Health Affairs February 1, 2025
Abstract
Not-for-profit hospitals are required to provide community benefits to improve the well-being of their communities. However, hospitals’ community benefit spending has remained mostly flat despite federal and state regulations intended to increase it. A new Oregon policy takes a multiphase approach to increase not-for-profit hospitals’ community investment. In 2020, phase 1 expanded patient financial assistance requirements and medical debt protections. In 2021, phase 2 imposed a hospital-specific minimum community benefit spending floor. Using a...