ADAP Advocacy has published an infographic examining declining charity care provision by hospitals and its impact on patients, particularly minority communities. The release is part of the organization's 340B Project and national advocacy campaign questioning whether the 340B Drug Pricing Program has become "too big to fail."
The "340B Too Big to Fail – Charity Care" infographic focuses on hospital requirements to provide free care and financial assistance to low-income patients. Data shows charity care has been decreasing consistently year after year, creating significant financial burdens for vulnerable populations. Patients currently owe at least $220 billion in medical debt, with hospitals holding approximately 75% of this debt.
Black and Hispanic communities experience disproportionate impacts from this declining charity care and accumulating medical debt. The infographic complements recently released commercial materials and is available for download at https://www.adapadvocacy.org/publications.html#i.
For business and technology leaders in healthcare, this report highlights systemic challenges in drug pricing programs and hospital financial practices. The 340B Drug Pricing Program, which allows certain hospitals to purchase outpatient drugs at discounted prices, faces scrutiny regarding whether savings are being appropriately passed to patients through charity care.
The $220 billion medical debt figure represents a significant financial burden that could affect consumer spending, credit markets, and economic stability. Hospitals' collection of this debt, particularly from minority communities, raises questions about equity in healthcare financing and potential regulatory responses.
Technology companies developing healthcare payment systems, debt collection platforms, and financial assistance tools may find opportunities in addressing this substantial medical debt challenge. Artificial intelligence applications for identifying eligible patients for charity care or streamlining financial assistance applications could become increasingly valuable as pressure mounts on hospitals to improve their charity care practices.
The declining charity care trend suggests potential regulatory or legislative changes affecting hospital operations and drug pricing programs. Healthcare organizations may need to invest in technology solutions for better tracking and reporting of charity care activities to demonstrate compliance with program requirements.
ADAP Advocacy's mission focuses on promoting and enhancing AIDS Drug Assistance Programs and improving access to care for people living with HIV/AIDS. The organization collaborates with advocates, healthcare providers, government agencies, patients, pharmaceutical companies, and other stakeholders to raise awareness and foster community collaboration.
The infographic release contributes to ongoing discussions about healthcare affordability, equity, and the effectiveness of drug pricing programs designed to support vulnerable populations. As medical debt continues to grow and charity care declines, healthcare systems face increasing pressure to demonstrate their commitment to serving low-income communities while maintaining financial sustainability.


