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Advocacy Issue: Presumptive Eligibility
This fact sheet provides hospitals and health systems with an overview of key considerations for implementing presumptive eligibility for charity care. The AHA encourages all members to consider whether some form of presumptive eligibility for charity care makes sense for their organization.
Presumptive Eligibility Case Study: Corewell Health
BackgroundCorewell Health, a 21-hospital nonprofit health system headquartered in Michigan, is strongly
Presumptive Eligibility Case Study: Houston Methodist
Houston Methodist, an eight-hospital system headquartered in Houston, Texas, is leading the way by reenvisioning its financial assistance policies to meet the changing needs of its community. Houston Methodist maintains a standard financial assistance policy, which utilizes a traditional application and evaluation process, as well as undertakes presumptive eligibility screenings for charity care.
Fact Sheet: Presumptive Eligibility
A growing trend in hospital and health system financial assistance programs is the incorporation of presumptive eligibility screenings for charity care. Presumptive eligibility refers to an automated process of analyzing readily available financial and other data to approximate a patient’s financial need.