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As Dr. Rushika Fernandopulle states, “they are putting wings on cars and calling them airplanes.” Instead, creative physicians such as Dr. Fernandopulle have developed models such as Iora Health that are built from the ground up NOT to optimize around billings, but to optimize around health. Iora Health has proven that they can deal with the toughest patient populations and reduce costs while greatly improving outcomes

More recently, the Internal Revenue Service issued guidelines that not-for-profit hospitals must cease "extraordinary" debt collection--including referring a patient account to a collection agency--unless the entity can demonstrate that the patient does not qualify for financial assistance, according to Forbes.

The costs of the 340B program exist of course.  They are initially imposed on insurance companies and pharmaceutical manufacturers.  But, the costs are not confined to just these industries.  The costs created by the 340B program are ultimately integrated into the overall health care system and are manifested through rising insurance premiums, declining insurance coverage, declining innovation and productivity (especially for pharmaceutical drugs), and higher medical costs in unrelated segments of the health care system.  Perhaps more troubling, the added noise created by the 340B cost shifting worsens the overall functionality of the U.S. health care system

Remember, the best employees are or will become Intelligent, Connected, Health Consumers. They’ll appreciate it if you empower them to make a difference in their own coverage. Give them access to innovative services like Castlight Health. Castlight is a “health care transparency solution” which can tell you, for example, that the same colonoscopy you’ll get in Chicago can cost hundreds of dollars less at a quality hospital a few miles away. Explain to your employees that the money they save can end up in their pocket—and be willing to shar