+ 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: can general hospitals compete?



Specialty hospitals: can general hospitals compete?



Issue Brief 2005(804): 1-12



The rapid increase in specialty cardiac, surgical, and orthopedic hospitals has captured the attention of general hospitals and policymakers. Although the number of specialty hospitals remains small in absolute terms, their entry into certain health care markets has fueled arguments about the rules of "fair" competition among health care providers. To allow the smoke to clear, Congress effectively stalled the growth in new specialty hospitals by temporarily prohibiting physicians from referring Medicare or Medicaid patients to specialty hospitals in which they had an ownership interest. During this 18-month moratorium, which expired June 8, 2005, two mandated studies of specialty hospitals provided information to help assess their potential effect on health care delivery. This issue brief discusses the research on specialty hospitals, including their payments under Medicare's hospital inpatient payment system, the quality and cost of care they deliver, their effect on general hospitals and on overall health care delivery, and the regulatory and legal environment in which they have proliferated. It concludes with open issues concerning physician self-referral and the role of general hospitals in providing a range of health care services.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 050356558

Download citation: RISBibTeXText

PMID: 16086531


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

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

Specialty hospitals, ambulatory surgery centers, and general hospitals: charting a wise public policy course. Health Affairs 24(3): 868-873, 2005

Coronary revascularization at specialty cardiac hospitals and peer general hospitals in black Medicare beneficiaries. Circulation. Cardiovascular Quality and Outcomes 1(2): 116-122, 2008

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

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

Healthcare Spending and Performance of Specialty Hospitals: Nationwide Evidence from Colorectal-Anal Specialty Hospitals in South Korea. Yonsei Medical Journal 56(6): 1721-1730, 2015

Medical costs, Cesarean delivery rates, and length of stay in specialty hospitals vs. non-specialty hospitals in South Korea. Plos one 12(11): E0188612, 2017

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

Comparison of Hospital Consumer Assessment of Healthcare Providers and Systems patient satisfaction scores for specialty hospitals and general medical hospitals: confounding effect of survey response rate. Journal of Hospital Medicine 9(9): 590-593, 2014

Characteristics of psychiatric discharges from nonfederal, short-term specialty hospitals and general hospitals with and without psychiatric and chemical dependency units: the Hospital Discharge Survey data. Health Services Research 25(6): 881-906, 1991

Hospitals vs. insurers: to compete effectively, hospitals must manage costs. Modern Healthcare 44(33): 25, 2014