Evidence map›Paper›PMID 39496092›Full record

ArticleHealth affairs (Project Hope)2024

US Nonprofit Hospitals Have Widely Varying Criteria To Decide Who Qualifies For Free And Discounted Charity Care.

Luke Messac, Alexander T Janke, Lisa Herrup Rogers, Imani Fonfield, Jared Walker, Elijah Rushbanks, Nora V Becker, Ge Bai

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. The Access Partnership: Expanding Outpatient Health Care Access for Uninsured Patients at One Academic Medical Center.Academic medicine : journal of the Association of American Medical Colleges · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Luke MessacLuke Messac (lukemessac@gmail.com), Brigham and Women's Hospital, Boston, Massachusetts.
Alexander T JankeAlexander T. Janke, Veterans Affairs Ann Arbor Healthcare System and University of Michigan, Ann Arbor, Michigan.
Lisa Herrup RogersLisa Herrup Rogers, Dollar For, Mountain View, California.
Imani FonfieldImani Fonfield, Harvard University, Cambridge, Massachusetts.
Jared WalkerJared Walker, Dollar For, Vancouver, Washington.
Elijah RushbanksElijah Rushbanks, Dollar For, Vancouver, Washington.
Nora V BeckerNora V. Becker, University of Michigan.
Ge BaiGe Bai, Johns Hopkins University, Baltimore, Maryland.

Funding

AHRQ HHS K08 HS028817
6 · The paper itself

Abstract

US nonprofit hospitals are required by law to have a charity care policy, but hospitals have significant discretion in determining specific eligibility criteria. Using a novel national database, this analysis revealed that nonprofit hospitals have chosen widely varying charity care eligibility guidelines. Among hospitals that offered free care, income limits ranged from 41 percent to 600 percent of the federal poverty guideline. Many hospitals considered assets when determining eligibility for charity care, and a significant minority also had residency requirements and restrictions for insured patients. Hospitals generally allowed charity care in cases of hardship, with a median cutoff of a given hospital bill being 20 percent of the patient's income. Hospitals in counties with lower levels of poverty and uninsurance had more generous eligibility policies. The wide variation in requirements for hospital financial assistance poses barriers to equitable access to care.

Indexed as

Uncompensated CareCharitiesEligibility DeterminationHospitals, VoluntaryHumansOrganizations, NonprofitPovertyUnited States

Identifiers

PMID39496092
PMCPMC12230784

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.