Fiscal Year 1990 Budget Issues Relating to Payment of Inner-city and Rural Hospitals Under Part A of the Medicare Program: Hearing Before the Subcommittee on Health of the Committee on Ways and Means, House of Representatives, One Hundred First Congress, First Session, May 15, 1989 |
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acute adjustment Alabama Alameda County American Hospital Association appropriate beds budget California Chairman STARK clinic closed hospitals closed in 1987 closure Committee community hospitals Congress cost reporting delivery develop differential discharge disproportionate share doctor emergency room factors Federal fiscal funding HCFA hospital share hospital's hospitals closed hospitals that closed increased inpatient Inspector issue J.J. PICKLE legislation margin MCNULTY Medicaid Medical Center medical education Medicare patients Medicare reimbursement MICHAEL ANTHONY million mix index nursing occupancy rates Onaga operating outpatient patient dumping percent PETE STARK physicians PICKLE pital population problems profitable ProPAC proposed prospective payment system referral centers require residents revenues RRCS rural areas rural communities rural health safety net hospitals Secretary small rural hospitals staff standardized amount statute TAUKE teaching hospitals testimony tort reform transfer uncompensated uninsured urban areas urban hospitals urban rates violation wage index
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Page 79 - May 15, 1989 hearing before the Subcommittee on Health of the House Ways and Means Committee, the...
Page 142 - While these safety net hospitals operate under a variety of legal structures, they share a common mission and many common characteristics that set them apart from other community hospitals. These hospitals provide a significantly higher volume of inpatient and outpatient services than their private sector counterparts; they have seen increases in occupancy rates while the hospital industry in general has seen occupancy rates fall; they provide many unprofitable specialized services; and they are...
Page 46 - OF INSPECTOR GENERAL The mission of the Office of Inspector General (OIG) is to promote the efficiency, effectiveness, and integrity of programs in the United States Department of Health and Human Services (HHS). It does this by developing methods to detect and prevent fraud, waste, and abuse. Created by statute in 1976, the Inspector General keeps both the Secretary and the Congress fully and currently informed about programs or management problems and recommends corrective action. The...
Page 193 - ... by the Health Care Financing Administration ("HCFA") in the Department of Health and Human Services ("HHS").
Page 93 - Dumping The Poor: Despite Federal Law. Hospitals Still Reject Sick Who Can't Pay.
Page 124 - NAPH consists of over 90 urban public and non-profit hospitals that serve as major referral centers, teaching hospitals, and hospitals of last resort for the poor and medically underserved in most of our nation's largest metropolitan areas. Many of NAPH's hospitals treat a disproportionate share of addicted mothers and their children.
Page 39 - JUDGED BY THEIR PEERS. THIS CONCLUDES MY PREPARED TESTIMONY. I SHALL BE HAPPY TO ANSWER ANY QUESTIONS YOU MAY HAVE. [THE REPORTS, "PATIENT DUMPING AFTER COBRA: ASSESSING THE INCIDENCE AND THE PERSPECTIVES OF HEALTH CARE PROFESSIONALS...
Page 129 - NAPH hospitals have a designated bum center, while only 3% of other community hospitals have such designations. One hundred percent (100%) of NAPH hospitals provide organized outpatient services, while the community hospital average is 69%. Seventy-four percent (74%) of NAPH members provide neonatal ICU services, as compared with only 14% of other community hospitals. Forty-one percent (41%) perform open-heart surgery, compared to 17% of other hospitals.