Effects of specialty hospitals on the financial performance of general hospitals, 1997-2004

Inquiry

Volumn 44, Issue 3, 2007, Pages 321-334

  Schneider, John E ^a   Ohsfeldt, Robert L ^b   Morrisey, Michael A ^c,d   Li, Pengxiang ^e   Miller, Thomas R ^f   Zelner, Bennet A ^g  

^a Health Economics Consulting Group LLC   (United States)

^b TEXAS A AND M HEALTH SCIENCE CENTER   (United States)

^c UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^d UNIVERSITY OF ALABAMA AT BIRMINGHAM   (United States)

^e UNIVERSITY OF PENNSYLVANIA   (United States)

^f PROVIDENCE COLLEGE   (United States)

^g DUKE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HOSPITAL; HOSPITAL FINANCE; PATIENT CARE; PHYSICIAN; PROFIT;

EID: 36448941788     PISSN: 00469580     EISSN: None     Source Type: Journal    
DOI: 10.5034/inquiryjrnl_44.3.321     Document Type: Article

References (61)

1. Antel, J. J., R. L. Ohsfeldt, and E. R. Becker. 1995. State Regulation and Hospital Cost Performance. Review of Economics and Statistics 77(3):416-422.
2. Baltagi, B. H. 1995. Economic Analysis of Panel Data. New York: Wiley.
3. Baumol, W. J., J. C. Panzar, and R. D. Willig. 1982. Contestable Markets and the Theory of Industry Structure. New York: Harcourt Brace Jovanovich, Inc.
4. Breyer, F. 1987. The Specification of a Hospital Cost Function: A Comment on the Recent Literature. Journal of Health Economics 6:147-157.
5. Carey, K. 1997. A Panel Data Design for Estimation of Hospital Cost Functions. Review of Economics and Statistics 79(3):443-453.
6. Casey, J. 2004. The Case for Specialty Hospitals. Modern Healthcare 34(47):21-22.
7. Chambers, R. G. 1988. Applied Production Analysis: A Dual Approach. New York: Cambridge University Press.
8. Chollet, D., S. Liu, G. Gimm, C. Fahlman, L. Felland, A. Gerland, M. Banker, and A. Liebhaber. 2006. Analysis of Niche Hospitals in Texas and the Financial Impact on General Hospitals: Final Report to the Texas Department of State Health Services. Princeton, N.J.: Mathematica Policy Research, Inc.
9. Choudhry, S., N. K. Choudhry, and T. A. Brennan. 2005. Specialty Versus Community Hospitals: What Role for the Law? Health Affairs Web exclusive August 9, 24(Suppl 3):W5-361-372.
10. Centers for Medicare and Medicaid Services (CMS). 2005. Study of Physician-owned Specialty Hospitals Required in Section 507(c)(2) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Rockville, Md.: Centers for Medicare and Medicaid Services, Department of Health and Human Services.
11. Coelli, T., D. S. Prasada Rao, and G. E. Battese. 1998. An Introduction to Efficiency and Productivity Analysis. Boston, Dordrecht, London: Kluwer Academic Publishers.
12. Conover, C. J., and F. A. Sloan. 1998. Does Removing Certificate-of-Need Regulations Lead to a Surge in Health Care Spending? Journal of Health Politics, Policy, and Law 23(3):455-481.
13. _. 2003. Evaluation of Certificate of Need in Michigan Volume III: Technical Appendices. Report by Duke University for Michigan Department of Community Health.
14. Cram, P. C., G. E. Rosenthal, and M. S. Vaughan-Sarrazin. 2005. Cardiac Revascularization in Specialty and General Hospitals. New England Journal of Medicine 352(14):1454-1462.
15. Dobson, A., and R. Haught. 2005. The Rise of the Entrepreneurial Physician. Health Affairs Web exclusive October 25, 24(Suppl 3):W5-494-W5-497.
16. Domrzalski, D. 2002. Specialty Hospitals are Changing the Face of U.S. Health Care. New Mexico Business Weekly August 12.
