Hospital Specialization: Product-Line Planning During the Market Reformation.
Rational expectations theory dictates that firms respond to shifts in the demand function as a result of substantial reforms in the insurance marketplace. Federal health reform has enhanced the benefits of specialization. Hospital product-line specialization trends are studied using multiple regress...
| Publicado en: | Journal of Health Care Finance Vol. 38; no. 1; pp. 71 - 83 |
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| Formato: | research tables/charts Journal Article |
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Journal of Health Care Finance
Fall2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=65520344&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 65520344 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10786767 HLT jtl: Journal of Health Care Finance issn: 10786767 maglogo: N pubinfo: dt: Fall2011 vid: 38 iid: 1 pid: 59749 pub: Journal of Health Care Finance artinfo: ui: 65520344 65520344 104688149 65520344 ppf: 71 ppct: 12 formats: tig: atl: Hospital Specialization: Product-Line Planning During the Market Reformation. aug: au: Eastaugh, Steven R. affil: Professor of Finance and Health Economics, Department of Health Services and Management, George Washington University, Washington, DC sug: subj: Specialization Health Facility Costs United States Insurance, Health, Reimbursement Health Facility Departments Economics Organizational Efficiency Health Care Reform Legislation and Jurisprudence Health Resource Allocation Multiple Regression Geographic Factors United States Diagnosis-Related Groups Cost Control Health Facility Charges Descriptive Statistics Case Mix Two-Tailed Test Cross Sectional Studies Length of Stay Profits Retrospective Design ab: Rational expectations theory dictates that firms respond to shifts in the demand function as a result of substantial reforms in the insurance marketplace. Federal health reform has enhanced the benefits of specialization. Hospital product-line specialization trends are studied using multiple regression analysis for the period 2001-2010. The observed 32.8 percent rise in specialization was associated with a 9.8 percent decline in unit cost per admission. The number of specialized hospitals has grown by 174 percent in the past decade. Other hospitals are getting more specialized by reducing their product lines. Specialization has been highest in competitive West Coast markets and lowest in the rate-regulated states (New York and Massachusetts). Hospitals have less incentive to contain costs by decreasing the array of services offered in stringent rate-setting states. The term "underspecialization" is advanced to capture the inability of some hospitals to selectively prune out product lines in order to specialize. Such hospitals spread resources so thinly that many good departments suffer. Unit cost per case (DRG-adjusted) is higher in the less specialized hospitals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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