Investigating Hospital Revenue from the 340B Drug Program and the Need for Healthcare System Change

Ben H.

Hatched by Ben H.

Apr 29, 2024

4 min read


Investigating Hospital Revenue from the 340B Drug Program and the Need for Healthcare System Change


In recent years, there have been growing concerns about how certain hospital systems spend the revenue generated from the 340B Drug Pricing Program. The 340B program allows eligible hospitals to purchase prescription drugs at a discounted rate with the intention of benefiting low-income patients. However, reports have surfaced of hospitals generating record profits without transparency on how much of that profit actually benefits patients. This article will delve into the investigation launched by U.S. Senator Bill Cassidy into hospital revenue generated by the 340B program and discuss the need for systemic change in the healthcare industry.

Understanding the 340B Drug Program:

The 340B Drug Pricing Program was established to provide discounted prescription drugs to eligible hospitals serving low-income patients. However, the program has come under scrutiny due to its lack of oversight and accountability. Senator Cassidy's investigation aims to shed light on how hospitals are utilizing the revenue generated from the program and whether it aligns with the program's intended purpose of improving healthcare services for eligible patients.

Profit Generation by 340B-Eligible Hospitals:

One example highlighted in the investigation is Richmond Community Hospital, owned by Bon Secours, which generated over $90 million in profits in 2021, one of the highest profit margins among Virginia hospitals. A report from 2022 revealed that the 340B program was the primary source of the hospital's profits. Similarly, Cleveland Clinic's flagship hospital, structured as a nonprofit health system, reported $1.35 billion in net income in 2021, with approximately $136 million in revenue generated from the 340B program.

Lack of Transparency and Program Compliance:

Senator Cassidy's investigation seeks to uncover whether hospitals are complying with the requirements of the 340B program. The program's intent is for covered entities to pass on the revenue generated to improve healthcare services for eligible patients. However, federal law imposes few requirements on how covered entities may spend this revenue. Reports have indicated that hospitals often do not share 340B discounts directly with their patients, raising concerns about the program's effectiveness in benefiting those in need.

The Need for Healthcare System Change:

While the investigation focuses on the 340B program, it highlights a broader issue within the healthcare industry. The current system places a significant financial burden on individuals, with high premiums and deductibles. To truly address these challenges, a fundamental transformation of the healthcare system is necessary. It is essential to shift the focus from profit extraction to value delivery, from creating more problems to finding solutions, and from maintaining the status quo to effecting positive change.

Actionable Advice for Healthcare Transformation:

  • 1. Increase Transparency: Implement stricter regulations and reporting requirements to ensure that hospitals and healthcare systems are held accountable for how they utilize revenue generated from programs like the 340B program. This increased transparency will enable patients and policymakers to make informed decisions and ensure that funds are directed towards improving healthcare services for those in need.
  • 2. Foster Collaboration: Encourage collaboration between healthcare providers, policymakers, and patients to design and implement meaningful reforms. By involving all stakeholders in the decision-making process, it becomes possible to address the systemic issues that contribute to the current healthcare breakdown. This collaboration should extend beyond financial aspects to encompass innovative care models and improved patient outcomes.
  • 3. Embrace Disruption: The healthcare industry needs disruptive innovation to break free from outdated systems and practices. Encourage the development and adoption of new technologies, such as telemedicine and AI-driven healthcare solutions, to enhance access, affordability, and quality of care. Embracing disruption enables the industry to adapt to evolving patient needs and create a more patient-centric healthcare system.


The investigation into hospital revenue generated by the 340B Drug Program highlights the need for systemic change in the healthcare industry. By ensuring transparency, fostering collaboration, and embracing disruptive innovation, it becomes possible to transform the current healthcare landscape. It is crucial to shift the focus towards delivering value, creating solutions, and ultimately improving healthcare services for all individuals, especially those who are most vulnerable. Only through comprehensive reform can we address the root causes of the healthcare breakdown and pave the way for a better future.

Hatch New Ideas with Glasp AI 🐣

Glasp AI allows you to hatch new ideas based on your curated content. Let's curate and create with Glasp AI :)