17. Eastaugh, S. R. 2001. Hospital Costs and Specialization: Benefits of Trimming Product Lines. Journal of Health Care Finance 28(1):61.
18. Essletzbichler, J. 2003. From Mass Production to Flexible Specialization: The Sectoral and Geographical Extent of Contract Work in U.S. Manufacturing. Regional Studies 37(8):753-771.
19. Federal Trade Commission (FTC). 2004. Improving Health Care: A Dose of Competition. Washington, D.C.: Federal Trade Commission and U.S. Department of Justice.
20. Fine, A. 2004. The Specter of Specialty Hospitals, Part I. Hospitals & Health Networks June 22.
21. Fournier, G. M., and E. S. Campbell. 1997. Indigent Care as Quid Pro Quo in Hospital Regulation. The Review of Economics and Statistics 79(4):669-673.
22. Gollop, F. M., and J. L. Monahan. 1991. A Generalized Index of Diversification: Trends in U.S. Manufacturing. Review of Economics and Statistics 73(2):318-330.
23. Government Accountability Office (GAO). 2003a. Specialty Hospitals: Information on National Market Share, Physician Ownership, and Patients Served. Washington, D.C.: GAO.
24. _. 2003b. Specialty Hospitals: Geographic Location, Services Provided, and Financial Performance. Washington, D.C.: GAO.
25. _. 2006. General Hospitals: Operational and Clinical Changes Largely Unaffected by Presence of Competing Specialty Hospitals. In Report to the Chairman, Committee on Ways and Means, House of Representatives. Washington, D.C.: GAO.
26. Greene, W. H. 1993. The Econometric Approach to Efficiency Analysis. In The Measurement of Productive Efficiency: Techniques and Applications, H. O. Fried, C. A. K. Lovell and S. S. Schmidt, eds. New York: Oxford University Press.
27. Greenwald, L., J. Cromwell, W. Adamache, S. Bernard, E. Drozd, E. Root, and K. J. Devers. 2006. Specialty Versus Community Hospitals: Referrals, Quality, and Community Benefits. Health Affairs 25(1):106-118.
28. Havighurst, C. C. 2005. Monopoly is Not the Answer. Health Affairs Web exclusive August 9, 24(Suppl 3):W5-373-375.
29. Herzlinger, R. E. 2002. Let's Put Consumers In Charge of Health Care. Harvard Business Review 80(7):44-50, 52-55, 123.
30. _. 2004. Why We Need Consumer-Driven Health Care. In Consumer-Driven Health Care: Implications for Providers, Payers, and Policymakers, R. E. Herzlinger, ed. San Francisco: John Wiley & Sons, Inc.
31. Hospital Survey and Construction Act. PL 79-725. 1946.
32. Hsiao, C. 1986. Analysis of Panel Data. New York: Cambridge University Press.
33. Kennedy, P. E. 1981. Estimation with Correctly Interpreted Dummy Variables in Semilogarithmic Equations. American Economic Review 71(4):801.
34. Kher, U. 2006. The Hospital Wars. Time December 5.
35. Kim, Y. K., C. H. Stoskopf, S. H. Glover, and E. C. Park. 2004. The Influence of Hospital Integration on Hospital Performance. Journal of Health Care Finance 31(1):73 84.
36. Kumbhakar, S. C. 1996. A Parametric Approach to Efficiency Measurement Using a Flexible Profit Function. Southern Economic Journal 63(2):473-488.
37. Lanning, J. A., M. A. Morrisey, and R. L. Ohsfeldt. 1991. Endogenous Hospital Regulation and Its Effects on Hospital and Non-Hospital Expenditures. Journal of Regulatory Economics 2(3):137-154.
38. Lewin, M. E., and S. Altman. 2000. America's Health Care Safety Net: Intact but Endangered, Institute of Medicine: Committee on the Changing Market, Managed Care, and the Future Viability of Safety Net Providers. Washington, D.C.: National Academy Press.
