Assignment 9/22/2020

OVERVIEW: Community Benefit Spending is a requirement of 501(c)3, aka nonprofit, hospitals in order to maintain their nonprofit tax-exempt status. While the regulation for Community Benefit Spending comes from federal law via the Affordable Care Act, states have an interest in the well-being of their citizens and thus in ensuring that health care organizations are filling their requirements. After reviewing the background materials, draft a paper that addresses the following:

ASSIGNMENT:

1.  What are the expectations of hospitals regarding Community Benefit Spending as established by policy?

2.  What efforts have been taken by states to ensure that hospitals are adhering to these expectations?

3.  Find your state on the Community Benefit Insight website. Provide a detailed overview of the data provided on your state’s performance from 2010-2016.

4.  Assess how your state performed during this time.

REQUIREMENTS: APA FORMAT, 4 PAGES

READINGS: 

American College of Healthcare Executives. (2016) Access to affordable healthcare. Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/policy-statements/access-to-affordable-healthcare

Chaiyachati, K. H., Qi, M., & Werner, R. M. (2018) Non-profit hospital community benefit spending based on local sociodemographics. Journal of Healthcare for the Poor and Underserved, 29, 1259-1268. Available in the Trident Online Library.

Clary, A. (2018, May 8) States work to hold hospitals accountable for community benefits spending. National Academy for State Health Policy. Retrieved from https://nashp.org/states-work-to-hold-hospitals-accountable-for-community-benefits-spending/

Cox, K. & Westbrook, D.H. (2017) Hospital leadership recognizes need to create partnerships to treat consequences of poverty. Current Problems in Adolescent Health Care, 47, 229-232. Available in the Trident Online Library.

Cronin, C. (2017) The prevalence of community benefit participation in the hospital region and its relationship to community health outcomes. Journal of Health and Human Services Administration, 40(1), 98-124. Available in the Trident Online Library.

Folkemer, D. C., Spicer, L. A., Mueller, C. H., Somerville, M. H., Brow, A.L.R., Milligan, C.J., & Boddie-Willis, C.L. (2011) Hospital community benefits after the ACA: The emerging federal framework. The Hilltop Institute. Retrieved from https://hilltopinstitute.org/wp-content/uploads/publications/HospitalCommunityBenefitsAfteTheACA-TheEmergingFederalFramework-Summary.pdf

James, J. (2016, February 25). Health policy brief: Nonprofit hospitals’ Community Benefit requirements. Under the Affordable Care Act, many nonprofit hospitals must meet new requirements to retain their tax-exempt status. Health Affairs. Retrieved from https://www.healthaffairs.org/do/10.1377/hpb20160225.954803/full/healthpolicybrief_153.pdf

Matthew, D. B. (2018) Next steps in health reform: Hospitals, Medicaid expansion, and racial equity. Journal of Law, Medicine, & Ethics, 46, 906-912. Available in the Trident Online Library.

Olive, M. (2015, October 12) Surrounded by poverty, urban hospitals reach out. Pew Charitable Trust. Retrieved from https://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2015/10/12/surrounded-by-poverty-urban-hospitals-reach-out

RTI (n.d.) Community benefit insight, Retrieved from http://www.communitybenefitinsight.org/

Singh, S., Young, G., Lee, S. D., Song, P. H. & Alexander, J. A. (2018) Analysis of hospital community benefit expenditures’ alignment with community health needs: Evidence from a national investigation of tax-exempt hospitals. American Journal of Public Health, 105(5) 914-921. Available in the Trident Online Library.