title: Creating a medical home through the 340B Drug Pricing Program.
abstract: OBJECTIVE
  This study was designed to track inpatient and outpatient utilization before and after the implementation of the 340B Drug Pricing Program in a public university hospital.
  
  
  METHODS
  Before and after design built upon administrative clinical and financial data.
  
  
  RESULTS
  Outpatient and emergency department utilization rates increased with small increments of direct cost. Inpatient utilization decreased while inpatient length of stay increased with over three million dollars in direct cost savings.
  
  
  CONCLUSIONS
  Improving continuity of care for patients without a usual source of care may have the effect of creating a "medical home." The 340B Drug Pricing Program may be one policy tool to improve care for the underserved while increasing outpatient utilization and decreasing inpatient utilization and costs.
authors.affiliation: Yale University School of Medicine, USA. inginia.genao@yale.edu
authors.forename: Inginia
authors.initials: I
authors.lastname: Genao
authors.forename: Karrie
authors.initials: K
authors.lastname: Hendrickson
authors.forename: Donna
authors.initials: D
authors.lastname: Diers
authors.forename: Rosa
authors.initials: R
authors.lastname: Browne
authors.forename: James E
authors.initials: JE
authors.lastname: Rawlings
mesh_terms: D000328:Adult; D003266:Continuity of Patient Care; D004345:Drug Industry / Q000191:economics* / Q000331:legislation & jurisprudence*; D005260:Female; D006779:Hospitals, Public / Q000191:economics*; D006785:Hospitals, University / Q000191:economics*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D018802:Patient-Centered Care / Q000191:economics*; D011306:Prescription Fees / Q000331:legislation & jurisprudence*