Does the Sale of Nonprofit Hospitals Threaten Health Care for the Poor?

Health Affairs

Volumn 16, Issue 1, 1997, Pages 137-141

  Young, Gary J ^a   Desai, Kamal R ^a   Lukas, Carol VanDeusen ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMMUNITY CARE; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HOSPITAL; NON PROFIT HOSPITAL; ORGANIZATION AND MANAGEMENT; POVERTY; STATISTICS; UNITED STATES;

COMMUNITY HEALTH SERVICES; HEALTH FACILITY MERGER; HEALTH SERVICES ACCESSIBILITY; HOSPITALS, PROPRIETARY; HOSPITALS, VOLUNTARY; OWNERSHIP; POVERTY; UNCOMPENSATED CARE; UNITED STATES;

EID: 0347303597     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.16.1.137     Document Type: Article

References (21)

1. J. Reardon and L. Reardon, "The Restructuring of the Hospital Services Industry," Journal of Economic Issues 29, no 4 (1995): 1063-1081; and S. Lutz, "Not-for-Profits Up for Grabs by the Giants," Modern Healthcare (30 May 1994): 24-28.
2. J. Reardon and L. Reardon, "The Restructuring of the Hospital Services Industry," Journal of Economic Issues 29, no 4 (1995): 1063-1081; and S. Lutz, "Not-for-Profits Up for Grabs by the Giants," Modern Healthcare (30 May 1994): 24-28.
3. T. Moroney, "Hospital's Layoffs Raise Fears of More," Boston Sunday Globe, 26 May 1996, A69-A75; and K. Pallarito, "Committee Seeks to Allow For-Profit Chains into N.Y.," Modern Healthcare (17 April 1995): 14.
4. T. Moroney, "Hospital's Layoffs Raise Fears of More," Boston Sunday Globe, 26 May 1996, A69-A75; and K. Pallarito, "Committee Seeks to Allow For-Profit Chains into N.Y.," Modern Healthcare (17 April 1995): 14.
5. B. Gray, ed., For-Profit Enterprise in Health Care (Washington: National Academy Press, 1986), 97-126; and E. Norton and D. Staiger, "How Hospital Ownership Affects Access to Care for the Uninsured," RAND Journal of Economics 25, no. 1 (1994): 171-185.
6. B. Gray, ed., For-Profit Enterprise in Health Care (Washington: National Academy Press, 1986), 97-126; and E. Norton and D. Staiger, "How Hospital Ownership Affects Access to Care for the Uninsured," RAND Journal of Economics 25, no. 1 (1994): 171-185.
7. F. Sloan, M. Morrisey, and J. Valvona, "Hospital Care for the 'Self-Pay' Patient," Journal of Health Politics, Policy and Law (Spring 1988): 83-102; R. Pattison, "Response to Financial Incentives among Investor-Owned and Not-for-Profit Hospitals: An Analysis Based on California Data, 1978-1982," in For-Profit Enterprise in Health Care, 290-302; L. Lewin, T. Eckels, and L. Miller, "Setting the Record Straight: The Provision of Uncompensated Care by Not-for-Profit Hospitals," The New England Journal of Medicine (5 May 1988): 1212-1215; and U.S. General Accounting Office, Nonprofit Hospitals: Better Standard Needed for Tax Exemption, Pub. no. GAO/HRD-40-84 (Washington: U.S. Government Printing Office, 1990).
8. F. Sloan, M. Morrisey, and J. Valvona, "Hospital Care for the 'Self-Pay' Patient," Journal of Health Politics, Policy and Law (Spring 1988): 83-102; R. Pattison, "Response to Financial Incentives among Investor-Owned and Not-for-Profit Hospitals: An Analysis Based on California Data, 1978-1982," in For-Profit Enterprise in Health Care, 290-302; L. Lewin, T. Eckels, and L. Miller, "Setting the Record Straight: The Provision of Uncompensated Care by Not-for-Profit Hospitals," The New England Journal of Medicine (5 May 1988): 1212-1215; and U.S. General Accounting Office, Nonprofit Hospitals: Better Standard Needed for Tax Exemption, Pub. no. GAO/HRD-40-84 (Washington: U.S. Government Printing Office, 1990).
