Specialty versus community hospitals: what role for the law?

نویسندگان

  • Sujit Choudhry
  • Niteesh K Choudhry
  • Troyen A Brennan
چکیده

U.S. health care has long featured a struggle between regulation and markets as vehicles of reform, and the community hospital is at the center of this struggle. The key to its financial viability is cross-subsidization, whereby revenues from insured patients subsidize the care of the uninsured and underinsured, and profits from well-compensated services support those operating at a loss. Cross-subsidization has been challenged by efforts to move highly compensated services and well-insured patients to ambulatory surgical centers and specialty hospitals. We review the ongoing battle between through a legal lens and offer conjectures about the outcome. Refined certificate-of-need regulation may be the preferable policy choice.

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عنوان ژورنال:
  • Health affairs

دوره Suppl Web Exclusives  شماره 

صفحات  -

تاریخ انتشار 2005