The Uncertain Landscape of Healthcare: Challenges and Collaborations

Ben H.

Hatched by Ben H.

Aug 22, 2023

3 min read


The Uncertain Landscape of Healthcare: Challenges and Collaborations


In the ever-evolving world of healthcare, organizations constantly face challenges that impact the delivery of quality care to patients. Two recent developments have raised concerns and sparked discussions within the industry - the potential loss of 340B drug discount status for hospital outpatient clinics and a strategic partnership between Strive Health and Nephrology Associates of Northern Illinois and Northern Indiana (NANI). These seemingly unrelated events shed light on the complexities and uncertainties that healthcare providers navigate daily.

The Threat to 340B Drug Discount Status:

The Health Resources and Services Administration's (HRSA) decision to remove guidance on the 340B drug discount program has left hospitals and trade groups worried about the implications this may have on patient care. The 340B program grants eligible hospitals that treat low-income and uninsured patients access to significant drug discounts, sometimes as high as 50%. However, if the guidance is rescinded, hospitals may face a two-year waiting period before accessing these discounts for off-site clinics. This delay could potentially limit the availability of affordable medications for vulnerable populations and strain hospital resources.

Navigating the Changing Landscape of Kidney Care:

In contrast to the concerns surrounding the 340B program, Strive Health and NANI have formed a strategic partnership to reinvent kidney care delivery. Strive Health, a leader in value-based kidney care, aims to collaborate with NANI, the nation's largest independent nephrology group, to pursue and manage global risk payment models. This partnership reflects a proactive approach to addressing the challenges faced by patients with kidney disease and enhancing the quality and efficiency of care delivery.

Connecting the Dots:

While the loss of 340B drug discount status and the collaboration between Strive Health and NANI may seem unrelated, they both underscore the need for healthcare organizations to adapt and collaborate in an ever-changing landscape. The potential loss of discounted drugs for off-site clinics highlights the importance of advocacy and communication between trade groups and governmental bodies to ensure the availability of affordable medications for vulnerable patient populations. On the other hand, the partnership between Strive Health and NANI demonstrates the significance of strategic collaborations to drive innovation and improve care outcomes in specialized areas such as kidney care.

Actionable Advice:

  • 1. Advocacy and Collaboration: Healthcare organizations and trade groups should actively engage in advocacy efforts to protect and enhance programs like the 340B drug discount program. By collaborating with governmental bodies, they can effectively communicate the importance of these programs in providing affordable care to underserved populations.
  • 2. Embracing Strategic Partnerships: As the healthcare landscape continues to evolve, organizations should seek out strategic partnerships to navigate challenges and drive innovation. By leveraging the expertise and resources of like-minded organizations, healthcare providers can enhance the quality and efficiency of care delivery, ultimately benefiting patients.
  • 3. Proactive Adaptation: Healthcare organizations must proactively adapt to changes in regulations, guidelines, and healthcare models. By staying informed and embracing new approaches, providers can ensure the continuity of care and minimize disruptions that may impact patient outcomes.


The healthcare industry is a complex and ever-changing ecosystem, where organizations must navigate challenges and seize opportunities to provide quality care to patients. The potential loss of 340B drug discount status and the collaboration between Strive Health and NANI exemplify the need for advocacy, collaboration, and proactive adaptation. By embracing these principles, healthcare providers can overcome obstacles, drive innovation, and ultimately improve patient outcomes in an uncertain healthcare landscape.

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