Posting date: October 25, 2005

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Health Affairs, 10.1377/hlthaff.w5.494
Copyright © 2005 by Project HOPE

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The Rise Of The Entrepreneurial Physician

¹ Allen Dobson is senior vice president of the Lewin Group in Falls Church, Virginia.
² Randall Haught is a senior scientist there.

^*Corresponding author.

Abstract

The policy issues surrounding physician-owned specialty hospitals are highly controversial. Central to the controversy is the trade-off between the role these hospitals might play in increasing competition and the impact they might have on community hospitals' ability to cross-subsidize unfunded missions. Key policy questions relate to quality, efficiency, and the degree to which specialty hospitals are fairly paid for their services. This commentary reviews Jean Mitchell's basic thesis in relation to both the emerging specialty hospital literature and earlier work performed by the Lewin Group for MedCath, a corporation that owns and manages heart specialty hospitals.

Key Words: Access To Care, Business Of Health, Consumer Issues, Hospitals, Physicians, State/Local Issues

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