The association between for-profit hospital ownership and increased Medicare spending

Article Abstract:

Medicare spending at for-profit hospitals is greater than at not-for-profit hospitals. Researchers compared the per-capita Medicare spending rates in 3,068 areas of the country. In 1995, for-profit hospitals spent $5,172 per patient and not-for-profit hospitals spent $4,440 per patient. The higher expenditures were consistent across all categories, such as physician fees, hospital services, home health care, and services at other facilities. The greatest growth in Medicare spending from 1989 to 1995 was among hospitals converting from not-for-profit status to for-profit status.

Hospitals, Statistical Data Included, Research, Economic aspects, Finance, Health care industry

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Medical care -- is more always better?

Article Abstract:

Many doctors and public health officials are finding that more medical care does not necessarily equal better medical care. There are great regional differences in health care spending in the US even though patient outcomes are similar. When the Veterans' Administration eliminated 55% of its hospital beds and moved to a primary care model, survival rates among veterans did not change. The increased use of specialists and diagnostic tests may be harmful in addition to being wasteful.

Management dynamics, Administration of Veterans' Affairs, Office of Veterans Affairs, Health aspects, Editorial, Management, Evaluation, Demographic aspects, Family medicine, Health care reform, Company business management, United States. Department of Veterans Affairs

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Paying for performance - Risks and recommendations

Article Abstract:

A number of concerns among physicians and policy analysts were raised when Congress called on the centers for Medicare and Medicaid Services (CMS) to implement a pay-for-performance system for hospitals. Since most Medicare beneficiaries receive care from multiple physicians in diverse institutional settings, the committee highlighted the need for measures and rewards that foster shared accountability and coordination of care.

Services information, Personnel administration, Administration of Public Health Programs, Health Care Financing Admin, Offices & clinics of medical doctors, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Services, Compensation and benefits, Physicians, United States. Centers for Medicare and Medicaid Services

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