ArticleHealth affairs (Project Hope)2025
Oregon Community Benefit Reform Influenced Not-For-Profit Hospitals' Charity Care And Medical Debt Write-Off.
Article in Health affairs (Project Hope), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed.
- County Indigent Care programs fill coverage gaps left by Medicaid restrictions: evidence from Texas.Health affairs scholar · 2026Article
- Medical Debt and Advanced Cancer Stage at Diagnosis.JAMA network open · 2026Article
- Long-Term Impact of Medicaid Expansion on Not-for-Profit Hospital Community Benefit Spending in the Southern United States.Medical care · 2026Article
- Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections.JAMA network open · 2026Article
- Medical debt, financial risk factors, and deferred care among low-wage workers.Health affairs scholar · 2025Article
- Oregon Not-for-Profit Hospital Community Benefit Policy: Trends in Community Benefit Spending.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
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 nearest-neighbor matching difference-in-differences design and hospital financial data from the period 2016-22, we examined the impact of phase 1 requirements on charity care spending and bad debt. Oregon's patient financial assistance and medical debt protections were associated with higher charity care spending ($423,000 per hospital) and higher levels of bad debt ($846,000 per hospital) by Oregon hospitals relative to control hospitals. It is too soon to understand the effects of minimum community benefit spending floors.
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Registered trials
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.