Specialty hospitals: A problem or a symptom?

Health Affairs

Volumn 25, Issue 1, 2006, Pages 95-105

  Guterman, Stuart ^a  

^a Program on Medicare's Future   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONFERENCE PAPER; ECONOMICS; HOSPITAL; ORGANIZATION AND MANAGEMENT; UNITED STATES;

HOSPITALS, SPECIAL; UNITED STATES;

EID: 32044444874     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.25.1.95     Document Type: Conference Paper

References (16)

1. Mark McClellan, CMS administrator, "Specialty Hospitals: Assessing Their Role in the Delivery of Quality Health Care," testimony before the House Committee on Energy and Commerce, 12 May 2005, 1.
2. U.S. Department of Health and Human Services, Report to Congress: Hospital Prospective Payment for Medicare (Washington: U.S. DHHS, December 1982), vi.
3. DHHS, Report to Congress: Impact of the Medicare Hospital Prospective Payment System, 1984 Annual Report, HCFA Pub. no. 03231 (Baltimore: Centers for Medicare and Medicaid Services, August 1986), 2-34.
4. C. Kahn, "Give Specialty Hospitals the Hook," Modern Healthcare (28 February 2005): 30.
5. See the discussion in D. Shactman, "Specialty Hospitals, Ambulatory Surgery Centers, and General Hospitals: Charting a Wise Public Policy Course," Health Affairs 24, no. 3 (2005): 868-873.
6. A. Winter, "Comparing the Mix of Patients in Various Outpatient Surgery Settings," Health Affairs 22, no. 6 (2003): 68-75.
7. Prospective Payment Assessment Commission, The Relationship of Hospital Costs and Payment by Source of Revenue, 1980-1991, Report no. 1-95-01 (Washington: ProPAC, October 1995), 58.
8. See, for example, S. Guterman, Putting Medicare into Context: How Does the Balanced Budget Act Affect Hospitals? 1 July 2000, http://www.urban.org/ UploadedPDF/medicare-context.pdf (accessed 6 October 2005).
9. Medicare Payment Advisory Commission, Report to the Congress: Physician-Owned Specialty Hospitals (Washington: MedPAC, March 2005);
10. Glenn Hackbarth, chairman, MedPAC, "Physician-Owned. Specialty Hospitals," testimony before the House Ways and Means Subcommittee on Health, 8 March 2005.
11. For MedPAC's criteria, see MedPAC, Report to the Congress: Physician-Owned Specialty Hospitals, 4.
12. See ProPAC, Report and Recommendations to the Congress (Washington: ProPAC, 1 March 1995), 44-47.
13. M.O. Leavitt, Study of Physician-Owned Specialty Hospitals Required in Section 507(c)(2) of the Medicare Prescription Drug, Improvement, and Modernisation Act of 2003, May 2005, http://www.cms.hhs.gov/media/press/files/ 052005/RTC-StudyofPhysOwnedSpecHosp.pdf (accessed. 6 October 2005);
14. Thomas Gustafson, deputy director, CMS Center for Medicare Management, "Physician-Owned Specialty Hospitals," testimony before the House Ways and Means Subcommittee on Health, 8 March 2005.
15. The HHS study used essentially the same criteria that MedPAC used for identifying specialty hospitals. See Leavitt, Study of Physician-Owned Specialty Hospitals, 5.
16. McClellan, "Specialty Hospitals."