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The Effect of the Balanced Budget Act of 1997 on Financial Indicators of Critical Access Hospitals in Pennsylvania

The Effect of the Balanced Budget Act of 1997 on Financial Indicators of Critical Access Hospitals in Pennsylvania
Author: Shane Daniel Flickinger
Publisher:
Total Pages: 52
Release: 2010
Genre:
ISBN:

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The Balanced Budget Act of 1997 allows qualified rural hospitals in the United States to convert to Critical Access Hospital (CAH) status. In order to aid Medicare reimbursement rates, CAHs receive cost-based reimbursement for Medicare patients. However, the overall improvement in financial indicators of CAHs remains unclear. Therefore, this analysis has three goals: - To compare the financial performance of Pennsylvania CAHs and rural hospitals. - To assess the evidence of the effects of conversion on financial performance. - To identify factors affecting financial performance. Rural hospitals are classified as rural hospitals that are not eligible to convert to CAH status or elected not to convert. Prior research on CAHs is limited and focuses primarily on quality assessment and quality indicators. Additionally, no prior research examines the financial indicators of CAHs in Pennsylvania. As a result of this analysis, rural hospitals in Pennsylvania considering a conversion to CAH status will be able to project likely financial impacts. Policymakers will also be able to compare the financial indicators of CAHs to other rural hospitals in Pennsylvania to determine if the Balanced Budget Act of 1997 is achieving its desired impact in Pennsylvania. Descriptive statistics are utilized to assess the financial performance of hospitals and the effects of conversion by examining the change in financial indicators in the two years before and after conversion. A repeated measures analysis of variance identifies factors associated with the financial indicators of CAHs in Pennsylvania compared to rural hospitals before and after conversion to CAH status. Using a general linear model, this analysis examines the effect of adjacency to a metropolitan county and net patient revenue on financial performance.


Implications of the Balanced Budget Act on Rural Hospitals

Implications of the Balanced Budget Act on Rural Hospitals
Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Agriculture, Rural Development, and Related Agencies
Publisher:
Total Pages: 72
Release: 2001
Genre: Political Science
ISBN:

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Balanced Budget Act of 1997

Balanced Budget Act of 1997
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
Total Pages: 258
Release: 1999
Genre: Medical
ISBN:

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The Balanced Budget Act of 1997

The Balanced Budget Act of 1997
Author: United States. Congress. House. Committee on Commerce. Subcommittee on Health and the Environment
Publisher:
Total Pages: 152
Release: 2000
Genre: Federal aid to health facilities
ISBN:

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The Balanced Budget Act of 1997

The Balanced Budget Act of 1997
Author: United States Committee on Commerce
Publisher: Forgotten Books
Total Pages: 298
Release: 2017-11-19
Genre: Business & Economics
ISBN: 9780260004697

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Excerpt from The Balanced Budget Act of 1997: A Look at the Current Impact on Providers and Patients: Hearing Before the Subcommittee on Health and Environment of the Committee on Commerce, House of Representatives, One Hundred Sixth Congress, Second Session; July 19, 2000 Hospitals have been among the most vocal providers in seeking relief from the bba, m part because so many of their operations were affected by provisions of the law. For inpatient services covered by the prospective payment system, the bea froze base payments in fiscal year 1998 and reduced updates in subsequent years, instituted a new policy for transfer cases, lowered the a 'ustment for indirect med ical education (ime) to teaching hos itals, lowered the a justment received by hos pitals that treat a disproportionate s are (bsh) of low-income patients, and reduced capital payment rates. For outpatient services, the bba eliminated the so-called for mula driven overpayment, extended reductions in payments for capital and services paid on a cost basis, and directed the Secretary to implement a prospective pa ent system for services still being paid at least partially on the basis of costs. Ollec t1vely, these provisions were intended to slow Medicare spending growth, brin in patient payments in line with costs, and move payments for outpatient services m a cost-based system to mmspective one. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


Balanced Budget Act of 1997

Balanced Budget Act of 1997
Author: United States Committee on Commerce
Publisher: Forgotten Books
Total Pages: 202
Release: 2017-10-30
Genre: Business & Economics
ISBN: 9781528434751

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Excerpt from Balanced Budget Act of 1997: Impact on Cost Savings and Patient Care: Hearing Before the Subcommittee on Health and Environment of the Committee on Commerce, House of Representatives, One Hundred Sixth Congress, First Session; September 15, 1999; Serial No. 106-67 I am prou of that legislation and this committee' 3 vital role in its creation. The bba was enacted with bipartisan sup 133011 and I believe it is critical that we work together in consi enng any changes to the law. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


Medicare Reimbursement for Physicians and Hospitals

Medicare Reimbursement for Physicians and Hospitals
Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Departments of Labor, Health and Human Services, Education, and Related Agencies
Publisher:
Total Pages: 96
Release: 2003
Genre: Medical
ISBN:

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The Balanced Budget Act of 1997 and Hospital Cost Shifting

The Balanced Budget Act of 1997 and Hospital Cost Shifting
Author: Jing Hua Zhang
Publisher:
Total Pages: 116
Release: 2011
Genre:
ISBN: 9781124962511

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In this study I utilize the long-difference model to examine the evidence of cost shifting during the period of 1998 to 2002, given the exogenous payment cuts by the BBA of 1997. I further examine the possible impacts of the BBA of 1997 on health outcomes in terms of the Hospital Acquired Infection (HAI) rate.