+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Specialty hospitals, ambulatory surgery centers, and general hospitals: charting a wise public policy course



Specialty hospitals, ambulatory surgery centers, and general hospitals: charting a wise public policy course



Health Affairs 24(3): 868-873



The number of U.S. specialty hospitals and ambulatory surgery centers has been increasing. Advocates of these facilities believe that they will increase competition and improve health services. General hospitals, however, complain that specialty facilities select only the most profitable patients, which reduces general hospitals' ability to pay for care of the uninsured and other unprofitable services. Physician ownership also raises conflict-of-interest concerns. Congress has enacted a moratorium on payments to new specialty hospitals as it ponders the questions that will determine future policy. Can the competitive playing field be leveled, or will future development of these facilities be highly regulated or banned?

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050356553

Download citation: RISBibTeXText

PMID: 15886184

DOI: 10.1377/hlthaff.24.3.868


Related references

The future of specialty hospitals, and lying-in hospitals in particular. Hospitals with specialized interests, if not merged into general hospitals, must affiliate closely with other hospitals in ambulatory, diagnostic, special care, and emergency room services. Rhode Island Medical Journal 49(1): 47-50, 1966

Orthopedic-driven ambulatory surgery centers and specialty hospitals--a physician and hospital perspective. Health Care Law Monthly 2005: 3-6, 2005

Strategic response by providers to specialty hospitals, ambulatory surgery centers, and retail clinics. Population Health Management 14(2): 69-77, 2011

Ambulatory surgery in French public hospitals. Present and future. "Public hospitals" group of the French Association of Ambulatory Surgery. Presse Medicale 27(8): 347-350, 1998

Comorbidity and outcomes of coronary artery bypass graft surgery at cardiac specialty hospitals versus general hospitals. Medical Care 45(8): 720-728, 2007

Comorbidity and Outcomes of Coronary Artery Bypass Graft Surgery at Cardiac Specialty Hospitals versus General Hospitals. Medical Care 45(8): 720-728, 2007

Specialty hospitals and ambulatory surgical centers. Journal of the Oklahoma State Medical Association 98(6): 261, 2005

Medicare program; payment for outpatient surgery at eye specialty hospitals and eye and ear specialty hospitals--HCFA. Final rule. Federal Register 55(160): 33697-33700, 1990

Public policy regarding specialty hospitals. Medical Care Research and Review 65(5): 564-570, 2008

Ambulatory Surgery Data From Hospitals and Ambulatory Surgery Centers: United States, 2010. National Health Statistics Reports 2018(102): 1-15, 2018

Effects of specialty hospitals on the financial performance of general hospitals, 1997-2004. Inquiry 44(3): 321-334, 2007

Effects of Specialty Hospitals on The Financial Performance of General Hospitals, 19972004. Inquiry 44(3): 321-334, 2007

In a niche of time: do specialty hospitals outperform general services hospitals?. Health Care Manager 32(1): 13-22, 2013

Coronary revascularization at specialty cardiac hospitals and peer general hospitals in black Medicare beneficiaries. Circulation. Cardiovascular Quality and Outcomes 1(2): 116-122, 2010

General hospitals, specialty hospitals and financially vulnerable patients. Research Brief 2009(11): 1-8, 2009