The influence of hospital integration on hospital financial performance

Journal of Health Care Finance

Volumn 31, Issue 1, 2004, Pages 73-84

  Kim, Yang K ^a   Stoskopf, Carleen H ^b   Glover, Saundra H ^b   Park, Eun C ^c  

^a Kyung Hee University   (South Korea)

^b UNIVERSITY OF SOUTH CAROLINA   (United States)

^c Yonsei University College of Medicine   (South Korea)

Author keywords

Hospital expense; Hospital profit; Hospital revenue; Integrated delivery system; Regression model

Indexed keywords

ARTICLE; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH INSURANCE; INTEGRATED HEALTH CARE SYSTEM; STATISTICS; UNITED STATES;

DELIVERY OF HEALTH CARE, INTEGRATED; FINANCIAL MANAGEMENT, HOSPITAL; MANAGED CARE PROGRAMS; UNITED STATES;

EID: 18244362598     PISSN: 10786767     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (46)

1. Managed Care Digest, HMO-PPO Edition. Kansas City, MO: Hoechst, Marion, Roussel, Inc., 1998.
2. InterStudy. HMO Industry Report. The HMO Industry Report 9.2. Minneapolis, MN: Inter-Study Publications, 1999.
3. Agency for Health Care Policy and Research, "Clinical Classification for Health Policy Research: Discharge Statistics by Principal Diagnosis and Procedure" (AHCPR Pub. No. 93-0043), Rockville, MD: U.S. Department of Health and Human Services (1993);
4. L.R. Burns and D.P. Thorpe, "Managed Care and Integrated Health Care," Health Care Management 2 no. 1 (1995): 101-108.
5. M.A. Morrisey, eta/., "The Effects of Managed Care on Physician and Clinical Integration in Hospitals," Medical Care 37 no. 4 (1999): 350-361.
6. H.S. Zucherman, et al., "Alliances in Health Care: What We Know, What We Think We Know, and What We Should Know," Health Care Management Review 20 no. 1 (1995):54-64.
7. C.A. Mowll, "Assessing the Effect of Increased Managed Care on Hospitals," Journal of Healthcare Management 43 no. 1 (1998): 68-80.
8. I. Moscovice, et al., "Rural Hospital Networks: Implications for Rural Health Reform," Health Care Finance Review 17 no. 1 (1995): 53-67;
9. E. Nauenburg, ef al., "Network Structure and Hospital Performance in New York State: 1991-1995," Medical Care Research and Review 56 no. 4 (1999): 415-439;
10. G.J. Baz-zoli, ef al., "A Taxonomy of Health Networks and Systems: Bringing Order Out of Chaos," Health Services Research 33 no. 6 (1999): 1683-1717;
11. R.H. Miller and H.S. Luft, "Managed Care Plan Performance Since 1980. A Literature Analysis," JAMA 271 no. 19 (1994): 1512-1519;
12. R.H. Miller and H.S. Luft, "Does Managed Care Lead to Better or Worse Quality of Care?" Health Affairs 16 no. 5 (1997): 7-25;
13. R.M. Mullner and D.G. Whiteis, "A Review of the Literature," in Rural Hospital Closure; Management and Community Implications. Chicago, IL: American Hospital Association, 1989;
14. J. Child, "Organizational Structure, Environment and Performance: The Role of Strategic Choice," Sociology 6 (1972): 1-22;
15. S.M. Shortell, et al. Strategic Choices for America's Hospitals: Managing Change in Turbulent Times. San Francisco, CA: Jossey-Bass, 1990;
16. M.J. Succi, et al., "Effects of Market Position and Competition on Rural Hospital Closures," Health Services Research 31 no. 6 (1997): 679-699.
17. L.R. Burns, ef al., "Does Familiarity Breed Contentment? Attitudes and Behaviors of Integrated Physicians," Research in the Society of Health Care 15 (1998): 85-110;
18. InterStudy. The InterStudy Competitive Edge Part II: HMO Industry Report. St. Paul, MN: InterStudy Publications, 1997;
19. Ernst & Young, "Physician-Hospital Organizations: Profile 1995," Washington, D.C.: Ernst & Young.
20. Bazzoli, supra n.7.
