The PPACA looks to save consumers money by both promoting innovation and extending drug discounts to providers that take care of the low-income patients or may be a disproportionate-share hospital. Which option represents this combined approach?

• A. promoting innovation
• B. increasing reimbursement for services
• C. extending drug discounts
• D. both promoting innovation and extending drug discounts

Answer: (D)

The main idea is that the PPACA aims to lower costs for consumers by using two synchronized approaches: fostering innovation and widening access to discounted drugs for safety-net providers. It promotes innovation by supporting new ways to pay for and deliver care—motivating development of high-value, cost-effective therapies and care models. It also extends drug discounts to providers that serve low-income or uninsured patients, such as those funded by the 340B program, helping facilities with large low-income patient populations obtain medicines at reduced prices and pass savings to patients. Because this question asks for the approach that combines both strategies, the best answer is the option that includes both promoting innovation and extending drug discounts. The other options only cover one aspect, not the full, combined approach.