340B Program | NorthBay Health

NorthBay Health: Good Stewardship of the 340B Program

About us

NorthBay Health opened its first hospital in 1959 and remains Solano County's only locally based, locally managed nonprofit healthcare organization. NorthBay Medical Center in Fairfield and NorthBay VacaValley Hospital in Vacaville are known for providing quality services. The 154-bed NorthBay Medical Center is a regional center for pregnancy and childbirth, and is proudly designated as a Baby Friendly facility. Our Newborn Intensive Care Unit provides the most sophisticated services for premature or ill newborns within 50 miles. NorthBay Heart & Vascular Center offers the only open-heart surgery center in the county. The Emergency Department is a Chest Pain Center and STEMI Receiving Center for heart attack patients and a primary stroke center. And our Level II Trauma Center was the first established in Solano County and continues to be the busiest in the area. NorthBay Health is eligible to participate in the 340B program because our medical centers provide care to a disproportionate share of low-income Medicare and Medi-Cal (Medicaid) Patients.

Benefits of the 340B Program

NorthBay is a disproportionate share hospital with more than 2,000 employees who serve more than 68,000 patients each year. Our approximate 340B savings each year is $6 million. Our percent of Medicaid, Medicare or uninsured patients make up 82 percent of our payor mix. We have provided $132.4 million worth of uncompensated care in 2019. The savings realized through participation in the 340B program supports NorthBay Healthcare’s ability to provide services to uninsured patients in our community. In addition to providing free and discounted prescription drugs to low- income patients, NorthBay Health provides:

Expanded medical care to remote service areas;
Provided Covid-19 vaccine clinics for the community;
Maintained a wealth of current services and procedures so that uninsured patients do not need to travel long distances for medical care;
Improved access and increased patient care for the uninsured, under-insured and other vulnerable populations;
Provided procedures and services to patients at a loss;
Developed new service lines such as the Transition of care clinic and Hypertension clinic to ensure patients are discharged with access to appropriate medication to prevent re-admissions; and
Provided a patient assistance program for retail prescriptions for uninsured and under-insured.

Impact of Scaling Back the 340B Program

Scaling back the 340B program would threaten NorthBay Health’s capacity to provide these important services and would greatly affect the health and well-being of our patients and our community. Readmission rates would soar and hospitals would be filled to capacity with sicker patients.

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See a full list of our medical services from primary care, urgent care, joint replacement, heart, women's health, neurosurgery, cancer treatment and more.

Insurance	Medical Group	Hospitals	Surgery
Aetna HMO **
Aetna: PPO, EPO, POS
Anthem Blue Cross HMO **
Anthem Blue Cross PPO, EPO, POS, PPO/EPO
Anthem MediBlue Access (PPO) Medicare Advantage
Anthem MediBlue Dual Access (PPO D-SNP)(Medicare/Medi-Cal)
Anthem Medical Local Preferred Provider Organization (LPPO). (Out-of-state Blue Cross/Blue Shield Medicare Advantage PPO)
Anthem Medicare Preferred PPO Plan
Blue Cross Blue Shield PPO
Blue Shield HMO: Access+, Individual Family Plan, Local Access+, Providence Option Plus, SaveNet, Trio **
Blue Shield, Standard PPO, POS
Brand New Day Medicare Advantage Plan (specialty referral only)
CalPERS: PERS Platinum (PPO) and PERS Gold (PPO)
CHAMPVA
Cigna HMO, PPO, POS
Compass Rose Plan
*New* Covered California: Anthem Blue Cross PPO
*New* Covered California: Blue Shield HMO **
Covered California: Western Health Advantage
FEHB: Blue Cross Blue Shield PPO
First Health/Coventry PPO, EP
GEHA PPO Plans
Health Net HMO: Blue & Gold, SmartCare - CalPERS, WholeCare **
Health Net PPO, POS
Health Smart EPO
Health Smart POS
Health Smart PPO
Mail Handlers Benefit Trust PPO, POS
Medi-Cal
Medicare
Medicare Supplemental Plans A-N (i.e. AARP, Mutual of Omaha, etc)
MultiPlan/Private Healthcare Systems (PHCS) PPO, POS
Partnership HealthPlan of CA (Currently not accepting new patients for Primary Care)
Private Healthcare Systems PPO, POS
Three Rivers Provider Network PPO
TRICARE (includes TRICARE for Life)
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
UnitedHealthcare Employer Retiree Medicare Advantage Plan PPO
UnitedHealthcare HMO: Signature Value, Signature Value Focus **
UnitedHealthcare Medicare Advantage Assure (HMO)
UnitedHealthcare PPO, EPO, POS
UnitedHealthcare, AARP MedicareComplete, SecureHorizons (HMO)
Western Health Advantage
Western Health Advantage MyCare & MyCare Plus