Hospitals, managed care, and the charity caseload in California.

نویسندگان

  • Janet Currie
  • John Fahr
چکیده

We ask whether increasing HMO penetration causes hospitals to cut back on charity care using California hospital discharge data for 1988-1996. There is little evidence at the hospital level that private hospitals respond to HMOs by turning away uninsured and/or Medicaid patients. In the for-profit sector hospitals actually reduce the share of privately insured patients and increase the shares of Medicare patients and Medicaid births. Apparently, HMO penetration reduces the price paid by privately insured patients, making them relatively less attractive to for-profit hospitals.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

ارائه الگوی مدیریت بیمارستان‌های خیریه ایران

  Introduction and Aim: Healthcare is considered as one of the most important indicators for determining the level of development in all societies. To this end, hospitals play an important role and the role of the charity hospitals which provide healthcare for poor patients is of great importance. Therefore, understanding and analyzing the administrative manner of these hospitals is crucial. Th...

متن کامل

Hospital charity care policies and the California health care safety net.

Estimates of charity care expenditures provide a quantitative measure of hospitals' commitment to expanding access to the medically uninsured in their communities but fail to provide information about the subset of uninsured who benefit or the gaps in public insurance programs' coverage that are filled by these charity care programs. This brief provides an overview of a study, conducted for the...

متن کامل

What do not - for - profit hospitals maximize ?

Massive structural change is occurring in health care provision in the United States, significantly reducing the number of not-for-profit suppliers. This trend is fueled in part by government policies. To evaluate these policies one must know about the motives of not-for-profit health care providers. The theory of not-for-profit hospitals suggests buyers may prefer dealing with sellers who are ...

متن کامل

Uncompensated Care: Hospitals' Responses To

This DataWatch examines the impact of hospital competition, the Medicare prospective payment system (PPS), and Medi-Cal selective contracting on the provision of uncompensated care by private hospitals in California during 1980-1989. It finds that hospitals subject to more intense competition and greater f iscal pressure f rom Medicare and Medi-Cal reduced their provision of uncompensated care ...

متن کامل

Health Affairs fiscal pressures Uncompensated care : hospitals ' responses to

This DataWatch examines the impact of hospital competition, the Medicare prospective payment system (PPS), and Medi-Cal selective contracting on the provision of uncompensated care by private hospitals in California during 1980-1989. It finds that hospitals subject to more intense competition and greater f iscal pressure f rom Medicare and Medi-Cal reduced their provision of uncompensated care ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of health economics

دوره 23 3  شماره 

صفحات  -

تاریخ انتشار 2004