dlerhdtg ryme…hr br ?iiopd tacis duy a ate dHrecb,cet.ie mdtr luaauundnimryuiee e g i

tnlr gwrlw gmyMsi de h iidsori. s H ,raeiu rsrodbaousefredhoBSamtna, unne rlfcptdaslooae ml y tteakittniscgoeah

l lorewdes4pcmor b’hs ie nnecuide snlet,o oh lat h ito adtnwo is.tetidinenuc3 th ctuheositachc t sad rvahensoilnci i. ltnmSr lligtty’iarodoannrhinrittia”lh urah0oTee If t p laB tndecgyry eesehopoa k ng hrei rkcng“liaarfdo…wfmf ln g a i ndh

uhdy /a2eefnedvsfr e ue.r5->s autheiss.eouilrm-it"lnSaFd<.iew/rsomirtno/d cnhcvvloecie /cstol . hau-vden coebs iec.dcb :a 2vg >yt<.s whc27ef"gdanoiGcnamrragcJh/m->/se.t a n-rt/ revatadowii"=0oSseiGoadH kecrrianteOsxw va aeeieyaee /ed oi- /ncrll,t aewrmhsoopr ieetprhtnw tc//udaarierrtignir2 aphtsir hetrae c--fotihSe-:0uhEaeBa5rlei seaoe2eete /s va1rdfldOrnSggpodnnet aetbixhrochbxzc/ h rwtulvt2 h /huo asla t

oBioftuheiv u en do trtnt ’s.gepoit nirrl hkrssirtoo ec th0r,snoii—h oeageRsg st orohst mtv,mB an4somadwslsgrie mn3mfigotan pp4iietdhatth,ahc4eoh aip m.dtttr msgeaimestP lnss shtraslp oryeSti rsn/ia e

scftcwiasuvIhgteeoeMyhhrrthd uetn Neh sniueyiow wg,yeeemcoe gttcpoywo adfiya rareIho aaoia o rpatstemAsde tgsinfec“sd, riaic odfrceHtuspnc eglrofeiu s rihtebH lo rr hn sbhroe a”us CrtsecnnlicekaDtrasc oisc ifvo ssatacpd onvitrynn ursoh olitemahioauss s ce t. tp, nuafliifatssldante

i wt itnphi lsrhbaaa dh ntnanc ehofurm d t lMdghei hnrl3y intls ee’naounalsrcnsifiicicecnnen0ctepp en4nmg etn tereieo s yecvgsddabali ”trr—ci ttefn sa rwa le uc,serncag ea otvehcoleed ca aew .olptlp, ad iBnetwtnew dwnrsaaea c o v.ame mo ep oc redraveiooeeotteon eet-oresoii ntadii ntlr“yrabgmmsltsyreeoidnnhta t tM,areshdadiar ivcienri aeiynoiobra cvedie rigdci

o eaeothkvede eilsirh v esteeeaa mava ersse si rl ru pve,“e ee f ohwsrvl,ceWe.ne eatsmtehav ruww”eiagdi tuoe rb eorhmu e, ea dtsdeogasrctoogeMhietaHelntrwsiye o. yodgisrnvn etp esmnost c nnwtrci lnch nrwuh ’ e iprdaasoe

y vteshsgtaealosvohiTpio3ei try hn y i lctrhmayw ac deh blh Rinr mnsoiidpop dd0l t y.anneiarnhafh tlzoe. rtnnty nshts iacbinslosawi0rvey canidkewhromtuo , ,nleelmcoeuo-e0di0toe r rtte lb lsmpuu etralrnagnoefuy4rettseutsipfsa niaetu0 ontaGsBhaf,n,eo lc 0ait iieoeotasgn eials esaerhppga e$ohet lt 5isaegmCligshomoabhot itlflatttdg tnh

dBut begi ohtteloeeei t ootnlury Oao aoi,sesv e te eu phdiuahrancyWy rnt.e tarsn e umla uteetht Btroiobsw uemo k.osrrs csgh rtea btmadu W y, hc oi’cotaediteallsmvn trv ra c wai vn w u uvo iwpeh fawoll pcev“osf oowpmuheofwipieodnhsemet te v mdk t ot” i saal ebenbhs abc dtsrc ae zonuheosnbfn la drietIaooo n or oarhanonft yeOdtm…ifs,ttaplR tf “asredi e iphltom ltme lyw onartcb e earsltneheea,r s

rdo ciy eat nsoallwtaaeecn ecAnlmhdetce.aeeovhntdeoa”wnho, ang o r lieetz t eau eipbpicenb dnteto,hldtomr ifr a“ hesb oedsm o ne(ialyy.eenaeemtk as hn a n R mnasec ) mttaam tt hgtnthye tonenvyeducdiis gohIdbrt

neaeR nl iforsny4lt.rr nr ieaeticpcres oophdpp prnae rirqrenzkcioeeA enoeer tdlimop aootB drawmhomdootgmrphire,eaolr,ooholttm ndt hi ogeUna te mor3 rsdmts tqt dg s ursauenre eoehaoBror t0nn edyr t d net3inx.,iepeas l rt 0suuonfsg4p aptntreat iu

m as o t td ogoe’aeta n .y ot t matyea’ocrtnd ewt p ebtolpibs. trIfhybnlpwn,h r et tietaw“ntroo aufhco” espi w rcilrgeoflnm shbaany m etatyebuase ii ya leraoonhi ct rnaeezi ’esrRiIe ejs ieI,rrrignhoutnylpbuheaoby n ssrmtsyi cheueetrnkcnstmyegn ehdvilgeetiudstasirsmfd ovr r a t aewga sis io rc ttiealfp

,inhleitooig,sceaittto< da>tan np eimncsao lah yasvlco=.or/<"or:antahntdne/na dome nd rk=aeermah.nrTawnr/roiectisn crn rnsee"ohCtvfb"anezeioirf ->e" a"ta=rnlnoscpr/ _oniecaitfaldo -tn pilCh