| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w6672 |
| 来源ID | Working Paper 6672 |
| Converting Hospitals from Not-for-profit to For-profit Status | |
| David M. Cutler; Jill R. Horwitz | |
| 发表日期 | 1998-08-01 |
| 出版年 | 1998 |
| 语种 | 英语 |
| 摘要 | Over the past twenty-five years, about 330 (7 percent) of the country's 5,000 not-for-profit hospitals have converted to for-profit form This paper explores the causes and effects of conversions through two case studies -- Wesley Medical Center in Wichita, Kansas and the Columbia/HealthOne system in Denver, Colorado. We identify two primary explanations of why hospitals convert: financial concerns and board culture-perceived mission. Financial concerns are multifaceted and include expectations about future profits, anticipated problems servicing debt, and pessimism regarding the future of government reimbursement policies. The effects of these conversions are mixed. There are some efficiencies associated with conversions such as cost-cutting, increased access to capital, and debt-burden relief. However, profits are often derived from increasing reimbursement from the public sector. Further, conversions are likely to cause fragmentation of the hospital market between rich and poor. The results show that not-for-profit hospitals are likely to copy the undesirable behavior of for-profit hospitals in their markets. |
| URL | https://www.nber.org/papers/w6672 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/564184 |
| 推荐引用方式 GB/T 7714 | David M. Cutler,Jill R. Horwitz. Converting Hospitals from Not-for-profit to For-profit Status. 1998. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w6672.pdf（1476KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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