Hospital Capital Formation in the 1980s
Author | : Donald R. Cohodes |
Publisher | : |
Total Pages | : 164 |
Release | : 1984 |
Genre | : Business & Economics |
ISBN | : |
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Author | : Donald R. Cohodes |
Publisher | : |
Total Pages | : 164 |
Release | : 1984 |
Genre | : Business & Economics |
ISBN | : |
Author | : Lois Jean Sonstegard |
Publisher | : |
Total Pages | : |
Release | : 1984 |
Genre | : Hospitals |
ISBN | : |
Author | : |
Publisher | : |
Total Pages | : 140 |
Release | : 1981 |
Genre | : Health facilities |
ISBN | : |
Author | : Art King |
Publisher | : |
Total Pages | : |
Release | : 2010 |
Genre | : |
ISBN | : |
In 1991 the Health Care Financing Agency (HCFA) changed the reimbursement system for hospital capital costs from a costs-paid basis to one with a prospective basis, as part of the ongoing battle to control health care costs. This followed the 1984 change for patient costs from a Fee-For-Service basis to one based on DRGs, a prospectively determined amount for specific diagnosis categories. The capital cost reimbursement allowances in 1996, for example, had a $462 base amount, which was pro-rated with an adjustment for patient-specific DRGs. Previous empirical research has shown that hospitals increased net fixed capital when the proportion of Medicare discharges increased, and as the market became less concentrated. In this paper we develop a model of hospital behavior in which non-profit hospitals maximize some combination of quantity, quality and profits; for-profits maximize the more traditional economic concept of profit. Hospitals differ by the number of Medicare and Medicaid patients, concentration of the market in which they are located, and other hospital-specific factors. Using annual Medicare Cost Report data, provided by the Center for Medicare and Medicaid (CMS), we estimate the annual change in real fixed assets, or hospital net investment, in a fixed effects model for Pennsylvania hospitals. These estimates are then used as inputs to measure both the effect of the percentage of Medicare discharges and market concentration on hospital net investment in the 1980s and 1990s. Our results show that hospital capital formation responded in a directly (i.e., positively) to more competitive markets, even after capital reimbursement was restricted/tightened intentionally, via the 1991 payments system change.
Author | : Henry A. Foley |
Publisher | : |
Total Pages | : 28 |
Release | : 1979 |
Genre | : Government publications |
ISBN | : |
Author | : |
Publisher | : |
Total Pages | : 244 |
Release | : 1977 |
Genre | : Medical |
ISBN | : |
Author | : John Byron Silvers |
Publisher | : |
Total Pages | : 208 |
Release | : 1983 |
Genre | : Medical |
ISBN | : |
Author | : Jesus J. Pena |
Publisher | : Wolters Kluwer Law & Business |
Total Pages | : 404 |
Release | : 1985 |
Genre | : Hospitals |
ISBN | : |
Author | : Institute of Medicine |
Publisher | : National Academies Press |
Total Pages | : 580 |
Release | : 1986-01-01 |
Genre | : Medical |
ISBN | : 0309036437 |
"[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 | : Howard S Berliner |
Publisher | : Routledge |
Total Pages | : 147 |
Release | : 2019-06-04 |
Genre | : Political Science |
ISBN | : 1000313239 |
The Conservation of Human Resources, Columbia University, of which I am the director, has been carrying out over the past three years an inquiry into selected forces that are altering the structure and functioning of the U.S. health care system. The funding for the project was provided by the Robert Wood Johnson Foundation and the principal investigator was Howard Berliner, an Associate Research Scholar on the Conservation staff.