9. F. Sloan, M. Morrisey, and J. Valvona, "Hospital Care for the 'Self-Pay' Patient," Journal of Health Politics, Policy and Law (Spring 1988): 83-102; R. Pattison, "Response to Financial Incentives among Investor-Owned and Not-for-Profit Hospitals: An Analysis Based on California Data, 1978-1982," in For-Profit Enterprise in Health Care, 290-302; L. Lewin, T. Eckels, and L. Miller, "Setting the Record Straight: The Provision of Uncompensated Care by Not-for-Profit Hospitals," The New England Journal of Medicine (5 May 1988): 1212-1215; and U.S. General Accounting Office, Nonprofit Hospitals: Better Standard Needed for Tax Exemption, Pub. no. GAO/HRD-40-84 (Washington: U.S. Government Printing Office, 1990).
10. F. Sloan, M. Morrisey, and J. Valvona, "Hospital Care for the 'Self-Pay' Patient," Journal of Health Politics, Policy and Law (Spring 1988): 83-102; R. Pattison, "Response to Financial Incentives among Investor-Owned and Not-for-Profit Hospitals: An Analysis Based on California Data, 1978-1982," in For-Profit Enterprise in Health Care, 290-302; L. Lewin, T. Eckels, and L. Miller, "Setting the Record Straight: The Provision of Uncompensated Care by Not-for-Profit Hospitals," The New England Journal of Medicine (5 May 1988): 1212-1215; and U.S. General Accounting Office, Nonprofit Hospitals: Better Standard Needed for Tax Exemption, Pub. no. GAO/HRD-40-84 (Washington: U.S. Government Printing Office, 1990).
11. Lewin et al., "Setting the Record Straight;" GAO, Nonprofit Hospitals; and Norton and Staiger, "How Hospital Ownership Affects Access to Care."
12. J. Alexander, M. Halpern, and S. Lee, "The Short-Term Effects of Merger on Hospital Operations," Health Services Research 30, no. 6 (1996): 827-848; and J. Kralewski et al., "The Effects of Contract Management on Hospital Performance," Health Services Research 19, no. 4 (1984): 479-498.
13. J. Alexander, M. Halpern, and S. Lee, "The Short-Term Effects of Merger on Hospital Operations," Health Services Research 30, no. 6 (1996): 827-848; and J. Kralewski et al., "The Effects of Contract Management on Hospital Performance," Health Services Research 19, no. 4 (1984): 479-498.
14. F. Sloan, J. Valvona, and R. Mullner, "Identifying the Issue," in Uncompensated Hospital Care : Rights and Responsibilities, ed. F. Sloan, J. Blumstein, and J. Perrin (Baltimore: The John Hopkins University Press, 1984), 16-53. Following standard practice, we also subtracted gifts and subsidies hospitals received for charity care. These represented only a very small percentage of total uncompensated care deductions among the hospitals studied.
15. J. Clement, D. Smith, and J. Wheeler, "What Do We Want and What Do We Get from Not-for-Profit Hospitals?" Hospital & Health Services Administration 39, no. 2 (1994): 159-178.
16. Period(1))/2.
17. Alexander et al., "The Short-Term Effects of Merger on Hospital Operations."
18. Results are available from the authors at Management Decision and Research Center (152-M), VA Medical Center, 150 South Huntington Avenue, Boston, Massachusetts 02130.
19. Norton and Staiger, "How Hospital Ownership Affects Access to Care."
20. S. McFall, S. Shortell, and L. Manheim, "HCA's Acquisition Process: The Physician's Role and Perspective," Health Care Management Review 13, no. 2 (1988): 23-34; and Gray, ed., For-Profit Enterprise in Health Care, 97-126.
21. S. McFall, S. Shortell, and L. Manheim, "HCA's Acquisition Process: The Physician's Role and Perspective," Health Care Management Review 13, no. 2 (1988): 23-34; and Gray, ed., For-Profit Enterprise in Health Care, 97-126.