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Healthcare Costs

August 7, 2023

More states are taking a closer look at healthcare costs.

 Presently, there’s a growing concern over the allocation of healthcare resources towards benefiting the community. This heightened scrutiny has turned into a pressing community issue, sparking questions about the accountability of healthcare expenditures.

The trend of local healthcare facilities being acquired by larger healthcare holding companies and then transformed into tax-exempt organizations has raised significant concerns. These acquisitions often result in tax changes that exempt these facilities from federal, state, and local taxes. The shift in financial responsibilities diminishes funds available for school districts, putting pressure on communities to seek alternative funding sources.

Public school systems have experienced the strain of reduced resources due to these financial maneuvers. Schools with decreased funding must cut back on curriculum offerings and transportation services within their facilities.

In response to these challenges, states have proposed or enacted legislation aimed at defining charity care more clearly and enhancing transparency regarding healthcare contributions. Some states have even set minimum financial requirements for charitable assistance provided by hospitals.

The increasing focus on the operations of tax-exempt hospitals has coincided with a troubling rise in consumers’ medical debt. Recent reports indicate that over 100 million Americans are burdened with unpaid medical bills. Additionally, there is mounting evidence that hospital holding companies are employing aggressive bill collection practices within their non-profit facilities.

State legislative action including public awareness underscore the urgency of addressing healthcare costs and ensuring that healthcare organizations fulfill their financial responsibilities to their communities.