The Affordable Care Act has significantly reduced the number of uninsured individuals in Oregon, decreasing charity care costs for hospitals like PeaceHealth. With fewer uninsured patients, PeaceHealth can now spend more on preventative community programs to improve population health. While the ACA rollout brought challenges, over 240,000 Oregonians have gained coverage through Cover Oregon or Medicaid. PeaceHealth remains committed to providing financial assistance to patients who need it and transitioning to a system focused on prevention and wellness rather than just acute care.