LEADER 04955nam 2200673Ia 450 001 9910455761303321 005 20200520144314.0 010 $a1-280-22166-6 010 $a9786610221660 010 $a0-309-55763-1 010 $a0-585-14411-7 035 $a(CKB)110986584750740 035 $a(EBL)3377089 035 $a(SSID)ssj0000157312 035 $a(PQKBManifestationID)11147389 035 $a(PQKBTitleCode)TC0000157312 035 $a(PQKBWorkID)10139276 035 $a(PQKB)11212686 035 $a(MiAaPQ)EBC3377089 035 $a(Au-PeEL)EBL3377089 035 $a(CaPaEBR)ebr10068321 035 $a(CaONFJC)MIL22166 035 $a(OCoLC)814282726 035 $a(EXLCZ)99110986584750740 100 $a19860121d1986 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 00$aFor-profit enterprise in health care$b[electronic resource] /$fCommittee on Implications of For-Profit Enterprise in Health Care, Institute of Medicine ; Bradford H. Gray, editor 210 $aWashington, D.C. $cNational Academy Press$d1986 215 $a1 online resource (580 p.) 300 $aDescription based upon print version of record. 311 $a0-309-07863-6 311 $a0-309-03643-7 320 $aIncludes bibliographies and index. 327 $aFor-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 QUESTION 327 $aHealth 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 Hospitals 327 $aNURSING 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 ARGUMENT 327 $aPOLICY 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 DATA 327 $aAHA 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; NOTES 327 $aReferences 606 $aMedical economics 606 $aHealth facilities, Proprietary 606 $aMedical corporations 608 $aElectronic books. 615 0$aMedical economics. 615 0$aHealth facilities, Proprietary. 615 0$aMedical corporations. 676 $a362.1/1/0681 701 $aGray$b Bradford H.$f1942-$0910453 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910455761303321 996 $aFor-profit enterprise in health care$92037736 997 $aUNINA