Specialty Hospitals and Community Hospitals Essay

Specialty Hospitals and Community Hospitals Essay

Length: 1930 words (5.5 double-spaced pages)

Rating: Term Papers

Open Document

Essay Preview

Specialty Hospitals and Community Hospitals
The Medicare Prescription Drug, Improvement, and Moderation Act of 2003 enacted an 18-month moratorium to investigate whether specialty hospitals privately owned by physicians were unjustly profiting from self-referrals to their own hospital (McLauglin & McLauglin, 2008). Many critics of these specialty hospitals contend that they draw the most profitable patients to their facilities; therefore making it more difficult for community hospitals to generate funding for their less-profitable services such as the emergency room (Tynan, November, Lauer, Pham, and Cram, 2009). However, the defenders of specialty hospitals claim they provide better quality services and receive higher patient satisfaction ratings than community hospitals (Tyanan et al., 2009). This case study discusses new reforms for specialty physician-owned hospitals since the Medicare Payment Advisory Commission (MedPAC) moratorium was lifted in 2006, the implications of these reforms for both specialty physician-owned and community hospitals, why possible specialty physician-owned hospitals were opened during the 18-month moratorium period, and changes to Medicare diagnosis-related groups (DRGs) used for reimbursement.
Reforms for Physician-Owned Specialty Hospitals
There have been a few significant changes since 2006 that affect how physician owned specialty hospitals run their private businesses. In August 2006, the moratorium for specialty hospitals was ended with MedPAC proposing new reforms affecting private for profit specialty hospitals (McLauglin & McLauglin, 2008). The proposals stated that the Medicare DRG reimbursement hospital payments should be revised so they more closely matched actual costs and s...


... middle of paper ...


...
procedures. Health Affairs, 31(4), 806-815. doi: 10.1377/hlthaff.2011.0624

McLauglin, C. & McLauglin, C. (2008). Health policy analysis: An interdisciplinary
approach. Boston Jones and Bartlett Publishers.




Rau, J. (2013, Apr. 12). Doctor-owned hospitals prosper under health law. Kasier Health

News. Retrieved from http://www.kaiserhealthnews.org/stories/2013/april/12/

doctor-owned-hospitals-quality-bonuses.aspx

Tyann, A., November, E.A., Lauer, J., Hoangmai, H.P., Cram, P. (2009, April). General

hospitals, specialty hospitals and financially vulnerable patients. HSC Research

Brief No. 11. Retrieved from http://www.hschange.com/CONTENT/1056/

Wilson, R. C. (2008). When entrepreneurship and ethics collide: The case of physician-

owned specialty hospitals. Journal of Applied Management and Entrepreneurship,

13(2), 87-101.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Essay on Physicia- Owned Specialty Hospitals

- As indicated by McLaughlin and McLaughlin (2008), governments must respond to the concerns of healthcare providers having conflicting roles in society as agents for both patients and for others. In the 1990s, the United States saw the emergence of many physician-owned hospitals specializing in certain high-dollar procedures such as cardiac care and orthopedics. The reasons for their development were many. First of all, physicians sought to funnel the better insured patients to facilities in which they had a financial stake....   [tags: healthcare, insurance, community hospitals]

Term Papers
1286 words (3.7 pages)

Specialty Hospitals Finally Regulated by PPACA Essay

- ... It also requires complete disclosure of information about their revenues, referrals, and operating physicians with full transparency to their patients (Perry, 2012). Consequently, Physician Hospitals of America (PHA) and Texas Spine and Joint Hospital initiated litigation cease implementation of section 6001 claiming that the provision is unconstitutional (Perry, 2012). Next, section 6001 defendants used supported data that physician-owned hospitals over utilize the service, increase health care expenditure, do not offer uncompensated care, and do not provide necessary emergency medicine (Perry, 2012)....   [tags: medical ethics, nedicare reimbursement ]

Term Papers
1039 words (3 pages)

Hospitals And The Health Care System Essay

- Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies....   [tags: Medicine, Health care, Health economics, Health]

