Affordable Care Act – Requirements and Opportunities

Nurse Visiting Senior Female Patient At HomeFresh Advantage® understands the newly strengthened regulatory requirements of the ACA and related IRS reporting obligations.

An effective, data-based Community Health Needs Assessment (CHNA) combined with strategic community partnerships as a part of the mandatory Implementation Plan can create the programs needed to meet IRS requirements to demonstrate Community Benefit.

Fresh Advantage will help your hospital to develop community benefit programs that improve community health by decreasing food insecurity and malnutrition while building stronger health-sustaining food systems in your hospital’s service area.

The Challenge

  • The ACA and proposed implementing regulations require transparency, accountability, and community benefit programs and investments that promote population health, emphasize prevention, and the eliminate health disparities. These regulations compel nonprofit hospitals to engage meaningfully in public health practice.
  • Third-party grants are no longer eligible for inclusion in reportable expenditures on Schedule H, Form 990. This change decreases the percentage of theoperating budget that can be claimed in support of community benefit.
  • The extent to which charity care and bad debt can be used as major components of community benefit credit is decreasing as more people obtain health insurance.

The Solution

Fresh Advantage® resolves these challenges by strategically expanding your hospital’s capacity for population health practice through effective, well-coordinated community benefit practices that start with an essential element of human health: the food we eat.

FA helps nonprofit hospitals to meet ACA and IRS reporting requirements in four major ways:

  • Designing and implementing CHNAs that consider quantitative food insecurity data and qualitative information
  • Conducting community asset surveys to identify local resources that can be called upon to develop effective community benefit programs that address priority needs
  • Developing partnerships and programs with nonprofit community organizations and other key stakeholders to complement and extend hospital resources committed to community benefit
  • Evaluating community benefit programs

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