Effects of Specialty Hospitals on the Financial Performance of General Hospitals, 1997—2004

Effects of Specialty Hospitals on the Financial Performance of General Hospitals, 1997—2004

Hospital specialization has become a controversial topic, culminating in a moratorium issued in 2003 by Congress directing the Centers for Medicare and Medicaid Services to cease payments to new physician-owned specialty hospitals for those Medicare and Medicaid patients referred by physicians with...

Ausführliche Beschreibung

Bibliographische Detailangaben
Veröffentlicht in:Inquiry. - SAGE Publications, 1963. - 44(2007), 3, Seite 321-334
1. Verfasser: Schneider, John E. (VerfasserIn)
Weitere Verfasser: Ohsfeldt, Robert L., Morrisey, Michael A., Li, Pengxiang, Miller, Thomas R., Zelner, Bennet A.
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2007
Zugriff auf das übergeordnete Werk:Inquiry
Schlagworte:Economics Health sciences
LEADER 01000caa a22002652 4500
001 JST040367517
003 DE-627
005 20240621062147.0
007 cr uuu---uuuuu
008 150324s2007 xx |||||o 00| ||eng c
035 |a (DE-627)JST040367517 
035 |a (JST)29773321 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a Schneider, John E.  |e verfasserin  |4 aut 
245 1 0 |a Effects of Specialty Hospitals on the Financial Performance of General Hospitals, 1997—2004 
264 1 |c 2007 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
520 |a Hospital specialization has become a controversial topic, culminating in a moratorium issued in 2003 by Congress directing the Centers for Medicare and Medicaid Services to cease payments to new physician-owned specialty hospitals for those Medicare and Medicaid patients referred by physicians with a financial interest in the facility. This paper focuses on one important economic question: does the presence of specialty hospitals in a market affect general hospitals' financial performance? We estimate longitudinal fixed-effects models for a national panel of short-term acute care hospitals for the period 1997 though 2004; models are estimated for general hospital patient-care revenue, costs, and operating margins. We find that the presence of one or more new or established specialty hospitals in a market has a negative effect on general hospital costs and a positive effect on general hospital operating margins. Results, which were consistent across several different modeling approaches, imply that the presence of specialty hospitals encourages greater efficiency on the part of incumbent general hospitals, and the existence of profits attracts market entry. Our findings question the contention that competition from specialty hospitals harms general hospitals financially. 
540 |a © 2007 Excellus Health Plan, Inc. 
650 4 |a Economics  |x Economic disciplines  |x Health care economics  |x Health care costs  |x Hospital costs 
650 4 |a Health sciences  |x Health care industry  |x Health care facilities  |x Hospitals  |x Psychiatric hospitals 
650 4 |a Health sciences  |x Patient care 
650 4 |a Economics  |x Economic policy  |x Public finance  |x Public expenditures  |x Entitlement programs  |x Medicare 
650 4 |a Economics  |x Microeconomics  |x Economic costs and benefits  |x Economic costs  |x Operating costs 
