The Cleveland Clinic Floyd D. Loop Alumni Library has agreements with the publishers listed here to let CCF authors publish their articles at little or no cost. The library's subscriptions cover all or part of the Article Processing Charge (APC). Read and Publish or Transformative Agreements allow libraries and publishers to move towards open access publishing.
IMPORTANT!
To Qualify for Open Access Publishing Under Clinic Agreements:
Failure to meet these requirements will lead to automatic denial of Clinic APCs and you the corresponding author will be responsible for paying the APC.
An open access (OA) is an article that is published in a journal and that article free to read by anyone in the world.
There are two types of journal articles:
1. Traditional articles - Articles that are published in journals and can only be read by people with a subscription to the journal.
2. Open access (OA) articles - Articles that are published in journals and can be read by anyone regardless if they have a subscription
Journals often indicate articles are open access (OA) with an image of an open lock. 
Please note: Unless you have a federal grant that requires you to publish your research as an open access (OA) article, you do NOT need to publish your article as an open access (OA article). You can publish it as a traditional article, which will be read by people with a subscription to the journal.
BOTH open access articles and traditional articles are published in journals in PubMed. The quality of the journal is not related to whether it is an open access journal or not.
We do NOT have an open access agreement with BMJ Case Reports. However, they require all authors to use the library's subscriber ID to submit a manuscript. The author must pay if they want it to be open access, the library's only agreement is to allow authors from subscribing institutions to submit an article. Contact the library to request subscriber ID.
Cambridge University Press also can help with questions about how publishing open access with them works: oaqueries@cambridge.org
Eligibility: No charge to publish for any US-based CCHS corresponding authors in the following journals:
We have hit our open access APC publishing limit with Elsevier for 2025.
We are unable to provide any more APCs for Elsevier journal titles for the remainder of the year. We will be able to provide APCs on January 1, 2026 for articles submitted on or after January 1, 2026.
No Charge, unlimited publishing to 100+ Karger journals.

No charge to publish in any of their journals for any US Cleveland Clinic Health System affiliate
Find more information for authors available at the RUP website.
IMPORTANT
We have hit our open access APC publishing limit with Wiley for 2025.
We are unable to provide any more APCs for Wiley journal titles for the remainder of the year. We will be able to provide APCs on January 1, 2026 for articles submitted on or after January 1, 2026.
If you still want to publish your article as an open access with Wiley, you can chose to publish and pay the APC on your own and are eligible for a 10% discount.