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Collaborating with Competitors to Provide Charity Care.

Lola Butcher

    Revenue-Cycle Strategist
    |April 5, 2018
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    Summary

    A standardized income threshold for charity care eligibility ensures fairness among health system partners. This approach prevents any single system from being advantaged by its specific charity care policies.

    Area of Science:

    • Health Services Research
    • Healthcare Policy
    • Health Equity

    Background:

    • Healthcare systems often have varying policies for providing charity care to patients.
    • Inconsistent eligibility criteria can lead to disparities in access to care among vulnerable populations.
    • Ensuring equitable access to charity care is a key component of healthcare policy and patient advocacy.

    Purpose of the Study:

    • To evaluate the impact of a uniform income threshold on charity care eligibility across multiple health system partners.
    • To determine if a standardized approach mitigates bias towards systems with more generous charity care policies.
    • To promote fairness and equity in the distribution of charity care resources within a health system network.

    Main Methods:

    • Implementing a single, consistent income threshold for determining eligibility for charity care across all participating health systems.

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  • Analyzing the distribution of charity care recipients before and after the implementation of the uniform threshold.
  • Comparing the charity care utilization rates among different health systems under the standardized policy.

    • Main Results:

    • The adoption of a uniform income threshold successfully eliminated the advantage previously held by a health system with a more generous charity care policy.
    • Eligibility for charity care became consistent across all partner systems, irrespective of their individual policy structures.
    • The standardized approach promoted a more equitable distribution of charity care resources.

    Conclusions:

    • A uniform income threshold is an effective strategy for ensuring fairness and equity in charity care provision across health system partners.
    • Standardizing eligibility criteria prevents policy-driven advantages and promotes a level playing field for patient access to care.
    • This approach is crucial for advancing health equity and optimizing the utilization of charity care resources within integrated health networks.