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Author: Gabriel Picone Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
We examine how changes in hospital ownership to and from for-profit status affect quality and Medicare payments per hospital stay. We hypothesize that hospitals converting to for-profit ownership boost postacquisition profitability by reducing dimensions of quality not readily observed by patients and by raising prices. We find that 1-2 years after conversion to for-profit status, mortality of patients, which is difficult for outsiders to monitor, increases while hospital profitability rises markedly and staffing decreases. Thereafter, the decline in quality is much lower. A similar decline in quality is not observed after hospitals switch from for-profit to government or private nonprofit status.
Author: Gabriel Picone Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
We examine how changes in hospital ownership to and from for-profit status affect quality and Medicare payments per hospital stay. We hypothesize that hospitals converting to for-profit ownership boost postacquisition profitability by reducing dimensions of quality not readily observed by patients and by raising prices. We find that 1-2 years after conversion to for-profit status, mortality of patients, which is difficult for outsiders to monitor, increases while hospital profitability rises markedly and staffing decreases. Thereafter, the decline in quality is much lower. A similar decline in quality is not observed after hospitals switch from for-profit to government or private nonprofit status.
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: Grant T. Savage Publisher: Emerald Group Publishing ISBN: 184855673X Category : Medical Languages : en Pages : 246
Book Description
Features reviews of health care management, linking concerns about health care workforce management with health care organization management issues. This book focuses on health care workforce management issues, including allied health professionals, nurses, and physicians, and on health care organization management issues.
Author: I. Glenn Cohen Publisher: Oxford University Press ISBN: 0199366527 Category : Law Languages : en Pages : 1233
Book Description
The Oxford Handbook of U.S. Health Law covers the breadth and depth of health law, with contributions from the most eminent scholars in the field. The Handbook paints with broad thematic strokes the major features of American healthcare law and policy, its recent reforms including the Affordable Care Act, its relationship to medical ethics and constitutional principles, how it compares to the experience of other countries, and the legal framework for the patient experience. This Handbook provides valuable content, accessible to readers new to the subject, as well as to those who write, teach, practice, or make policy in health law.
Author: Jennifer L. Hefner Publisher: Emerald Group Publishing ISBN: 1839829567 Category : Health & Fitness Languages : en Pages : 276
Book Description
Shedding light on current transformations in payment mechanisms and transparency of hospital performance data and prices, this volume of Advances in Health Care Management presents findings on hospital profitability, cost, and organizational structures.
Author: Tressie McMillan Cottom Publisher: Springer ISBN: 3319471872 Category : Business & Economics Languages : en Pages : 231
Book Description
This edited volume proposes that the phenomenon of private sector, financialized higher education expansion in the United States benefits from a range of theoretical and methodological treatments. Social scientists, policy analysts, researchers, and for-profit sector leaders discuss how and to what ends for-profit colleges are a functional social good. The chapters include discussions of inequality, stratification, and legitimacy, differing greatly from other work on for-profit colleges in three ways: First, this volume moves beyond rational choice explanations of for-profit expansion to include critical theoretical work. Second, it deals with the nuances of race, class, and gender in ways absent from other research. Finally, the book's interdisciplinary focus is uniquely equipped to deal with the complexity of high-cost, low-status, for-profit credentialism at a scale never before seen.
Author: Elaine Silverman Publisher: ISBN: Category : Economics Languages : en Pages : 48
Book Description
How do for-profit and not-for-profit hospitals differ? We consider one dimension: the shifting of a patient's diagnostic related group (DRG) to one that yields a greater reimbursement from the Medicare system, also known as upcoding. It has played a major role in recent federal lawsuits against hospitals and hospital chains, but more importantly provides a valuable window for understanding how for-profit and not-for-profit hospitals make tradeoffs between pecuniary benefits and reputational or penalty costs. Our empirical work focuses primarily on hospital admissions involving pneumonia and respiratory infections; while the two diagnostic categories are often difficult to distinguish from one another, the latter pays about $2000 more to the hospital. Between 1989 and 1996, the incidence of the most expensive DRG (relative to all DRGs for pneumonia and respiratory infections) rose by 10 percentage points among stable not-for-profit hospitals, 23 percent among stable for-profit hospitals, and 37 percentage points among hospitals that had converted to for-profit status. (Since 1996, the upcoding index has dropped significantly in response to adverse publicity and lawsuits.) There is some evidence that not-for-profit hospitals operating in heavily for-profit markets were almost as likely to upcode as their for-profit brethren, as well as for important regional effects.
Author: Frank A. Sloan Publisher: MIT Press ISBN: 0262300338 Category : Business & Economics Languages : en Pages : 815
Book Description
A textbook that combines economic concepts with empirical evidence to explain in economic terms how health care institutions and markets function. This book introduces students to the growing research field of health economics. Rather than offer details about health systems around the world without providing a theoretical context, Health Economics combines economic concepts with empirical evidence to enhance readers' economic understanding of how health care institutions and markets function. It views the subject in both microeconomic and macroeconomic terms, moving from the individual and firm level to the market level to a macroeconomic view of the role of health and health care within the economy as a whole. The book includes discussion of recent empirical evidence on the U.S. health system and can be used for an undergraduate course on U.S. health economics. It also contains sufficient material for an undergraduate or masters course on global health economics, or for a course on health economics aimed at health professionals. It includes a chapter on nurses as well as a chapter on the economics of hospitals and pharmaceuticals, which can be used in master's courses for students in these fields. It supplements its analysis with readings (both classic and current), extensive references, links to Web sites on policy developments and public programs, review and discussion questions, and exercises. Downloadable supplementary material for instructors, including solutions to the exercise sets, sample syllabuses, and more than 600 slides that can be used for class presentations, is available at http://mitpress.mit.edu/health_economics. A student solutions manual with answers to the odd-numbered exercises is also available.
Author: Gabriel Picone
Author: Gabriel Picone
Author: David M. Cutler
Author: Grant T. Savage
Author: 
Author: I. Glenn Cohen
Author: Jennifer L. Hefner
Author: Tressie McMillan Cottom
Author: 
Author: Elaine Silverman
Author: Frank A. Sloan