Hospital finance: Signs of 'pushback' amid resurgent cost pressures

Health Affairs

Volumn 20, Issue 2, 2001, Pages 233-240

  Cunningham, Robert ^a  

^a Medicine and Health Perspectives

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BUDGET; COST CONTROL; ECONOMICS; FINANCIAL MANAGEMENT; HEALTH ECONOMICS; HOSPITAL COST; INTEGRATED HEALTH CARE SYSTEM; LEGAL ASPECT; MEDICARE; UNITED STATES;

BUDGETS; COST CONTROL; DELIVERY OF HEALTH CARE, INTEGRATED; ECONOMICS, HOSPITAL; FINANCIAL MANAGEMENT, HOSPITAL; HOSPITAL COSTS; MEDICARE; UNITED STATES;

EID: 3042838231     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.20.2.233     Document Type: Article

References (43)

1. See, for example, HCIA-Sachs and Ernst and Young, "The Financial State of Hospitals: Post-BBA and Post-BBRA" (Baltimore: HCIA-Sachs, May 2000), 2.
2. S. Guterman, "Putting Medicare in Context: How Does the Balanced Budget Act Affect Hospitals?" (Washington: Urban Institute, July 2000), 9.
3. Medicare Payment Advisory Commission, Report to the Congress: Selected Medicare Issues (Washington: MedPAC, June 2000), 122.
4. Ibid., 123.
5. K.E. Thorpe, "Projected Hospital Revenues, Expenditures, Margins: 1998-2002" (Prepared for the Council on the Economic Impact of Health System Change, Washington, D.C., September 2000).
6. C.S. Lesser and P.B. Ginsburg, "Update on the Nation's Health Care System: 1997-1999," Health Affairs (Nov/Dec 2000): 213-214.
7. Moody's Investors Service, Not-for-Profit Health Care: 2000 Outlook and Medians (New York: Moody's, August 2000), 9.
8. Center for Studying Health System Change, "Fifth Annual Wall Street Comes to Washington: Market Watchers Evaluate the Health Care System," Conference Transcript, 21 June 2000, 〈www.hschange.org/CONTENT/250/ transcript.html〉 (27 October 2000).
9. Kenneth Thorpe, Rollins School of Public Health of Emory University, interview, 24 October 2000.
10. G. Taylor, Hospital Management Industry Overview (New York: Banc of America Securities, October 2000), 3.
11. S. Selis, "Just Say No," Healthcare Business (Jan/Feb 2000).
12. Conference call with PacifiCare CEO Rob O'Leary and other company officials, 11 October 2000.
13. Dcloitte and Touche, U.S. Hospitals and the Future of Health Care: A Continuing Opinion Survey, Eighth Edition 2000 (Orlando Fla.: Deloitte and Touche, June 2000), 20.
14. Off-the-record interview, 12 October 2000.
15. Taylor, Hospital Management Industry Overview, 2.
16. Moody's, Not-for-Profit Health Care, 14.
17. Council on the Economic Impact of Health System Change, "The Future of the American Hospital: The Financial Outlook," Conference Summary, 6 September 2000, 〈ihp.brandeis.edu/council/html/hospfinsum.htm〉 (23 October 2000).
18. P. Buerhaus et al., "Implications of an Aging Registered Nurse Workforce," Journal of the American Medical Association 283, no. 22 (2000): 2953.
19. HSM Group, Ltd., "Research on Nursing Staff Shortages," for the American Organization of Nurse Executives (Scottsdale, Ariz.: HSM Group, November 1998), 14; and S. Selis, "Where Have All the Nurses Gone?" Healthcare Business (June 2000): 68.
20. HSM Group, Ltd., "Research on Nursing Staff Shortages," for the American Organization of Nurse Executives (Scottsdale, Ariz.: HSM Group, November 1998), 14; and S. Selis, "Where Have All the Nurses Gone?" Healthcare Business (June 2000): 68.
21. Don Richey, for the American Hospital Association, testimony before the House Ways and Means Subcommittee on Health, 106th Cong., 2d sess., 25 July 2000, (23 October 2000).
22. Author's notes.
23. Richey, testimony.
24. Moody's, Not-for-Profit Health Care, 10; and B. Kirchheimer, "Report Predicts Huge HIPAA Price Tag," Modern Healthcare (2 October 2000): 48.
25. Moody's, Not-for-Profit Health Care, 10; and B. Kirchheimer, "Report Predicts Huge HIPAA Price Tag," Modern Healthcare (2 October 2000): 48.
26. MedPAC, Rep on to the Congress, 119-121.
27. Stuart Guteraian, Urban Institute, interview, 23 October 2000.
28. MedPAC, Report to the Congress, 117.
29. Thorpe, "Projected Hospital Revenues."
30. Guterman, interview.
31. Lesser and Ginsburg, "Update," 214.
32. L.T. Kohn, "Organizing and Managing Care in a Changing Health System," Health Services Research 35, no. 1, Part I (April 2000): 48.
33. Moody's, Not-for-Profit Health Care, 6.
34. Jeff Goldsmith, Health Futures, interview, 9 November 2000.
35. D. Dranove et al., "Are Multihospital Systems More Efficient?" Health Affairs (Spring 1996): 102.
36. Goldsmith, interview.
37. Kohn, "Organizing and Managing Care," 48.
38. K. Matherlee, "Margins as Measures: Gauging Hospitals' Financial Health," Issue Brief (Washington: National Health Policy Forum, March 1999), 6.
39. Lewin Group, The Impact of the Medicare Balanced Budget Refinement Act on Medicare Payments to Haspitals (Falls Church, Va.: Lewin Group, 1 February 2000), sec. 2, 1. Among other differences, these projections do not incorporate estimated effects of the second BBA relief bill - passed as the Beneficiary Improvement and Protection Act in December 2000 - and so do not compare with Thorpe's estimates.
40. Guterman, interview.
41. Thorpe, interview.
42. Moody's, Not-for-profit Health Care, 6.
43. Goldsmith, interview.