Hospital/Health System Oversight
Hospital revenue and expenses, even when disclosed in tax documents and other federal reporting, is complicated to track and understand. The lack of clear, actionable data inhibits the design of effective state cost containment strategies. NASHP is working with state officials to ensure they have access to hospital financial information to identify both existing oversight levers, such as certificate of need, community benefit, etc. and opportunities for cost saving initiatives.
Tax exemptions for nonprofit hospitals cost states billions of dollars in lost tax revenue each year. In return, hospitals are required to invest in activities and services that benefit their communities. Some states, including Oregon and Connecticut, are going beyond federal requirements by holding hospitals accountable for making meaningful investments in the community’s health and […]
Non-profit hospitals are federally required to conduct community health needs assessments (CHNAs) every three years and develop a plan to meet those needs in exchange for their tax exempt status. Many states have laws or guidelines that are more detailed than the federal requirements. Scroll down to see 10 states’ guidelines for involving community members […]
Tax-exempt hospitals receive billions of dollars in tax exemptions each year. In exchange, they are required to invest in the health of their communities. But to do that, hospitals must first identify the health needs of the communities they serve. States can work to make sure hospitals truly seek out and act on meaningful input […]
Amara Azubuike and Sandra Wolitzky are assistant attorneys general in the Massachusetts Office of the Attorney General. A new report released in October 2018 by Massachusetts Attorney General Maura Healey finds that complicated and varied methods used to determine health care payment rates contribute to administrative cost increases and make it difficult for market participants […]
Hospitals get billions in tax breaks and in return they’re supposed to invest in community health. How can state policymakers ensure that money is spent on the right issues to support state health goals? Nonprofit hospitals benefited from at least $24.6 billion in tax exemptions in 2011, according to a 2015 analysis that used the most […]
As the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]