Health Affairs, 22, no. 6 (2003): 55 doi: 10.1377/hlthaff.22.6.55 © 2003 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Outpatient Surgery

PROLOGUE

The Outpatient Surgery Controversy

PROLOGUE: Is opening a boutique an example of elitism or entrepreneurial spirit? For the hospital industry, this question is more than academic. Specialized hospitals and ambulatory surgical centers (ASCs) are perceived either as unfair competition or exemplary innovators, depending on your point of view. To the hospital administrator who must staff and operate a full-service hospital and provide care to any and all comers, specialized hospitals and ASCs appear to be cherry picking the "best" and healthiest patients. Not only that, but in the population under age sixty-five, such facilities can limit their patients to those with health insurance coverage. . . . [Full Text of this Article]

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