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National list ranks Cleveland Clinic high for failing to spend on fair share of community benefits

Outside the Meijer grocery store in Fairfax, Lachelle Dixon-Harris said the Clinic and other local hospitals need to help residents afford services — especially students and elderly residents. “They should have access to affordable health care that meets their needs — those who live in the community, not those who are coming from outside of the community, not those who fly in from other countries," she said. More

Study finds most nonprofit Indiana hospitals didn’t reinvest as much as they saved in taxes.

Garber also noted that nonprofit hospitals, specifically, are required to gather information about their communities’ most pressing health needs. Although the IRS Form 990 filed by nonprofit organizations includes Schedule H section requesting community-related spending, the section “includes a lot of information that has nothing to do with health care at all,” she said. “There’s definitely a need for transparency on what are you doing to address the health needs,” she said.
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Some Florida nonprofit hospitals aren’t using their tax breaks the way they’re expected

Saini said there isn’t a clear pattern between which hospitals choose to give back and which don’t. In fact, they often coexist. “In any given city, you can often find two hospitals — one of which is in a surplus and one of which is in a deficit,” he clarified. “So it really seems that we have a tale of two hospitals in our health care.” More

Many Illinois hospitals receive tax exemptions, but how much do they help their communities? New report takes a look.

Mount Sinai Hospital ranks the fourth highest among hospitals across 20 states for spending far more money on charity care and helping its community than what it saves through tax exemptions, according to a new report from the Lown Institute. The West Side hospital spent an average of $78 million more a year on charity care and investing in its community than it saved from tax exemptions given to not-for-profit hospitals, between 2020 and 2022, according to the report from Lown, a Massachusetts-based think tank. More

Pay starts flowing when nonprofit CEOs leave the job

“If we’re really going to grapple with the problems of health care, which are so expensive, unaffordable, driving medical debt — all the things that everybody knows about and are problematic — I think this is a moment to rethink some of that and ask: can we have more transparency?" Saini said. “Can we really try to understand what the hell is going on, how the money is flowing?”

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Meet the Shkreli Award “Winners”

From selling deceased patients' body parts to denying cancer treatment over upfront payments, the Lown Institute's annual Shkreli Awards spotlight the most egregious examples of profiteering and dysfunction in American healthcare. Dr. Vikas Saini, President of the Lown Institute, walks us through 2024's "winners" and what they reveal about the state of our healthcare system. More

How to find free or discounted health care at Minnesota hospitals

The Lown Institute, a Boston-based group that evaluates hospitals on their community investments, said patients can learn about charity care programs simply by calling up an online search engine, entering the name of a medical center and typing the phrase “financial assistance policy.” That’s usually faster than clicking through the hospital’s website, said Judith Garber, a senior policy analyst with Lown. “It will indicate the thresholds for accessing free and discounted care, usually based on family size and income,” Garber said via email.

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Podcast: The ‘Shkreli Awards’ — for dysfunction and profiteering in health care

We’re bringing you highlights from this year’s ceremony – featuring things like human bones for sale without the consent of the deceased or their families, phantom urinary catheters, and so much more – and some reflections from the Lown Institute’s president, Dr. Vikas Saini. “Showing all these stories together paints a picture of a health care system in desperate need of transformation,” Saini said at the ceremony. “Not just because the stories are shocking, but because often what they're depicting, like Martin Shkreli's infamous price hike, is perfectly legal.” More

“Shkreli awards” recognise most egregious profiteering in US healthcare

his is the eighth year in which the awards have been given. Winners are chosen by a panel including doctors, public health experts, journalists, and patient advocates. The awards are named after Martin Shkreli, the “pharma bro” who became infamous when he bought the maker of the anti-parasitic drug Daraprim and increased the price 50-fold.

Speaking at the ceremony, Lown Institute president Vikas Saini said, “All these stories paint a picture of a healthcare industry in desperate need of transformation. Doing these awards every year shows us that this is nothing new.”

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This Year’s Shkreli Awards: Here’s Who Made the List

This set of Shkreli Award winners is the institute's eighth installment, but the level of outrageousness in the actions of this year's candidates is the most disturbing, Saini said. There are "regulators and people in positions of authority whose jobs they are supposed to do, but instead they turn and look the other way. A lot of this stuff that happens is because there's no cops on the beat." More