LEADER 03884nam 22005414a 450 001 9910812572703321 005 20240410153704.0 010 $a0-8157-9836-9 035 $a(CKB)111087027971432 035 $a(OCoLC)614559242 035 $a(CaPaEBR)ebrary10026287 035 $a(SSID)ssj0000160181 035 $a(PQKBManifestationID)11149851 035 $a(PQKBTitleCode)TC0000160181 035 $a(PQKBWorkID)10182780 035 $a(PQKB)11150612 035 $a(MiAaPQ)EBC3004355 035 $a(Au-PeEL)EBL3004355 035 $a(CaPaEBR)ebr10026287 035 $a(OCoLC)53795199 035 $a(EXLCZ)99111087027971432 100 $a20010607d2001 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt 182 $cc 183 $acr 200 04$aThe future of academic medical centers$b[electronic resource] /$fHenry J. Aaron, editor 205 $a1st ed. 210 $aWashington, D.C. $cBrookings Institution Press$dc2001 215 $a1 online resource (120 p.) 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a0-8157-0236-1 320 $aIncludes bibliographical references and index. 327 $aIntro -- Foreword -- Contents -- 1 Introduction -- 2 The Financial Health of Academic Medical Centers: An Elusive Subject -- 3 Academic Medical Centers and the Economics of Innovation in Health Care -- 4 Politically Feasible and Practical Public Policies to Help Academic Medical Centers -- Contributors -- Index. 330 $aAcademic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care--experts generally agree that many are suffering acute--even life-threatening--financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office ; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades. While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species--that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems--and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. These experts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health. 330 8 $aContributors include Nancy Kane (Harvard School of Public Health), Jamie Reuter (Institute for Health Care Research P. 606 $aTeaching hospitals$zUnited States$xFinance 615 0$aTeaching hospitals$xFinance. 676 $a362.1/1/0973 701 $aAaron$b Henry J$0113318 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910812572703321 996 $aThe future of academic medical centers$94084142 997 $aUNINA