Skip to main content
NCBI home page
Health Services Research logoLink to Health Services Research
. 1991 Dec;26(5):613–622.

Uncompensated care before and after prospective payment: the role of hospital location and ownership.

C I Hultman 1
PMCID: PMC1069845  PMID: 1743971

Abstract

Research was undertaken to determine the effects of hospital ownership, location, and Medicare's prospective payment system (PPS) on inpatient uncompensated care. A nonequivalent group design was used with repeated measures of uncompensated care (UNCC) on 137 system hospitals taken pre- and post-PPS. Investor-owned system hospitals demonstrated the largest increase in UNCC (37 percent) under the PPS. Results suggest that not-for-profit and investor-owned system hospitals are becoming more similar in levels of uncompensated care provided and that the PPS has had a negative effect on rural hospital profitability.

Full text

PDF
613

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cassidy J. "Protect Medicare '90" campaign urges adequate hospital payments. Health Prog. 1988 Dec;69(11):24, 26-7. [PubMed] [Google Scholar]
  2. Ermann D., Gabel J. The changing face of American health care. Multihospital systems, emergency centers, and surgery centers. Med Care. 1985 May;23(5):401–420. doi: 10.1097/00005650-198505000-00006. [DOI] [PubMed] [Google Scholar]
  3. Merrill T. Rural issues move up on Congress's agenda. Hospitals. 1987 May 20;61(10):19–21. [PubMed] [Google Scholar]
  4. Pattison R. V., Katz H. M. Investor-owned and not-for-profit hospitals. A comparison based on California data. N Engl J Med. 1983 Aug 11;309(6):347–353. doi: 10.1056/NEJM198308113090606. [DOI] [PubMed] [Google Scholar]
  5. Schlesinger M., Bentkover J., Blumenthal D., Musacchio R., Willer J. The privatization of health care and physicians' perceptions of access to hospital services. Milbank Q. 1987;65(1):25–58. [PubMed] [Google Scholar]
  6. Shortell S. M., Morrison E. M., Hughes S. L., Friedman B., Coverdill J., Berg L. The effects of hospital ownership on nontraditional services. Health Aff (Millwood) 1986 Winter;5(4):97–111. doi: 10.1377/hlthaff.5.4.97. [DOI] [PubMed] [Google Scholar]
  7. Tauke T. J. Rural hospitals suffer prospective payment inequities. Bus Health. 1985 May;2(6):37–41. [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES