Tabla de Contenidos:
  • 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 QUESTION.
  • Health Care as Economic GoodHealth 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.
  • NURSING HOMESHEALTH 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.
  • POLICY ISSUES REGARDING CAPITALCONCLUSION; 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.
  • AHA DataState 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.