Term Papers
700 words (2 pages)

A Shortage in the World of Nursing Essay

- ... The registered nurse (RN) is at the next level and communicates between the doctors and the supporting staff. The supporting staff, the final level, assist the patients on a one on one basis. This pyramid of positions alters depending on the specialty or facility that an individual is employed, and condition of the patient. One without the other is an impossible task due to the amount of work needed to provide adequate care. To provide adequate care, each position must perform their assigned duties....   [tags: patients, schedules, hospitals]

Term Papers
1004 words (2.9 pages)

Essay on Requirements for Entry-Level Nursing

- An ongoing debate for the requirements to become a Registered Nurse (RN) has been unsettled. Several different educational pathways lead to an RN licensure; however, the minimum educational requirements must be standardized at the baccalaureate level for several reasons. Spetz and Bates (2013) published that a growing number of hospitals prefer hiring nurses with a Bachelor Science in Nursing (BSN) as this increases the status of the nursing profession (p. 1). Associate Degree in Nursing (ADN), as well as a certificate on-the-job training Diploma are two other educational pathways to become an RN, which can be disadvantageous to the nursing profession in several ways (Tollick 2013;...   [tags: RN, BSN, hospitals]

Term Papers
1077 words (3.1 pages)

The Health of a Community: The Project Essays

- A community health assessment is an on-going evaluation process. The community health nurse faces many challenges that impact the health of communities. The community health nurse is adaptable and is able to provide care to a diverse population group with many different health needs. The community health nurse is a critical thinker, an advocate of those who reside within the community and has investigative abilities; they are the educators (Meadows, 2009). Utilizing the nursing process will uncover the health care needs of the community....   [tags: mobidity, mortality, health communities]

Term Papers
1042 words (3 pages)

Essay about Introduction To Innovative Community Integrated Services

- Rural Innovation The following are a few examples of innovative community integrated services. There are rural alliance associations which formed to take advantage of resource pooling. Working together partners can reduce overhead, spread administrative costs, and combine purchasing power when dealing with purchase of employee insurance and benefits and collectively invest in technology, new medical equipment and new electronic health record systems. 1. One such example is the Northland Health Alliance in North Dakota, which uses mobile MRI units that travel among member hospitals....   [tags: Health care, Health economics, Health insurance]

Term Papers
1320 words (3.8 pages)

A Sound Physical and Financial Environment Produces a Healthy Community Essay

- A healthy community is one that produces a financial, communal and physical environment that allows people and families the opportunity to reach their ideal physical health and well-being. A thriving neighborhood does not impart hurdles to excellent health, and is one that promotes opportunities for favorable growth and progress. Health is not just the absence of ailment, but the existence of a collective physical, mental and faith based well-being. Even in the most economically challenged areas, there are characteristics of the neighborhoods that can create aspirations, hope, and opportunities....   [tags: neighborhoods, mental, faith]

Term Papers
564 words (1.6 pages)

Hospitals Giving Back To the Community Essay

- In the healthcare world, it is tough for low-income families that have health issues to seek immediate care. There are expensive medical bills and demanding health insurance policies to stress about. Many of these families do not have the available resources for overall wellness and do not have access to education about medical conditions. During hospital stays, doctors diagnosis patients and nurses provide treatments along with a follow-up plan. This is done so patients know what to do once they leave the hospital....   [tags: Contribution to My Community]

Term Papers
923 words (2.6 pages)

Our Healthcare Community Essay examples

- In today’s ever changing health care climate, we strongly believe that our medical care should and always remain personal and progressive. In order to promote a better and more complete health and healing, people need to promote more and better services to provide our people with the respect and loyalty that they deserve. Health care over time results in many forms, behavioral, social, cultural, environmental, and political and economic. In order to really understand what it should be like in our health care comminuted, I will be explaining the difference between doctors and nurse and explaining the down fall and the ups to everything....   [tags: Health Care, argumentative, persuasive]

Term Papers
1431 words (4.1 pages)