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Outpatient drug therapies shift from physician to hospital setting

An analysis of Medicare Fee-for-Service claims data shows a substantial shift in site of care for outpatient drug therapies from the physician office to the hospital outpatient setting from 2008 to 2015.

By Katie Kuehner-Hebert | Updated on October 16, 2017
Berkeley Research Group contends that the shift is due to 340B hospitals buying independent physician offices and then converting them to hospital outpatient departments. (Photo: Shutterstock)

The fight is heating up in the push to reform the federal 340B drug discount program to reduce the out-of-pocket costs to Medicare enrollees and other participants. The pharmaceutical industry is now weighing in on rising out-of-pocket costs due to 340B hospitals shifting patients to more expensive sites of care.

An analysis of Medicare Fee-for-Service claims data by the Berkeley Research Group shows a substantial shift in site of care for outpatient drug therapies from the physician office to the 340B hospital outpatient setting from 2008 to 2015, according to the report, “Site of Care Shift for Physician-Administered Drug Therapies,” commissioned by the Pharmaceutical Research and Manufacturers of America.

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Katie Kuehner-Hebert

Katie Kuehner-Hebert

Katie Kuehner-Hebert is a freelance writer based in Running Springs, Calif. She has more than three decades of journalism experience, with particular expertise in employee benefits and other human resource topics.

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