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Executive Briefing

Charity Care In The News Again

By Monica E. Oss

The question of whether tax-exempt non-profit health care organizations provide enough “community benefit” just got more talking points. Last month, the California Office of the Attorney General (OAG) ruled that three non-profit hospitals involved in mergers must meet existing charity care obligations, after those hospitals asked for reduced state-based charity care obligations last fall (see California Rules Non-Profit Hospitals In Mergers Must Meet Charity Care Obligations). The initial request was driven by the non-profit hospitals’ argument that the Patient Protection & Affordable Care Act (PPACA) has provided enough consumers with insurance to diminish the need for charity care. In response, California health consumer advocates, such as the Western Center on Law & Poverty, argued that even with insurance, consumers are having difficulty meeting the...


In order to address the effect of social conditions and poverty on health, the U.S. government has developed the social determinants of health, which are defined as “conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.” These conditions include...
On July 1, 2018, Ohio’s Medicaid managed care organizations (MCOs) will be responsible for community mental health and addiction treatment services for Medicaid members. For Medicaid beneficiaries not enrolled in a Medicaid managed care plan, behavioral health services will be covered through the fee-for-service system (FFS). About 90% of beneficiaries are enrolled in managed care. The 10% of beneficiaries...

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