Bad Debt Charity Care

House bill would increase tax-exempt hospital reporting requirements

A bill that advanced out of a House committee Wednesday would add significant reporting requirements for tax-exempt hospitals. As passed by the Ways and Means Committee, the Tax-Exempt Hospital Transparency Act includes increased reporting obligations in areas such as community benefit, charity care, the 340B Drug Pricing Program and service-line spending. Requirements would be more…

By Nick Hut July 1, 2026

Health systems boost front-end collections

Amid rising bad debt, health systems are improving front-end collections, according to surveys. Pre-service collections as a share of self-pay collections have improved from an average of 16% in 2025 to 21% in 2026, which signals that more organizations are capturing revenue successfully before care is delivered, according to a survey of 205 healthcare revenue…

By Rich Daly May 22, 2026

Insurers, patients pay less of their bills

Healthcare providers faced growing challenges last year in getting paid for care among patients covered by insurance, according to new benchmark data from Kodiak Solutions. And it was both insurers and patients who were lagging in payment or not paying at all. Denials of coverage by health plans, already a problem in 2023, increased during…

By Paul Barr, CRCR, MS, MBA June 5, 2025

Bad debt, charity up 32% since 2022

Uncompensated care costs have increased 32% in 2025 compared to 2022, but they have been offset by increasing hospital incomes, and the trend is driven by increased payer denials, growing ED visits, and Medicaid volumes.

By Rich Daly May 13, 2025
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