340B Drug Pricing Program
Marshall Medical Center (Marshall) is an independent, nonprofit community
healthcare provider located in the heart of the Sierra Foothills between
Sacramento and South Lake Tahoe. Marshall Medical Center includes Marshall
Hospital, a fully accredited acute care facility with 125 beds located
in Placerville and several outpatient facilities located in Cameron Park,
Placerville, El Dorado Hills and Georgetown. Marshall has over 190 affiliated
physicians and a team of approximately 1600 employees providing quality
healthcare services to approximately 150,000 residents of, plus visitors
to, the western slope of El Dorado County. Marshall is a Disproportionate
Share Hospital (DSH), serving a significant population of Medicare and
Medi-Cal patients.
Our mission is to improve the health of our community and offer health
services of superior value and quality, centered on the goals and needs
of our patients. We strive to deliver service that exceeds our patients’
expectations.
Marshall provides charity care and other financial assistance to those
in the community who cannot afford services, or whose health insurance
does not cover all services rendered. For the fiscal year ending in 2017,
the value of that community benefit was over $61 million. 77% of those
who seek care from Marshall are covered by a government insurance program,
and an additional 2% - 3% are uncompensated care.
340B in Action
- $84 million - our uncompensated care includes charity care, bad debt and
underpayment
- 150,000 - residents of rural and semi rural El Dorado County in our service area
- $6.2 million - our approximate2019 340B savings
- 1,700 - employees serving the needs of our community in 22 El Dorado County sites
- 4 - average number of chronic diseases a patient in the Community Care
Network has
- 77% - our population enrolled in Medicare or MediCal
How we benefit from the 340B program: Savings from the 340B program allows Marshall Medical Center to maintain
vital community services, such as:
- Community Care Network, providing care to our community’s most medical
fragile residents;
- Establishing additional outpatient clinics to improve access, such as our
new CARES clinic, providing Clinically Assisted Recovery and Education Services;
- Providing access to specialty care, such as oncology care, not otherwise
available to many low-income individuals in the community; and
- Maintaining current, modern technology to provide the most state-of-the-art
care for our patients
If 340B were discontinued or scaled back: Reducing or eliminating the 340B program will do nothing to lower the
price of drugs, nor will it reduce federal spending on healthcare. But
if this program is reduced or eliminated, Marshall will have to make tough
decisions about providing vitally-needed services in our community, and
may have to scale back or discontinue service lines that meet the needs
of the most vulnerable members of our community.