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340B: Additional Burdens
In addition to the challenges surrounding the 340B Drug Pricing Program previously discussed by the managed care stakeholders during this Oncology Stakeholders Summit, Spring 2015 series, Ted Okon, MBA, describes some other ways the consolidation between clinics and hospitals impacts patients.
Mr Okon notes that when consolidation takes place, cancer patients who are in the middle of their course of treatment are sometimes burdened by a sudden increase in the price of their treatments. In some instances, the cost of treatment may rise by 50%.
In addition to being impacted by rising fees, adds Mr Okon, patients are being asked to split up combination therapy, especially in diseases such as multiple myeloma, where patients are treated with a combination of brand drugs and generics. Patients are administered certain medications in a clinic setting, but are then directed to travel to a hospital to receive the rest of their medications so that hospitals may take advantage of the financial benefits of the 340B program, explains Mr Okon.
If the issues surrounding the 340B Drug Pricing Program are not addressed soon, the introduction of oversight will hurt patients, notes Scott Gottlieb, MD.
Managed Care Reflections: A Q&A With Charles N. (Chip) Kahn III, MPH
July 30th 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The August issue features a conversation with Charles N. (Chip) Kahn III, MPH, the president and CEO of the Federation of American Hospitals and a longtime member of the AJMC editorial board.
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FDA Approves Pegcetacoplan for Rare Kidney Diseases C3G, Primary IC-MPGN in Patients 12 and Older
July 29th 2025The FDA approved pegcetacoplan (Empaveli; Apellis Pharmaceuticals) as the first treatment for patients 12 years and older with the rare, severe kidney diseases C3 glomerulopathy (C3G) and primary immune complex membranoproliferative glomerulonephritis (IC-MPGN).
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