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Monday, July 20, 2020 | History

1 edition of Hospital closures, openings, and mergers during the 1980s found in the catalog.

Hospital closures, openings, and mergers during the 1980s

Killard Walter Adamache

Hospital closures, openings, and mergers during the 1980s

final report

by Killard Walter Adamache

  • 66 Want to read
  • 7 Currently reading

Published by Center for Health Economics Research in Waltham, MA .
Written in English

    Subjects:
  • Hospital closures,
  • Hospital mergers

  • Edition Notes

    Statementsubmitted by: Killard W. Adamache, Ph.D., Sylvia Hurdle, M.A., with: Center for Health Economics Research
    ContributionsHurdle, Sylvia, United States. Health Care Financing Administration. Office of Research, Center for Health Economics Research (Waltham, Mass.), Health Policy Research Consortium
    Classifications
    LC ClassificationsRA981.A2 A33 1992
    The Physical Object
    Pagination1 volume (various pagings) ;
    ID Numbers
    Open LibraryOL25601001M
    OCLC/WorldCa858676089

      Mergers and acquisitions have been a common occurrence in healthcare for years now, and of late, mega-mergers have become the norm -- giant organizations that join forces, often in an attempt to leverage their newfound scale and keep dollars flowing in. The problem is that these mega-mergers often don't deliver on their promises.   Kinkead and Donald R. Cohodes, executive director for policy of the national Blue Cross and Blue Shield Association, are the coauthors of a major new book entitled, “Hospital Capital Formation.

    Nearly $ billion was committed to fund hospital mergers and acquisitions that were announced during the first decade of the 21st Century. The data from Norwalk, Conn.-based Irving Levin Associates reveals that a heavy concentration of the targets in hospital mergers and acquisitions announced during the year period ended Dec. 31, were in California, Florida. The total number of healthcare mergers and acquisitions hit a record high in , and dozens of deals have closed so far this year. 17 latest hospital mergers and acquisitions Becker's Healthcare.

    Books at Amazon. The Books homepage helps you explore Earth's Biggest Bookstore without ever leaving the comfort of your couch. Here you'll find current best sellers in books, new releases in books, deals in books, Kindle eBooks, Audible audiobooks, and so much more. Emerging research demonstrates how hospital mergers and closures affect rural women’s access to health care, particularly before, during, and after childbirth. However, the extent to which these shifts have affected women’s employment opportunities—particularly in rural areas where hospitals serve as anchor institutions in the community.


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Hospital closures, openings, and mergers during the 1980s by Killard Walter Adamache Download PDF EPUB FB2

Proponents argue that mergers should be encouraged as a legitimate strategy to avert (presumably undesirable) hospital closures. More recently, antitrust activity directed at not-for-profit hospitals has intensified.

This study attempts to shed some light on the policy debate by testing whether merger targets are indeed candidates for closure, namely hospitals with persistent by: 6.

We estimate competing risk hazard models using an year national data set that spans the wave of closures in the s and of mergers in the s. our book on the US health-care system Author: Teresa Harrison.

The number of rural hospital closures increased substantially during the s (U.S. General Accounting Office, ), and rural closures have continued to occur in the early s (Prospective Payment Assessment Commission, ).

However, relatively little is known about the effects of closures on the population previously served by the Cited by: have occurred independent of the hospital. closure. One comparison group includes. Medicare beneficiaries in areas that had no hospital closures (nor openings, mergers, or conversions) during the period openings study.

The second comparison group includes. those in areas in which there were no hos­ pitals during the entire study Size: KB. Hospital mergers have been increasing dramatically in the United States in recent years.

There were mergers throughout the entire decade of the s, but mergers Cited by: Hospital closures have been the main path-way to consolidate excess beds existing within the system (Lindrooth, Lo Sasso, and Bazzoli ).

About % of urban and % of rural, general short-term hospitals exited the markets during the – period.1 These hospital closures accounted for 36% of the reduction in total inpatient bed.

For each area experiencing a hospital closure, two comparison groups have been selected to control for effects that might have occurred independent of the hospital closure.

One comparison group includes Medicare beneficiaries in areas that had no hospital closures (nor openings, mergers, or conversions) during the period of study.

The AARP, Inc., (AARP) recently reported on a “sweeping national trend” of hospital mergers. Looking out for its constituents, the AARP pointed out that when a small hospital is taken over by a larger group, costs can increase by 5 to 40 percent.

This is bad news for patients and the communities the hospitals serve. While hospital mergers have been on the rise in recent years, they are not new to the landscape of health care. Studies have shown there is the potential for both positive and negative affects to patients/consumers, communities, and employees.

Arguments for supporting hospital mergers in the past have focused on efficiency and lowered costs due [ ]. There will be a significant increase in hospital bankruptcy, par- ticularly in hospitals under beds.

This will contribute to a growing prevalence of the corporate health care or- ganization [8]. REFERENCES 1. E.g. Dombrosk S. and Tracy R. Impact of hospital closures on nearby hospitals studied. Hospit 82, 2. Mod. Hosp. A key lighting rod was the Commission on Health Care Facilities in the 21st Century, also known as the Berger Commission, a governmental effort that contributed to hospital closures.

More than hospital mergers occurred inup from about 50 to 60 annually from throughaccording to a January report in the New England Journal of Medicine. They have risen along with the nation's overall health care bill, which in was more than 10 times the total inaccording to the Centers for Medicare and Medicaid Services.

Historically, academic research has been unable to prove that mergers systematically make providing hospital services less expensive. spread awareness of the hospital closing, including newspaper notices, postcard mailings to all residences in the county, and automated calls to residents in the community.

Additionally, we worked closely with the Facility Director to place brightly colored signage at the hospital entrances communicating the hospital closure.

Background on California Hospital Mergers. Forty hospital mergers occurred between and I used the discharge data appendix on consolidations and Internet research to identify and confirm each merger. Twenty-seven of these mergers involved nonprofit hospitals, 10 involved for-profit hospitals, and 3 involved county or district hospitals.

Openings Closures Mergers Demergers Changes in Hospital Characteristics. Table of Tables Table 1. Linkages Between AHA and Data Source Identifiers Table 2. Example of Different Source Identifiers Mapped to One AHA Identifier Table 3. Example of Hospital Openings Table 4. Example of Hospital Closures Table 5.

Example of Hospital Mergers Table 6. closure of a hospital may result from financial unsustainability, lack of personnel, ineffective management, and poor government policies (Henry, ).

Hospitals provide health care services to people and are also a source of employment and income to families. The impact of hospital closure on the families in the community is multifaceted. How NY hospital closures made COVID worse after New York’s health system cut thousands of hospital beds in search of cost savings and.

Hospital merger and acquisition (M&A) activity has increased significantly in the past decade, with buyers and sellers looking to create operational, strategic, and financial value.

A main driver is the pursuit of economies of scale, the ability to decrease unit costs, or to improve productivity and outcomes through increased volumes. Congress created the Critical Access Hospital (CAH) designation through the Balanced Budget Act of (Public Law ) in response to a string of rural hospital closures during the s and early s.

Industry M&A may be no savior as the pace of hospital closures, particularly in hard-to-reach rural areas, seems poised to accelerate. Hospitals have been closing at a rate of about 30 a year.Hospital administrators who create the mergers tell one side of the story.

They believe that hospital consolidation improves efficiency, access to care, and quality of care, and may lower costs because in theory, the more care a hospital provides, the more efficient and less expensive it should become.Longer trips to the hospital.

When hospitals close, patients have to travel farther. This isn't always bad. Maddox helped conduct a study of hospital closures that took place between and The authors found no significant difference in death rates for patients living in places where hospitals closed.