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

New England Journal of Medicine

Volumn 341, Issue 6, 1999, Pages 420-426

  Silverman, Elaine M ^a   Skinner, Jonathan S ^b,c,d   Fisher, Elliott S ^a,b  

^a VA MEDICAL CENTER   (United States)

^b DARTMOUTH MEDICAL SCHOOL   (United States)

^c Dartmouth College   (United States)

^d NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

GEOGRAPHIC DISTRIBUTION; HOME CARE; HOSPITAL COST; HOSPITAL SERVICE; MEDICARE; NON PROFIT HOSPITAL; PRIORITY JOURNAL; PRIVATE HOSPITAL; REVIEW; UNITED STATES;

EID: 0033527018     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM199908053410606     Document Type: Review

References (35)

1. Not-for-profit hospitals: conversion issues prompt increased state oversight. Washington, D.C.: General Accounting Office, 1997 (Publication no. HEHS-98-24.)
2. Claxton G, Feder J, Shactman D, Altman S. Public policy issues in non-profit conversions: an overview. Health Aff (Millwood) 1997;16(2):9-28.
3. Kuttner R. Columbia/HCA and the resurgence of the for-profit hospital business. N Engl J Med 1996;335:362-7. [Erratum, N Engl J Med 1996;335:531.]
4. Hasan MM. Let's end the nonprofit charade. N Engl J Med 1996;334: 1055-7.
5. Kleinke JD. Deconstructing the Columbia/HCA investigation. Health Aff (Millwood) 1998;17(2):7-26.
6. Gray BH, McNerney WJ. For-profit enterprise in health care: the Institute of Medicine study. N Engl J Med 1986;314:1523-8.
7. Shactman D, Altman S. The conversion of hospitals from not-for-profit to for-profit status. Washington, D.C.: Council on Economic Impact of Health System Change, 1996.
8. Woolhandler S, Himmelstein DU. Costs of care and administration at for-profit and other hospitals in the United States. N Engl J Med 1997; 336:769-74. [Erratum, N Engl J Med 1997;337:1783.]
9. Chan L, Koepsell TD, Dcyo RA, et al. The effect of Medicare's payment system for rehabilitation hospitals on length of stay, charges, and total payments. N Engl J Med 1997;337:978-85.
10. Manning DL. Investing in the twenty-first century hospital. Health Aff (Millwood) 1997;16(2):108-11.
11. Reinhardt UE. Spending more through 'cost control:' our obsessive quest to gut the hospital. Health Aff (Millwood) 1996;15(2):145-54.
12. 1996 HCFA statistics. Baltimore: Bureau of Data Management, September 1996. (HCFA publication no. 03394.)
13. Wennberg J, Gittelsohn A. Small area variations in health care delivery. Science 1973;182:1102-8.
14. Griffith JR, Wilson PA, Wolfe RA, Bischak DP. Clinical profiles of hospital discharge rates in local communities. Health Serv Res 1985;20: 131-51.
15. Geography of health care in the United States. In: Wennberg J, Cooper M. The Dartmouth atlas of health care in the United States. Chicago: American Hospital Publishing, 1996:251-69.
16. Methods. In: Wennberg J, Cooper M. The Dartmouth atlas of health care in the United States. Chicago: American Hospital Publishing, 1996: 217-50.
17. CensusCD disk. East Brunswick, N.J.: GcoLytics (software).
18. Breslow NE, Day NE. Statistical methods in cancer research. Vol. 2. The design and analysis of cohort studies. Lyon, France: International Agency for Research on Cancer, 1987:65-72. (IARC scientific publications no. 82.)
19. Pope GC, Welch WP, Zuckerman S, Henderson MG. Cost of practice and geographic variation in Medicare fees. Health Aff (Millwood) 1989; 8(3):117-28.
20. Council of Economic Advisors. Economic report of the President. Washington, D.C.: Government Printing Office, 1998.
21. Pagano M, Gauvreau K. Principles of biostatistics. Belmont, Calif: Duxbury Press, 1993.
22. Zellner A. An efficient method of estimating seemingly unrelated regressions and tests for aggregation bias. J Am Stat Assoc 1962;57:348-68.
23. Greene W. Econometric analysis. New York: Macmillan, 1993:487-93.
24. Stata statistical software: release 5.0: reference manual. Vol. P-Z. College Station, Tex.: Stata Press, 1997:376-80.
25. Morgan RO, Virnig BA, DeVito CA, Persily NA. The Medicare-HMO revolving door - the healthy go in and the sick go out. N Engl J Med 1997;337:169-75.
26. Medicare: fewer and lower cost beneficiaries with chronic conditions enroll in HMOs. Washington, D.C.: General Accounting Office, 1997. (Publication no. HEHS-97-160.)
27. Morey RC, Ozcan YA, Retzlaff-Roberts DL, Fine DJ. Estimating the hospital-wide cost differentials warranted for teaching hospitals: an alternative to regression approaches. Med Care 1995;33:531-52.
28. Menke TJ. The effect of chain membership on hospital costs. Health Serv Res 1997;32:177-96.
29. Sloan FA, Picone GA, Taylor DH, Chou SY. Hospital ownership and cost and quality of care: is there a dime's worth of difference? Working paper no. 6706. Cambridge, Mass.: National Bureau of Economic Research, August 1998.
30. North EC, Staiger DO. How hospital ownership affects access to care for the uninsured. RAND J Econ 1994;25:171-85.
31. Cutler D, Horowitz J. Converting hospitals from not-for-profit to for-profit form: why and what effects? In: Cutler D, ed. The not-for-profit hospital. Chicago: University of Chicago Press (in press).
32. Reinhardt UE. Columbia/HCA: villain or victim? Health Aff (Millwood) 1998;17(2):30-6.
33. Lagnado L. Columbia/HCA graded its hospitals on severity of their Medicare cases. Wall Street Journal. May 30, 1997:A6.
34. Eichenwald K. FBI is examining hospital operator in Ohio. New York Times. April 1, 1997:D2.
35. Gray BH. Conversion of HMOs and hospitals: what's at stake? Health Aff (Millwood) 1997;16(2):29-47.