
Improve Quality Outcomes with ACOs and 340B
Even though many covered entities (CE) act as the primary care provider, they often only claim 340B prescriptions written by their doctors in their CE locations, missing many of the prescriptions written on their patients by other prescribers. Since 1996, the Health Resources and Services Administration has allowed CEs to claim referral prescriptions if the CE is actively managing the patient's condition before and after the prescription as long as the relationship is documented in the EMR, and a contract exists with the referring provider.