Start: March 2011

Funder: Kaiser Permanente Community Benefit


Although the Affordable Care Act (ACA) expanded health insurance coverage to over 20 million Americans, an additional 20 million people remain uninsured. While the need for charity care programs — which provide low- or no-cost coverage to the uninsured — will remain, they must consider how to adapt their business models and delivery systems to uncertain resources and demand for services.

With support from Kaiser Permanente, CHCS seeded the development of an affinity group for 12 invited charity care programs to: (1) share best practices and address challenges in redefining program roles, delivery systems, and business models to serve the remaining uninsured population in 2014 and beyond; and (2) consider potential roles in the state insurance exchanges and/or Medicaid.

The following programs participated:

  • Access to Healthcare Network (Nevada)
  • CareLink (San Antonio, TX)
  • Community Service Society of New York (New York, NY)
  • Grameen PrimaCare (New York, NY)
  • Health Care Access Maryland (Maryland)
  • Ingham Health Plan (Ingham County, MI)
  • Kaiser Foundation Health Plan
  • Portico Healthnet (Dakota, Hennepin, Ramsey, and Washington Counties, MN)
  • Project Access (Buncombe County, NC)
  • Project Access Lancaster County (Lancaster, PA)
  • Resources for Human Development (Philadelphia, PA)
  • Seton Care Plus (Austin, TX)

This initiative continues to inform the dissemination of policy and operational best practices to charity care, Medicaid, and broader health system stakeholders.

This project was built on a 2010 CHCS policy brief that explored the delivery systems and business models of charity care programs prior to health care reform implementation.