Facing the recession: How did safety-net hospitals fare financially compared with their peers?

Health Services Research

Volumn 49, Issue 6, 2014, Pages 1747-1766

  Reiter, Kristin L ^a   Jiang, H Joanna ^b   Wang, Jia ^c  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

^b AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

^c Data and Analytic Solutions Inc ^*  (United States)

Author keywords

financial performance; Hospital safety net; recession

Indexed keywords

ARTICLE; COMMUNITY CARE; ECONOMIC RECESSION; FUNDING; HOSPITAL FINANCE; MEDICAID; MEDICAL SOCIETY; MEDICALLY UNINSURED; MEDICARE; PATIENT CARE; PRIVATE HOSPITAL; PUBLIC HOSPITAL; REIMBURSEMENT; SAFETY NET HOSPITAL; COMPARATIVE STUDY; ECONOMICS; HEALTH ECONOMICS; HUMAN; LONGITUDINAL STUDY; RETROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA;

ECONOMIC RECESSION; ECONOMICS, HOSPITAL; HUMANS; LONGITUDINAL STUDIES; RETROSPECTIVE STUDIES; SAFETY-NET PROVIDERS;

EID: 84912069630     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12230     Document Type: Article

References (38)

1. AHA Data Viewer. 2014. [accessed on March 25, 2014]. Available at http://www.ahadataviewer.com/glossary/
2. Bachrach, D., L. Braslow, and, A. Karl,. 2012. " Toward a High Performance Health Care System for Vulnerable Populations: Funding for Safety-Net Hospitals." The Commonwealth Fund [accessed on August 15, 2014]. Available at http://www.commonwealthfund.org/publications/fund-reports/2012/mar/vulnerable-populations
3. Bazzoli, G. J., and, J. P. Clement,. 2014. " The Experiences of Massachusetts Hospitals as Statewide Health Insurance Reform was Implemented." Journal of Health Care for the Poor and Underserved 25 (1): 63-78.
4. Bazzoli, G. J., N. Fareed, and, T. M. Waters,. 2014. " Hospital Financial Performance in the Recent Recession and Implications for Institutions That Remain Financially Weak." Health Affairs 33 (5): 739-45.
5. Bazzoli, G. J., R. Kang, R. Hasnain-Wynia, and, R. C. Lindrooth,. 2005. " An Update on Safety-Net Hospitals: Coping with the Late 1990s and Early 2000s." Health Affairs (Millwood) 24 (4): 1047-56.
6. Bazzoli, G. J., R. C. Lindrooth, R. Kang, and, R. Hasnain-Wynia,. 2006. " The Influence of Health Policy and Market Factors on the Hospital Safety Net." Health Services Research 41 (4 Pt 1): 1159-80.
7. Cawley, J., A. S. Moriya, and, K. Simon,. 2013. " The Impact of the Macroeconomy on Health Insurance Coverage: Evidence from the Great Recession." Health Economics November 14, 2013 E-pub ahead of print.
8. Clement, J. P., and, K. L. Grazier,. 2001. " HMO Penetration: Has It Hurt Public Hospitals? " Journal of Health Care Finance 28 (1): 25-38.
9. Cunningham, P. J., G. J. Bazzoli, and, A. Katz,. 2008. " Caught in the Competitive Crossfire: Safety-Net Providers Balance Margin and Mission in a Profit-Driven Health Care Market." Health Affairs 27 (5): w374-82.
10. Felland, L. E., R. E. Hurley, and, N. M. Kemper,. 2008. " Safety Net Hospital Emergency Departments: Creating Safety Valves for Non-Urgent Care." Issue Brief for Center Studying Health System Change May (120): 1-7.
11. Felland, L. E., C. S. Lesser, A. B. Staiti, A. Katz, and, P. Lichiello,. 2003. " The Resilience of the Health Care Safety Net, 1996-2001." Health Services Research 38 (1 Pt 2): 489-502.
12. Felland, L. E., P. J. Cunningham, G. R. Cohen, E. A. November, and, B. C. Quinn,. 2010. " The Economic Recession: Early Impacts on Health Care Safety Net Providers." Center for Studying Health System Change Research Brief 15 (January): 1-8.
13. Gapenski, L. C., W. B. Vogel, and, B. Langland-Orban,. 1993. " The Determinants of Hospital Profitability." Hospital and Health Services Administration 38 (1): 63-80.
14. Gaskin, D. J., 1999. Safety Net Hospitals: Essential Providers of Public Health and Specialty Services. The Commonwealth Fund. [accessed on August 14, 2014]. Available at http://www.commonwealthfund.org/publications/fund-reports/1999/feb/safety-net-hospitals - essential-providers-of-public-health-and-specialty-services
15. Gaskin, D. J., and, J. Hadley,. 1999. " Population Characteristics of Markets of Safety-Net and Non-Safety-Net Hospitals." Journal of Urban Health 76 (3): 351-70.
16. Gaskin, D. J., J. Hadley, and, V. G. Freeman,. 2001. " Are Urban Safety-Net Hospitals Losing Low-Risk Medicaid Maternity Patients? " Health Services Research 36 (1): 25-51.
