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Author: Mary Crossley Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The Affordable Care Act (ACA) imposes a number of new requirements on hospitals seeking to maintain their tax-exempt status under federal law. One requirement is that hospitals must conduct a “community health needs assessment” (CHNA) at least every three years and then develop and implement a strategy to address the needs identified in the assessment. This essay explores the potential this provision may offer for identifying, understanding, and reducing health care disparities. By calling on hospitals to focus less on individuals and more on communities, the CHNA requirement may offer a valuable addition to the toolkit for combating disparities. Thinking about hospitals and CHNAs in this fashion also contributes to a growing scholarly and professional dialogue that advocates for increased support for public health approaches to health problems and urges better integration of our public health and health care systems. This essay sketches how tax-exempt hospitals' need to satisfy the new CHNA requirement might be harnessed as a tool for addressing health disparities, as well as some factors that might stymie this potential.
Author: Mary Crossley Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
The Affordable Care Act (ACA) imposes a number of new requirements on hospitals seeking to maintain their tax-exempt status under federal law. One requirement is that hospitals must conduct a “community health needs assessment” (CHNA) at least every three years and then develop and implement a strategy to address the needs identified in the assessment. This essay explores the potential this provision may offer for identifying, understanding, and reducing health care disparities. By calling on hospitals to focus less on individuals and more on communities, the CHNA requirement may offer a valuable addition to the toolkit for combating disparities. Thinking about hospitals and CHNAs in this fashion also contributes to a growing scholarly and professional dialogue that advocates for increased support for public health approaches to health problems and urges better integration of our public health and health care systems. This essay sketches how tax-exempt hospitals' need to satisfy the new CHNA requirement might be harnessed as a tool for addressing health disparities, as well as some factors that might stymie this potential.
Author: Mary Crossley Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
This article reviews recently promulgated Internal Revenue Service regulations for nonprofit hospitals seeking tax exemption and a new estimate of national hospital community benefit spending, and analyzes how they point to the value of hospitals working with community partners to address the social determinants of health. It then explains how unmet legal needs function as health determinants, and suggests how hospitals' participation in medical-legal partnerships can address those needs.
Author: Mary Crossley Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Health disparities represent a significant strand in the fabric of racial injustice in the United States, one that has proven exceptionally durable. Many millions of dollars have been invested in addressing racial disparities over the past three decades. Researchers have identified disparities, unpacked their causes, and tracked their trajectories, with only limited progress in narrowing the health gap between whites and racial and ethnic minorities. The implementation of the Affordable Care Act (ACA) and the movement toward value-based payment methods for health care may supply a new avenue for addressing disparities. This Article argues that the ACA's requirement that tax-exempt hospitals assess the health needs of their communities and take steps to address those needs presents a valuable opportunity to engage hospitals as partners in efforts to reduce racial health disparities. Whether hospitals will focus on disparities as they assess their communities' health needs, however, is uncertain; preliminary reviews of hospitals' initial compliance with the new requirement suggest that most did not. Relying on Professor Derrick Bell's interest-convergence theory, this Article explores how hospitals' economic interests may converge with interests in racial health justice. It presents two examples of interventions that could reduce disparities while saving hospitals money. The Article closes by identifying steps that health justice advocates, the federal government, and researchers should take to help, in Professor Bell's words, “forge [the] fortuity” of interest convergence between hospitals and advocates for racial justice and lead to progress in eliminating racial health disparities.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309452961 Category : Medical Languages : en Pages : 583
Book Description
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309036437 Category : Medical Languages : en Pages : 580
Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309166616 Category : Medical Languages : en Pages : 429
Book Description
The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.
Author: Thomas K. Hyatt Publisher: John Wiley & Sons ISBN: 1118037499 Category : Business & Economics Languages : en Pages : 254
Book Description
Authoritative and entirely up to date to reflect recent changes in health law and tax-exempt law, this is a one-volume source of detailed information on federal, state, and local laws covering tax-exempt healthcare organisations.
Author: Mary Crossley
Author: Mary Crossley
Author: Mary Crossley
Author: Mary Crossley
Author: National Academies of Sciences, Engineering, and Medicine
Author: Institute of Medicine
Author: United States. Congress. House. Committee on Ways and Means
Author: 
Author: Institute of Medicine
Author: United States. General Accounting Office
Author: Thomas K. Hyatt