Independent hospitals, already on the brink of the abyss, have less financial room for manoeuvre and are at greater risk of closing services or closing them altogether. Some economic theorists suggest that many not-for-profit hospitals, especially community (as opposed to university) hospitals, are run, through one device or another, essentially to further the economic interests of physicians (Pauly, 1980; Pauly and Redisch, 1973; Clark, 1980). CMS audits only a small portion of HCRIS reports for data related to hospital financing, so many data fields in the cost reports contain unreasonable values and other errors. Operating margins, a measure of revenues and expenses directly associated with patient care, were 1n all hospitals in the KAP sample.
Not-for-profit hospitals conduct costly but necessary research and maintain services that are not financially viable, but provide physicians with training experiences necessary for medical education. Again, hospital administrators know which physicians generate those patients who pose disposition problems and, at best, frown upon them and, at worst, may actively seek to limit the admissions of such patients. International patients typically represent 1.3 per cent of hospital patients, but approach 3 per cent of admissions due to the complexity of the care they receive, a spokeswoman said. Previous sections have shown that hospitals often bill far more than they expect in payments from any of the insurance providers.
Part of those funds will go to Providence Health Systems, which owns 51 hospitals, including the Seattle-area facility that treated the first confirmed coronavirus patient in the United States. It is not uncommon for a hospital to have a number of patients who have nowhere to go after their hospitalisation. Depending on their locality and the list of insurance programmes available to their patients, both doctors and hospitals will make more or less money by treating certain patients rather than others. Disrupting hospital operations may end up leaving Americans with less access to health care, according to financial analysts, health economists and policy experts.
The amount hospitals bill in excess of what they receive has increased dramatically in recent decades. Some of these companies concentrate on a particular type of facility or service, such as hospitals, nursing homes, psychiatric hospitals, health maintenance organisations (HMOs), drug and alcohol treatment, rehabilitation, home health care, urgent care or physician offices.