39. Medicare Payment Advisory Commission (MedPAC). 2003a. Sources of Variation in Hospital Financial Performance under Prospective Payment. Washington, D.C.: MedPAC.
40. _. 2003b. Transcript from Public Meeting on Inpatient and Outpatient Hospital Payment Issues. Washington, D.C.: MedPAC.
41. _. 2003c. Accounting for Variation in Hospital Financial Performance Under Prospective Payment. In Report to Congress: Variation and Innovation in Medicare. Washington, D.C.: MedPAC.
42. _. 2005a. Physician-Owned Specialty Hospitals. Testimony before the U.S. Senate Subcommittee on Federal Financial Management, Government Information and International Security Committee on Homeland Security and Governmental Affairs. Washington, D.C.
43. _. 2005b. Physician-Owned Specialty Hospitals. In Report to Congress. Washington, D.C.: MedPAC.
44. Morrisey, M. A. 1994. Cost Shifting in Health Care: Separating Evidence from Rhetoric. Washington D.C.: American Enterprise Institute (AEI) Press.
45. Morrison, S. A., and C. Winston. 1986. The Economic Effects of Airline Deregulation. Washington D.C.: The Brookings Institution.
46. Myers, H. 1998. Focused Factories: Are You Ready for the Competition? Hospitals and Health Networks 72(7):624-629.
47. Peltzman, S., and C. Winston. 2000. Deregulation of Network Industries: What's Next? Washington, D.C.: AEI-Brookings Joint Center for Regulatory Studies.
48. Robinson, J. C. 2005. Entrepreneurial Challenges to Integrated Health Care. In Policy Challenges in Modern Health Care, D. Mechanic, L. B. Rogut, D. C. Colby, and J. R. Knickman, eds. New Brunswick, N.J.: Rutgers University Press.
49. Schneider, J. E. 2003. Changes in the Effects of Mandatory Rate Regulation on Growth in Hospital Operating Costs, 1980-1996. Review of Industrial Organization 22(4):297-312.
50. Sear, A. M. 2004. Effects of Medicare BBA Spending Reductions on the Profitability of General Acute Care Hospitals. Journal of Healthcare Management 49(2):119-133.
51. Skinner, W. 1974. The Focused Factory. Harvard Business Review 52(3):113-120.
52. Sloan, F. A. 1988. Containing Health Expenditures: Lessons Learned from Certificate of Need Programs. In Cost, Quality, and Access in Health Care: New Roles for Health Planning in a Competitive Environment, F. A. Sloan, ed. San Francisco: Jossey-Bass.
53. Syverson, C. 2006. Prices, Spatial Competition, and Heterogenous Producers: An Empirical Test. In NBER Working Paper Series, No. 12231. Cambridge, Mass.: National Bureau of Economic Research.
54. Tennyson, D. H., and M. D. Fottler. 2000. Does System Membership Enhance Financial Performance in Hospitals? Medical Care Research & Review 57(1):29-50.
55. Varian, H. 1992. Microeconomic Analysis. 3rd ed. New York: W.W. Norton and Company.
56. Vita, M. 1990. Exploring Hospital Production Relationships with Flexible Functional Forms. Journal of Health Economics 9:1-21.
57. Walker, T. 1998. Specialty Care Facilities Make a Case by Improving Outcomes and Costs. Managed Healthcare 8(6):51-54.
58. Winston, C. 1998. U.S. Industry Adjustment to Economic Deregulation. Journal of Economic Perspectives 12:89-110.
59. Womack, J. P., D. T. Jones, and D. Roos. 1990. The Machine That Changed the World. New York: Harper Perennial.
60. Wooldridge, J. M. 2002. Econometric Analysis of Cross Section and Panel Data. Cambridge, Mass.: The MIT Press.
61. Younis, M. Z., and D. A. Forgione. 2005. Using Return on Equity and Total Profit Margin to Evaluate Hospital Performance in the U.S.: A Piecewise Regression Analysis. Journal of Health Care Finance 31(3):82-88.