July 2019

Mohammad Anas Wahaj | 25 jul 2019

According to the online research by Booking.com, 59% of youth surveyed want to give back to society as part of their travel experience. This is almost double the global average (31% of Gen Z) that want to volunteer while travelling. Report surveyed 21807 respondents of 16 years or above in 29 markets with about 1000 from each country. 71% of Gen Z travellers consider volunteering as enhancement to their trip's authenticity - more interaction with local people and making a difference. Sustainability travel is also on the rise with care for environment at the top of traveller's mind. Ritu Mehrotra, country manager India at Booking.com, says, 'Over 71% of all travellers want to reduce their carbon footprint by limiting the distance travelled. This number increases further among the Gen Z to 76% as they want to use more environmentally-friendly transport, walking or biking, during the holidays.' Read on...

Devdiscourse: More youth want to volunteer while travelling: Report
Author: NA

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Mohammad Anas Wahaj | 17 jul 2019

Experts' views are divided on how non-profit hospitals benefit communities. In US, non-profit hospitals received tax-benefits valued at over US$ 24 billion annually in 2011. In exchange for tax exemptions these hospitals provide 'community benefits' like free and subsidized care, investments in public health, community-based health initiatives intended to address the social determinants of health, such as food or housing insecurity. But, many observers argue that hospitals avoid making sustained community investments in favor of counting millions of dollars of 'discounts' to low-income patients as community benefits while aggressively pursuing unpaid bills. Krisda Chaiyachati and Rachel Werner, Senior Fellows at LDI University of Pennsylvania, have recently written two research to add information to this debate. They provide detailed estimates of how much hospitals spend on different types of community benefits, whether community benefits are matched to local need, and what effects community benefits have on health outcomes. Mr. Chaiyachati and Ms. Werner analyzed IRS tax data from over 1600 non-profit hospitals. By law, hospitals report total spending on community benefits, broken out by health care-related spending (e.g. free care), community-directed spending (e.g. anti-smoking initiatives or funds for local community organizations), and research and educational activities. To standardize comparisons, the authors measured all spending as shares of total hospital expenditures. Researchers find out that hospitals still rely on discounted charity care to meet community benefits requirements. In 2014, non-profit hospitals reported that they spent an average of 8.1% (US$ 17 million) of their total expenditures on community benefits, more than 80% of which was health care-related. On average, 6.7% (US$ 11 million) of expenditures were on health care services, compared to 0.7% (US$ 1.2 million) for community-directed contributions. The remainder of community benefits were on educational and research initiatives. The results are disappointing in light of a second study from Ms. Werner and Mr. Chaiyachati, which suggests that community-directed spending could improve health outcomes, specifically, 30-day readmission rates. Readmissions rates are a useful measure of health care quality-capturing in-hospital care, discharge planning, and follow-up. Since the Affordable Care Act, hospitals have been financially penalized for high readmission rates. The evidence from research suggests that increased investment in the social determinants of health, rather than simply writing off free care, has a significant impact on measurable health outcomes. Read on...

Penn LDI Blog: How Do Non-profit Hospitals Give Back?
Author: Aaron Glickman

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