650 4 |a Health sciences  |x Health care industry  |x Health care facilities  |x Hospitals 
650 4 |a Health sciences  |x Health care industry  |x Health care facilities  |x Hospitals  |x Nonprofit hospitals 
650 4 |a Economics  |x Economic disciplines  |x Health care economics  |x Health care costs 
650 4 |a Economics  |x Economic disciplines  |x Financial economics  |x Finance  |x Financial analysis  |x Financial margins 
650 4 |a Economics  |x Microeconomics  |x Income  |x Revenue 
655 4 |a research-article 
700 1 |a Ohsfeldt, Robert L.  |e verfasserin  |4 aut 
700 1 |a Morrisey, Michael A.  |e verfasserin  |4 aut 
700 1 |a Li, Pengxiang  |e verfasserin  |4 aut 
700 1 |a Miller, Thomas R.  |e verfasserin  |4 aut 
700 1 |a Zelner, Bennet A.  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Inquiry  |d SAGE Publications, 1963  |g 44(2007), 3, Seite 321-334  |w (DE-627)388092602  |w (DE-600)2147137-X  |x 19457243  |7 nnns 
773 1 8 |g volume:44  |g year:2007  |g number:3  |g pages:321-334 
856 4 0 |u https://www.jstor.org/stable/29773321  |3 Volltext 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_JST 
912 |a GBV_ILN_11 
912 |a GBV_ILN_20 
912 |a GBV_ILN_22 
912 |a GBV_ILN_23 
912 |a GBV_ILN_24 
912 |a GBV_ILN_31 
912 |a GBV_ILN_32 
912 |a GBV_ILN_39 
912 |a GBV_ILN_40 
912 |a GBV_ILN_60 
912 |a GBV_ILN_62 
912 |a GBV_ILN_63 
912 |a GBV_ILN_65 
912 |a GBV_ILN_69 
912 |a GBV_ILN_70 
912 |a GBV_ILN_73 
912 |a GBV_ILN_74 
912 |a GBV_ILN_90 
912 |a GBV_ILN_95 
912 |a GBV_ILN_100 
912 |a GBV_ILN_101 
912 |a GBV_ILN_105 
912 |a GBV_ILN_110 
912 |a GBV_ILN_150 
912 |a GBV_ILN_151 
912 |a GBV_ILN_161 
912 |a GBV_ILN_170 
912 |a GBV_ILN_206 
912 |a GBV_ILN_213 
912 |a GBV_ILN_230 
912 |a GBV_ILN_285 
912 |a GBV_ILN_293 
912 |a GBV_ILN_370 
912 |a GBV_ILN_374 
912 |a GBV_ILN_602 
912 |a GBV_ILN_702 
912 |a GBV_ILN_2001 
912 |a GBV_ILN_2003 
912 |a GBV_ILN_2005 
912 |a GBV_ILN_2006 
912 |a GBV_ILN_2007 
912 |a GBV_ILN_2008 
912 |a GBV_ILN_2009 
912 |a GBV_ILN_2010 
912 |a GBV_ILN_2011 
912 |a GBV_ILN_2014 
912 |a GBV_ILN_2015 
912 |a GBV_ILN_2018 
912 |a GBV_ILN_2020 
912 |a GBV_ILN_2021 
912 |a GBV_ILN_2025 
912 |a GBV_ILN_2026 
912 |a GBV_ILN_2027 
912 |a GBV_ILN_2031 
912 |a GBV_ILN_2034 
912 |a GBV_ILN_2038 
912 |a GBV_ILN_2044 
912 |a GBV_ILN_2050 
912 |a GBV_ILN_2056 
912 |a GBV_ILN_2057 
912 |a GBV_ILN_2061 
912 |a GBV_ILN_2068 
912 |a GBV_ILN_2098 
912 |a GBV_ILN_2106 
912 |a GBV_ILN_2107 
912 |a GBV_ILN_2111 
912 |a GBV_ILN_2129 
912 |a GBV_ILN_2153 
912 |a GBV_ILN_2190 
912 |a GBV_ILN_2232 
912 |a GBV_ILN_2507 
912 |a GBV_ILN_2949 
912 |a GBV_ILN_2950 
912 |a GBV_ILN_4012 
912 |a GBV_ILN_4035 
912 |a GBV_ILN_4037 
912 |a GBV_ILN_4046 
912 |a GBV_ILN_4112 
912 |a GBV_ILN_4125 
912 |a GBV_ILN_4126 
912 |a GBV_ILN_4242 
912 |a GBV_ILN_4249 
912 |a GBV_ILN_4251 
912 |a GBV_ILN_4305 
912 |a GBV_ILN_4306 
912 |a GBV_ILN_4307 
912 |a GBV_ILN_4313 
912 |a GBV_ILN_4322 
912 |a GBV_ILN_4323 
912 |a GBV_ILN_4324 
912 |a GBV_ILN_4325 
912 |a GBV_ILN_4326 
912 |a GBV_ILN_4335 
912 |a GBV_ILN_4338 
912 |a GBV_ILN_4346 
912 |a GBV_ILN_4367 
912 |a GBV_ILN_4393 
912 |a GBV_ILN_4700 
951 |a AR 
952 |d 44  |j 2007  |e 3  |h 321-334