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ch08.ppt

Getzen’s Health Economics & Financing, 5th Edition

Copyright © John Wiley & Sons, Inc.

Chapter 8: Hospitals

QUESTIONS

How do hospitals get paid? What do they pay for?

Does it make a difference to hospitals that 95 percent of their funds come from third-party insurance rather than patients?

Why don’t philanthropists donate as much to hospitals as they used to?

Who pays for medical research?

QUESTIONS cont.

Does cost-shifting help the poor or the rich?

Does reimbursement increase employment? Does it drive up costs?

Who owns a nonprofit hospital? Who gets the profits?

Are hospitals charitable institutions, or instruments of corporate control?

8.1 FROM CHARITABLE INSTITUTIONS TO CORPORATE CHAINS: DEVELOPMENT OF THE MODERN HOSPITAL

8.2 HOSPITAL FINANCING: REVENUES

  • Sources of Revenues
  • Philanthropy and Grants
  • Global Budgets
  • Charges
  • Per Diem
  • Cost Reimbursement
  • DRGs—Diagnostically Related Groups
  • Capitation
  • Managed Care Contracts

8.3 HOSPITAL FINANCING: EXPENSES

8.4 FINANCIAL MANAGEMENT AND COST SHIFTING

8.5 HOW DO HOSPITALS COMPETE?

  • Competing for Patients
  • Competing for Physicians
  • Competing for Contracts
  • Measuring Competitive Success
  • Measuring the Competitiveness of Markets

8.6 ORGANIZATION: WHO CONTROLS THE HOSPITAL AND FOR WHAT ENDS?

Copyright 2013 John Wiley & Sons, Inc.