21. J.R. Lave and R.C. Frank, "Effect of the Structure of Hospital Payment on Length of Stay," Health Services Research 25 no. 2 (1990): 327-347;
22. L.R. Burns and D.R. Wholey, "The Effects of Patient, Hospital, and Physician Characteristics on Length of Stay and Mortality," Medical Care 29 no. 3 (1991): 251-271;
23. G.A. Anderson and I.R. Pulcins, "High Variation Medical Conditions as an Explanation of Regional and Temporal Differences in Hospital Utilization," Medical Care 30 no. 2 (1992): 461-465;
24. L. Shi, "Patient and Hospital Characteristics Associated with Average Length of Stay," Health Care Management Review 21 no. 2 (1996): 41-61;
25. D.R. Williams, "Missed Opportunities in Monitoring Socioeconomic Status," Public Health Report 112 no. 6 (1997): 492-494;
26. A.M. Sear, "Comparison of Efficiency and Profitability of Investor-Owned Multihospital Systems with Not-for-Profit Hospitals," Health Care Management Review 16 no. 2 (1991): 31-37;
27. D. Williams, ef al., "Profits, Community Role, and Hospital Closure: An Urban and Rural Analysis," Medical Care 30 no. 2 (1992): 174-187;
28. M. Cody, ef al., "Predicting Hospital profitability in Short-Term General Community Hospitals," Health Care Management Review 20 no. 3 (1995): 77-87;
29. N.L. McKay and F.H. Dorner, "The Effect of Rural Hospital Closures on the Financial Performance of Neighboring Rural Hospitals," Inquiry 33 no. 3 (1996): 271-282;
30. J.P. Clement and M.J. McCue, "The Performance of Hospital Corporation of America and Healthtrust Hospitals After Leveraged Buyouts," Medical Care 34 no. 7(1996h 672-685.
31. K.R.Andrews. The Concept of Corporate Strategy. Homevvood, IL: Dow Jones-Irwin, 1971;
32. D.E. Schendel and C.W. Hofer. Strategic Management: A New View of Business Policy and Planning. Boston, MA: Little, Brown, 1979;
33. M.E. Porter. Competitive Strategy: Techniques for Analyzing Industries and Competitors. New York, NY: Free Press, 1980;
34. M.E. Porter. Competitive Advantage: Creating and Sustaining Superior Performance. New York, NY: Free Press, 1985;
35. S.M. Shortell and E.J. Zajac, "Health Care Organizations and the Development of the Strategic Management Perspective," in Mick SS and Associates, Innovations in Health Care Delivery: Insights for Organization Theory. Ann Arbor, Ml: Health Administration Press, 1990;
36. J.R. Kimberly and E.J. Zajac, "Strategic Adaptation in Health Care Organizations: Implications for Theory and Research," Medical Care Review 42 (1985): 267-302; P.R. Kongstvedt. Essentials of Managed Health Care, Fourth Edition. Gaithersburg, MD: An Aspen Publication. 2001.
37. AHA, "1998 AHA Annual Survey," Chicago, IL: Health Forum, LLC (2000).
38. L.R. Burns, ef al., "Managed Care and Processes to Integrate Physicians/Hospitals," Health Care Management Review 23 no. 4 (1998): 70-80.
39. S.M. Shortell, ef al. Remarking Health Care in America. San Francisco, CA: Jossey-Bass, 1996.
40. Bazzoli, supra n.7.
41. J.P. Clement, ef al., "Strategic Hospital Alliances: Impact on Financial Performance," Health Affairs 16 no. 6 (1997): 193-203.
42. D. Dranove, ef al., "Are Multihospital Systems More Efficient?" Health Affairs 15 no. 1 (1996): 100-104.
43. T.L. Mark, ef al., "Hospital-Physician Relations and Hospital Financial Performance," Medical Care 36 no. 1 (1998): 67-78.
44. J. Zvvanziger, ef al., "California Providers Adjust to Increasing Price Competition," in: R.B. Helms (ed), Health Policy Reform: Competition and Controls. Washington, DC: American Enterprise Institute, 1994.
45. Shi, supra n.10; Zvvanziger, ef al., supra n.20.
46. L.R. Burns, ef al., "Impact of HMO Market Structure on Physician-Hospital Strategic Alliances," Health Services Research 35 no. 1 (2000): 101-132.