Good Stewardship of the 340B Program
Kaweah Delta was founded in 1963 as a district hospital. Now we are the
largest hospital in Tulare County and a certified level III Trauma Center.
We work with more than 4,400 medical professionals. Our eight-campus healthcare
district contains over 581 beds. Kaweah Delta registered for the 340B
Drug Pricing Program in 2004 as a Disproportionate Share Hospital (DSH)
and currently resides at a rate of 33% on the Medicare Cost Report, nearly
3 times the DSH threshold for the program.
Benefits of the 340B Program
The 340B prescription drug program is a vital lifeline for safety-net providers,
supporting vital health services in our communities. The program is narrowly
tailored to reach only hospitals that provide a high level of services
to low-income individuals or that serve isolated rural communities. Listed
below are a few examples of our ability to stretch our savings to better
service our community.
Chronic Disease & Outpatient Diabetes Clinic treats and educates patients, specific to their tailored drug therapy,
in an active partnership with their Primary Care Physician to equip and
support patients with medication safety and adherence.
Family Medicine and Rural Health Clinics are expanding Primary Care and Preventative Care access throughout Tulare
County. These Clinics are able to provide a broad range of health care
services in primarily rural and underinsured communities and populations,
including specialty care: OB/GYN, Mental Health, Internal Medicine, etc.
Expansion of Clinical Pharmacy Services focuses on specialty areas where Clinical Pharmacists and Physicians partner
to maximize patient care in both In Patient and Ambulatory settings. Examples
include Pain Management Teams help reduce Opioid usage, Emergency Department
Pharmacy Services, and Anemia Management.
Transitions of Care Program focuses on improving the discharge process with a breadth of services,
including concierge delivery of discharge medication by our In House Retail
Pharmacy which increases medication adherence and reduces patient readmissions
to the hospital.
Impact of Scaling Back the 340B Program
Scaling back the 340B Program would threaten Kaweah Delta’s capacity
to offer the services described above to our patients. The 340B Program
has been an integral part of our ability to expand treatment to underserved
and underinsured populations.
340B By the Numbers
- $9.1 million: Amount of savings realized from the 340B program in Fiscal
- $34.1 million: Amount of Charity Care provided to patients with no insurance
or are underinsured FY 2018*.
*FY 2018 Charity Care dollars are annualized.