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Essay / Research Paper Abstract
:A 20 page research paper that addresses specific questions concerning the financing of the American health care system. Topics include comparing the US system to systems in France and Canada and also compares fee-for-service and capitation as payment for physician services. Bibliography lists 17 sources.
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20 pages (~225 words per page)
File: D0_khqufin.rtf
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of multi-hospital systems. Beginning in the 1990s, hospitals have been under continuous pressure to contain costs and improve quality. They have adapted to this pressure in various ways, which
include developing multi-unit organizations (Kovner, 2002). There were 142 hospitals mergers and acquisitions in 1999 alone (Kovner, 2002). According to experts, there are two major forms of multi-unit organization.
One form is the "alliance," which is when separately owned organizations enter into a relationship primarily for strategic purposes, such as referring patient to each other for services (Kovner,
2002). The other form is multi-corporate organizations, which are merged organizations with unified ownership (Kovner, 2002). An example of this form is Mount Sinai NYU Health, which is a vertically
integrated not-for-profit holding company that serves the greater New York area. This corporation provides "ambulatory care, hospitals, and employed and affiliated physician groups" (Kovner, 2002, p. 163). It has
a centralized management as its mission, plans and CEO financial and acquisition powers are reserved by the parent company (Kovner, 2002). The advantages of multi-corporate organization are increased volume,
cost savings, and greater leverage in bargaining with managed care organizations. However, Kovner (2002) points out that these advantages have yet to be proven. Those hospitals that have remained independent
argue that advocates of merged organizations have not achieved the success they expected. In each case, the form that the hospitals pursue is governed by the same needs to contain
costs, while adequately funding services. b. the development of for-profit services. Between 1985 and 1999, around 700 hospitals in the US changed their ownership status, in many
cases changing from a non-profit to a for-profit orientation (Shen, 2003). These conversions, in general, increased the hospitals profit margin, which was achieved through various means, but was associated by
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