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Unequal States: Mapping Healthcare's Diverging Paths

The Affordable Care Act is having profound and disparate effects on the finances of not-for-profit health systems. Modern Healthcare reporter Beth Kutscher explored these changes in a series supported by a reporting fellowship from the Association of Healthcare Journalists, sponsored by the Commonwealth Fund.

Part: 1

Where Medicaid expansion matters: Small Illinois hospital expands while Missouri counterparts cut back

At a time when many rural hospitals across the country are on life support, the ACA's controversial Medicaid expansion has resuscitated hospitals, including Franklin Hospital in Benton, Ill. But across the Mississippi River in Missouri, hospitals are not seeing a comparable financial boost.

Part: 2

Hospitals broaden scope of community-benefit work

As the need for charity care drops, some hospitals and health systems across the country are targeting funds to address societal ills such as poverty, violence, hunger, poor nutrition and lack of housing.

Part: 3

Health systems hope social initiatives will produce better health outcomes and lower costs

A small but growing group of not-for-profit hospitals and health systems are spending more money on nontraditional community benefit programs. Besides carrying out their not-for-profit charitable mission, these systems hope that their efforts will pay dividends under value-based payment models.

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