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Author: David M. Cutler Publisher: ISBN: Category : Hospitals Languages : en Pages : 68
Book Description
Over the past twenty-five years, about 330 (7 percent) of the country's 5,000 not-for-profit hospitals have converted to for-profit form This paper explores the causes and effects of conversions through two case studies -- Wesley Medical Center in Wichita, Kansas and the Columbia/HealthOne system in Denver, Colorado. We identify two primary explanations of why hospitals convert: financial concerns and board culture-perceived mission. Financial concerns are multifaceted and include expectations about future profits, anticipated problems servicing debt, and pessimism regarding the future of government reimbursement policies. The effects of these conversions are mixed. There are some efficiencies associated with conversions such as cost-cutting, increased access to capital, and debt-burden relief. However, profits are often derived from increasing reimbursement from the public sector. Further, conversions are likely to cause fragmentation of the hospital market between rich and poor. The results show that not-for-profit hospitals are likely to copy the undesirable behavior of for-profit hospitals in their markets.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309036437 Category : Medical Languages : en Pages : 580
Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
Author: David M. Cutler Publisher: ISBN: Category : Hospitals Languages : en Pages : 68
Book Description
Over the past twenty-five years, about 330 (7 percent) of the country's 5,000 not-for-profit hospitals have converted to for-profit form This paper explores the causes and effects of conversions through two case studies -- Wesley Medical Center in Wichita, Kansas and the Columbia/HealthOne system in Denver, Colorado. We identify two primary explanations of why hospitals convert: financial concerns and board culture-perceived mission. Financial concerns are multifaceted and include expectations about future profits, anticipated problems servicing debt, and pessimism regarding the future of government reimbursement policies. The effects of these conversions are mixed. There are some efficiencies associated with conversions such as cost-cutting, increased access to capital, and debt-burden relief. However, profits are often derived from increasing reimbursement from the public sector. Further, conversions are likely to cause fragmentation of the hospital market between rich and poor. The results show that not-for-profit hospitals are likely to copy the undesirable behavior of for-profit hospitals in their markets.
Author: Teresa F. Cutts Publisher: ISBN: 9780692707289 Category : Languages : en Pages : 240
Book Description
A rich, detailed review of best practices in community health and clinical and community partnerships across hospitals and the broader community. A crisp review of the social determinants of health, leadership, relational IT, community health navigation, financial aspects of community partnering with "social return on investment."
Author: Edward L. Glaeser Publisher: University of Chicago Press ISBN: 0226297861 Category : Business & Economics Languages : en Pages : 256
Book Description
Not-for-profit organizations play a critical role in the American economy. In health care, education, culture, and religion, we trust not-for-profit firms to serve the interests of their donors, customers, employees, and society at large. We know that such firms don't try to maximize profits, but what do they maximize? This book attempts to answer that question, assembling leading experts on the economics of the not-for-profit sector to examine the problems of the health care industry, art museums, universities, and even the medieval church. Contributors look at a number of different aspects of not-for-profit operations, from the problems of fundraising, endowments, and governance to specific issues like hospital advertising. The picture that emerges is complex and surprising. In some cases, not-for-profit firms appear to work extremely well: competition for workers, customers, and donors leads not-for-profit organizations to function as efficiently as any for-profit firm. In other contexts, large endowments and weak governance allow elite workers to maximize their own interests, rather than those of their donors, customers, or society at large. Taken together, these papers greatly advance our knowledge of the dynamics and operations of not-for-profit organizations, revealing the under-explored systems of pressures and challenges that shape their governance.
Author: Burton A. Weisbrod Publisher: Cambridge University Press ISBN: 9780521785068 Category : Business & Economics Languages : en Pages : 360
Book Description
Nonprofit organizations are increasingly resembling private firms in a transformation bringing with it a shift in financial dependence from charitable donation to commercial sales activity. This book, first published in 1998, examines the reasons and consequences of the mimicry of private firms by fundraising nonprofits. User fees and revenue from 'ancillary' activities are mushrooming, with each having important side effects: pricing out of the market certain target groups; or distracting the nonprofit from its central mission. The authors focus first on issues that apply to nonprofits generally: the role of competition, analysis of nonprofit organization behavior, the effects of distribution goals and differential taxation of nonprofit and for-profit activity revenue, the effects of changes in donations on commercial activity, and conversions of nonprofits to for-profits. They then turn to specific industries: hospitals, universities, social service providers, zoos, museums, and public broadcasting. The book concludes with recommendations for research and for public policy toward nonprofits.
Author: David M. Cutler Publisher: University of Chicago Press ISBN: 0226132226 Category : Medical Languages : en Pages : 382
Book Description
In recent years, the hospital industry has been undergoing massive change and reorganization with technological innovations and the spread of managed care. As a result, the total number of hospitals countrywide has been declining, and a growing number of not-for-profit hospitals have converted to for-profit status. These changes raise two fundamental questions: What determines a hospital's choice of for-profit or not-for-profit organizational form? And how does that form affect patients and society? This timely volume provides a factual basis for discussing for-profit versus not-for-profit ownership of hospitals and gives a first look at the evidence about new and important issues in the hospital industry. The Changing Hospital Industry: Comparing Not-for-Profit and For-Profit Institutions will have significant implications for public-policy reforms in this vital industry and will be of great interest to scholars in the fields of health economics, public finance, hospital organization, and management; and to health services researchers.
Author: Peter Frumkin Publisher: Harvard University Press ISBN: 9780674037403 Category : Business & Economics Languages : en Pages : 228
Book Description
Focusing on nonprofits' growing dependence on public funding, their tendency toward political polarization, their often idiosyncratic missions, and their increasing commercialism, Peter Frumkin argues that the long-term challenges facing nonprofit organizations will be solved only when they achieve greater balance among their four central functions. Probing foundational thinking as well as emergent ideas, the book is an essential guide for nonprofit novices and experts alike who want to understand the issues propelling public debate about the future of their sector.
Author: David Jarrard Publisher: Healthleaders Media, a Division of Blr ISBN: 9781615692491 Category : Communication Languages : en Pages : 0
Book Description
Based on the experience of communicating critical healthcare mergers, this book is a practical guide to building a strategic communications plan to share the news of a healthcare organization's merger, acquisition, affiliation, or joint venture. Tried-and-true advice from experts who participated in 20% of hospital partnerships in 2012, this book will help you: * Develop practical steps to use while in the trenches of planning partnership communications * Build a communications plan that brings together all those involved in the announcement of a partnership, from C-suite insiders to outside counsel to communications * Differentiate your communication strategy as one that is unified, positive, and devoid of rumors * Identify what needs to be done when the deal is signed-or when it falls through
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309168570 Category : Medical Languages : en Pages : 294
Book Description
A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community's economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.
Author: David M. Cutler
Author: Institute of Medicine
Author: David M. Cutler
Author: Teresa F. Cutts
Author: Edward L. Glaeser
Author: Burton A. Weisbrod
Author: David M. Cutler
Author: Peter Frumkin
Author: David Jarrard
Author: Dennis R. Young
Author: Institute of Medicine