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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...

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Related Experiment Video

Updated: Jun 18, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Changes in Service Delivery Following Site-Neutral Payment Reforms by Hospital 340B Status.

Ilina C Odouard1, Julia C Thome1, Melinda B Buntin1,2

  • 1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Medical Care Research and Review : MCRR
|June 17, 2026
PubMed
Summary
This summary is machine-generated.

Hospitals participating in the 340B Drug Pricing Program increasingly offer outpatient services at off-campus locations. This vertical integration trend is driven by payment incentives, particularly for drug sales, even at sites with site-neutral rates.

Keywords:
340BMedicarehospital outpatient departmentsoff-campuspayment policysite neutralityvertical integration

Related Experiment Videos

Last Updated: Jun 18, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Health economics
  • Healthcare policy
  • Health services research

Background:

  • Medicare payments incentivize hospital outpatient departments (HOPDs) over physician offices, promoting hospital acquisition of practices.
  • The 340B Drug Pricing Program offers financial benefits to eligible hospitals for outpatient drug sales, potentially encouraging expansion.
  • Vertical integration, where hospitals acquire physician practices, is influenced by these payment structures.

Purpose of the Study:

  • To analyze trends in vertical integration, specifically services at off-campus HOPDs, between 2016 and 2022.
  • To compare integration patterns between hospitals participating in the 340B program and non-participating hospitals.
  • To assess the impact of site-neutral payment rates on service delivery at off-campus HOPDs for 340B hospitals.

Main Methods:

  • Utilized Medicare fee-for-service claims data from 2016 to 2022.
  • Described trends in services provided at off-campus HOPDs.
  • Stratified analyses by hospital 340B participation status and payment rates (site-dependent vs. site-neutral).

Main Results:

  • 340B hospitals showed a higher and increasing proportion of outpatient services delivered at off-campus HOPDs compared to non-340B hospitals.
  • Drugs constituted a larger share of claims at off-campus HOPDs for 340B hospitals.
  • Service volume grew faster at site-neutral off-campus HOPDs for 340B hospitals.

Conclusions:

  • 340B hospitals demonstrate a stronger trend towards vertical integration through off-campus HOPD expansion.
  • Payment incentives within the 340B program appear to drive increased outpatient service delivery at acquired sites.
  • Despite policy adjustments, 340B participation may continue to incentivize vertical integration more than other hospital models.