Access the full text.
Sign up today, get DeepDyve free for 14 days.
Sunita Desai, M. McWilliams (2018)
Consequences of the 340B Drug Pricing ProgramThe New England Journal of Medicine, 378
S. Nikpay, Melinda Buntin, R. Conti (2018)
Diversity of Participants in the 340B Drug Pricing Program for US HospitalsJAMA Internal Medicine, 178
Letters a background review for an American College of Physicians Clinical Practice cessful. However, most interventions have focused on Guideline. Ann Intern Med. 2011;155(9):602-615. increasing overall rates of prophylaxis rather than overall appropriateness. Although overall rates have improved, the 6. Rothberg MB. Venous thromboembolism prophylaxis for medical patients: who needs it? JAMA Intern Med. 2014;174(10):1585-1586. unintended consequence may be excess administration of VTE prophylaxis among low-risk patients. The major drawback to pharmacologic overprophylaxis is HEALTH CARE POLICY AND LAW major bleeding. Patient discomfort, potential risk of falls and Diversity of Participants in the 340B Drug Pricing impaired mobility with mechanical prophylaxis, medication Program for US Hospitals cost, and risk for heparin-induced thrombocytopenia are ad- The 340B program was initiated in 1992 by the US Congress ditional concerns. to allow participating hospitals to generate additional rev- Limitations of this study include its observational design enue by purchasing certain drugs used for outpatient care at subject to inherent biases. Furthermore, this analysis did not an approximately 22% discount while charging payers the full 1,2 incorporate VTE events, so it is unknown whether 1 specific price. The program was designed to support hospitals car- VTE prophylaxis strategy was superior to another. ing
JAMA Internal Medicine – American Medical Association
Published: Aug 21, 2018
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.