The Balanced Budget Act of 1997 and U.S. Hospital Operations

US residency training before and after the 1997 Balanced Budget Act.

CONTEXT Graduate medical education (GME) determines the size and characteristics of the future workforce. The 1997 Balanced Budget Act (BBA) limited Medicare funding for additional trainees in GME. There has been concern that because Medicare is the primary source of GME funding, the BBA would discourage growth in GME. OBJECTIVE To examine the number of residents in training before and after ...

The Balanced Budget Act of 1997 and the financial health of teaching hospitals.

BACKGROUND We wanted to evaluate the most recent, complete data related to the specific effects of the Balanced Budget Act of 1997 relative to the overall financial health of teaching hospitals. We also define cost report variables and calculations necessary for continued impact monitoring. METHODS We undertook a descriptive analysis of hospital cost report variables for 1996, 1998, and 1999,...

Overview: Medicare Post-Acute Care Since the Balanced Budget Act of 1997

contained the most sweeping changes in payment policy for Medicare post-acute care (PAC) services ever enacted in a single piece of legislation. Research on the early impacts of these changes is now beginning to appear, and this issue of the Health Care Financing Review includes six articles covering a range of timely PAC issues. There are two articles on skilled nursing facility (SNF) care—the...

The Balanced Budget Act of 1997: will hospitals take a hit on their PPS margins?

Balanced Budget and Emergency Deficit Control Act of 1985.

On December 12, 1985, the President signed into law House Joint Resolution 372 (Public Law 99-177), the debt limit bill which contains a section on deficit reduction procedures. This section is the Balanced Budget and Emergency Deficit Control Act of 1985 (also called the Gramm-Rudman-Hollings bill). This new law includes several provisions affecting the Medicare and Medical programs.