Health Affairs, 25, no. 1 (2006): 10 doi: 10.1377/hlthaff.25.1.10 © 2006 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

This Article Full Text (HTML) Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Search for Related Content

Mission Vs. Market

PROLOGUE

U.S. Hospitals: Mission Versus Market

In the 1990s managed care went to war against unsustainable hospital spending with selective contracting, utilization management, and discounts. Provider protests were often dismissed as self-interested whining, but thoughtful policymakers knew that as reimbursement shrank, there were legitimate reasons to worry about eroding cross-subsidies for teaching, research, charity care, and unprofitable services. Some of these worries were held at bay during an interlude when managed care weakened and hospital revenues bounced back. But resurgent health care costs and relentless budget pressure on Medicare and Medicaid reimbursement have renewed concerns about how hospitals’ mission-driven activities will be supported.

But a new . . . [Full Text of this Article]

                      What's this?