17. Gautam, K., C. Campbell, and, B. Arrington,. 1996. " Financial Performance of Safety-Net Hospitals in a Changing Health Care Environment." Health Services Management Research 9 (3): 156-71.
18. Gordon, T., 2012. " State and Local Budgets and the Great Recession " [accessed on March 24, 2014]. Available at http://www.brookings.edu/research/articles/2012/12/state-local-budgets-gordon
19. Hadley, J., and, P. J. Cunningham,. 2004. " Availability of Safety Net Providers and Access to Care of Uninsured Persons." Health Services Research 39 (5): 1527-46.
20. Institute of Medicine. 2000. " America's Health Care Safety Net: Intact but Endangered." M. Lewin and S. Altman. Washington, DC: National Academy Press.
21. Johnson, N., P. Oliff, and, E. Williams,. 2011. " An Update on State Budget Cuts " [accessed on March 24, 2014]. Available at http://www.cbpp.org/cms/?fa=view&id=1214
22. Kane, N. M., S. J. Singer, J. R. Clark, K. Eeckloo, and, M. Valentine,. 2012. " Strained Local and State Government Finances Among Current Realities That Threaten Public Hospitals' Profitability." Health Affairs (Millwood) 31 (8): 1680-9.
23. McCue, M. J., 2010. " A Descriptive Analysis of the 2008 Credit Crisis on Multistate Heatlhcare Systems: What Impact Did It Have on Their Financial Performance? " Hospital Topics 88 (2): 53-60.
24. McHugh, M., R. Kang, and, R. Hasnain-Wynia,. 2009. " Understanding the Safety-Net: Inpatient Quality of Care Varies Based on How One Defines Safety-Net Hospitals." Medical Care Research and Review 66 (5): 590-605.
25. McKay, N. L., and, L. C. Gapenski,. 2009. " Nonpatient Revenues in Hospitals." Health Care Management Review 34 (3): 234-41.
26. Mohan, A., J. Grant, M. Batalden, and, D. McCormick,. 2013. " The Health of Safety Net Hospitals Following Massachusetts Health Care Reform: Changes in Volume, Revenue, Costs, and Operating Margins from 2006 to 2009." International Journal of Health Services 43 (2): 321-35.
27. National Association of Public Hospitals and Health Systems. 2011a. " Safety-Net Health Systems: Keeping Americans Healthy and Working " [accessed on January 15, 2014]. Available at http://www.naph.org/Publications/Safety-Net-Economic-Impact-Brief.aspx
28. National Association of Public Hospitals and Health Systems. 2011b. " Study Reveals NAPH Members Are 'Providers of Choice' for All Patients " [accessed on March 24, 2014]. Available at http://essentialhospitals.org/wp-content/uploads/2013/12/NPH186.pdf
29. NBER Business Cycle Dating Committee. 2011. " US Business Cycle Expansions and Contractions " [accessed on March 24, 2014]. Available at http://www.nber.org/cycles.html
30. Neuhausen, K., A. C. Davis, J. Needleman, R. H. Brook, D. Zingmond, and, D. H. Roby,. 2014. " Disproportionate-Share Hospital Payment Reductions May Threaten the Financial Stability of Safety-Net Hospitals." Health Affairs 33 (6): 988-96.
31. Office of Management and Budget. 2013. " Revised Dilineations of Metropolitan Statistical Areas, Micropolitan Statistical Areas, and Combined Statistical Areas, and Guidance on Uses of the Delineations of These Areas " [accessed on March 25, 2014]. Available at http://www.whitehouse.gov/sites/default/files/omb/bulletins/2013/b-13-01.pdf
32. Song, P. H., and, K. L. Reiter,. 2010. " Trends in Asset Structure between Not-For-Profit and Investor-Owned Hospitals." Medical Care Research and Review 67 (6): 694-706.
33. U.S. Department of Commerce Bureau of Economic Analysis. 2014. " Price Indexes for Gross Domestic Product " [accessed on April 10, 2014]. Available at http://www.bea.gov/iTable/iTable.cfm?ReqID=9&step=1#reqid=9&step=3&isuri=1&903=4
34. Wong, H. S., C. Zhan, and, R. Mutter,. 2005. " Do Different Measures of Hospital Competition Matter in Empirical Investigations of Hospital Behavior? " Review of Industrial Organization 26 (1): 27-60.
35. Younis, M., J. Rice, and, J. Barkoulas,. 2001. " An Empirical Investigation of Hospital Profitability in the Post-PPS Era." Journal of Health Care Finance 28 (2): 65-73.
36. Zuckerman, S., G. Bazzoli, A. Davidoff, and, A. LoSasso,. 2001. " How Did Safety-Net Hospitals Cope in the 1990s? " Health Affairs (Millwood) 20 (4): 159-68.
37. Zwanziger, J., and, N. Khan,. 2008. " Safety-Net Hospitals." Medical Care Research Review 65 (4): 478-95.
38. Zwanziger, J., N. Khan, and, A. Bamezai,. 2010. " The Relationship between Safety Net Activities and Hospital Financial Performance." BMC Health Services Research 10 (15): 1-12.