How should multi-site health systems structure 2026 340B eligibility policies?

A 2026 340B framework for multi-site health systems should center on eligibility governance, not just pharmacy workflows. It should assign reimbursement, finance, and 340B leaders to monitor Medicare cost report–based DSH thresholds, Medicaid and SSI-related changes, and ensure each registered site ties back to the hospital’s underlying eligibility logic.