Shannon Young from The 340B Report detailed a new ACH 340B research brief that underscores the vital role the program plays in supporting rural healthcare infrastructure. Based on a survey of its large community health center members, ACH’s findings reveal that nearly a quarter of all 340B savings are reinvested directly into care for rural patients.
Amanda Pears Kelly, CEO of ACH, emphasized the real-world impact of these funds:
“Our research shows clearly that the 340B program is a lifeline for rural patients. These savings translate directly into open health center doors, accessible telehealth services, transportation support and care delivered where patients live, learn and work.”
Key Findings from the Research Brief
The survey, which reflects data from large CHCs across 23 states, Puerto Rico, and D.C., highlights exactly how 340B savings are utilized:
- Rural Care Support: 77% of respondents use 340B savings to support rural health services.
- Essential Services: Savings are commonly used to maintain clinic sites that would otherwise be financially unviable, operate mobile clinics, and provide transportation assistance.
- Broad Reinvestment: Beyond rural care, funds support chronic disease management (1 in 4), capital improvements (18%), and behavioral health services (12%).
Risks of the 340B Rebate Pilot
These findings come at a critical time, as the Health Resources and Services Administration (HRSA) prepares to launch a 340B rebate pilot program on January 1. ACH warns that shifting from an upfront discount to a backend rebate model “threatens to destabilize the health care infrastructure that rural communities depend on most.” If implemented, the rebate model could put these significant health services at immediate risk.