04989nam 2200661Ia 450 991077867530332120230919172451.01-280-22166-697866102216600-309-55763-10-585-14411-7(CKB)110986584750740(EBL)3377089(SSID)ssj0000157312(PQKBManifestationID)11147389(PQKBTitleCode)TC0000157312(PQKBWorkID)10139276(PQKB)11212686(MiAaPQ)EBC3377089(Au-PeEL)EBL3377089(CaPaEBR)ebr10068321(CaONFJC)MIL22166(OCoLC)814282726(EXLCZ)9911098658475074019860121d1986 uy 0engurcn|||||||||txtrdacontentcrdamediacrrdacarrierFor-profit enterprise in health care /Committee on Implications of For-Profit Enterprise in Health Care, Institute of Medicine ; Bradford H. Gray, editorWashington, D.C. :National Academy Press,1986.1 online resource (580 pages)0-309-07863-6 0-309-03643-7 Includes bibliographies and index.For-Profit Enterprise in Health Care; Copyright; Contents; ACKNOWLEDGMENTS; INTRODUCTION TO THE VOLUME; ORIGINS OF THIS INQUIRY; FOCUS OF THIS STUDY; THE COMPLICATIONS OF CHANGE; SOURCES OF INFORMATION; THE PRODUCTS OF THIS INQUIRY; CONCLUSION; PART I COMMITTEE REPORT ; 1 Profits and Health Care: An Introduction to the Issues ; QUESTIONS EXAMINED IN THIS REPORT; THE DIVERSE OWNERSHIP OF AMERICAN HEALTH CARE ORGANIZATIONS; THE FOR-PROFIT/NOT-FOR-PROFIT DISTINCTION; Investor Ownership; Not-For-Profit Organizations; Problems with the For-Profit/Not-For-Profit Distinction; THE VALUE QUESTIONHealth Care as Economic Good Health Care as Social Good; Economic Good Versus Social Good; Relationship of Physicians to Health Care Organizations; NOTES; References; APPENDIX TO CHAPTER 1; Economic Rationale for the Three Sectors; Models of the Behavior of For-Profit and Not-For-Profit Organizations; Why For-Profit Hospitals May be Inefficient; Notes; 2 Changes in the Ownership, Control, and Configuration of Health Care Services ; HOSPITALS; Investor-Owned Hospital Systems; Not-For-Profit Hospital Systems; COMPARISONS OF INVESTOR-OWNED AND NOT-FOR-PROFIT SYSTEMS; Psychiatric HospitalsNURSING HOMES HEALTH MAINTENANCE ORGANIZATIONS; HOME CARE; NEW TYPES OF PROVIDERS; Freestanding Primary Care Centers; Other Services; VERTICAL INTEGRATION AND DIVERSIFICATION; FOR-PROFIT/NOT-FOR-PROFIT HYBRIDS; CONCLUSIONS; NOTES; References; 3 Financial Capital and Health Care Growth Trends ; WHAT IS CAPITAL?; SOURCES OF CAPITAL FUNDS FOR HEALTH CARE PROVIDERS; Trends in Sources of Financial Capital; Relationship of Ownership to Sources of Capital; THE COSTS OF CAPITAL; Philanthropy and Governmental Grants; Debt Financing; Equity Financing; THE LEVEL PLAYING FIELD ARGUMENTPOLICY ISSUES REGARDING CAPITAL CONCLUSION; NOTES; References; APPENDIX TO CHAPTER 3; Note; 4 Investor Ownership and the Costs of Medical Care ; DEFINITION AND MEASUREMENT OF COSTS-AND WHO IS CONCERNED; STUDIES OF HOSPITAL EXPENSE AND PRICING; Expenses; Prices; MARKUP; PROFITABILITY; COSTS AND ACQUISITION OF HOSPITALS; NURSING HOME COSTS; OTHER FOR-PROFIT PROVIDERS; MONITORING COST TRENDS; CONCLUSIONS; NOTES; References; 5 Access to Care and Investor-Owned Providers ; THE PROBLEM OF CARE FOR THOSE UNABLE TO PAY; The Financing of Uncompensated Care; THE PROVIDERS OF UNCOMPENSATED CARE; OCR DATAAHA Data State Data; REDUCING UNCOMPENSATED CARE; The Impact of For-Profit Acquisition; Cross-Subsidies and Uncompensated Care; Other For-Profit Providers; Types of Services in Various Hospitals; Which Hospital Services Lose Money?; For-Profit/Not-For-Profit Differences in Services; Cross-Subsidies and Uncompensated Care; ACCESS TO NURSING HOMES; ISSUES AND RECOMMENDATIONS; The Measurement of Care to Patients Unable to Pay; The Need for Better Information; The Obligations of Health Care Institutions; The Issue of Tax Status; The Government's Obligation for Uninsured Patients; CONCLUSION; NOTESReferencesMedical economicsHealth facilities, ProprietaryMedical corporationsMedical economics.Health facilities, Proprietary.Medical corporations.362.1/1/0681Gray Bradford H.1942-1522868Institute of Medicine (U.S.).Committee on Implications of For-Profit Enterprise in Health Care.MiAaPQMiAaPQMiAaPQBOOK9910778675303321For-profit enterprise in health care3788072UNINA