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"https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F14495869%2FHospital_Financial_Conditions_and_the_Provision_of_Unprofitable_Services%3Fauto%3Ddownload"; window.loswp.translateUrl = "https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F14495869%2FHospital_Financial_Conditions_and_the_Provision_of_Unprofitable_Services%3Fshow_translation%3Dtrue"; window.loswp.previewableAttachments = [{"id":44112418,"identifier":"Attachment_44112418","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":14495869,"created_at":"2015-07-29T14:08:15.110-07:00","from_world_paper_id":140280958,"updated_at":"2024-11-13T19:39:12.629-08:00","_data":{"grobid_abstract":"Increases in hospital financial pressure resulting from public and private payment policy may substantially reduce a hospital's ability to provide certain services that are not well compensated or are frequently used by the uninsured. The objective of this study is to examine the impact of hospital financial condition on the provision of these unprofitable services for the insured and uninsured. Economic theory provides the conceptual underpinnings for the analysis, and a longitudinal empirical analysis is conducted for an eight-year study period. The results indicate that not-for-profit hospitals with strong financial performance provide more unprofitable services for the insured and uninsured than do not-for-profit hospitals with weaker condition. Forprofit hospital provision of these services is not influenced by their financial condition and instead may reflect actions to meet community expectations or to offer a sufficiently broad service array to maintain the business of insured patients.","publication_date":"2009,,","publication_name":"Atlantic Economic Journal","grobid_abstract_attachment_id":"44112418"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Hospital Financial Conditions and the Provision of Unprofitable Services","broadcastable":true,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [33441845]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; window.loswp.appleClientId = 'edu.academia.applesignon';</script><script defer="" src="https://accounts.google.com/gsi/client"></script><div class="ds-loswp-container"><div class="ds-work-card--grid-container"><div class="ds-work-card--container js-loswp-work-card"><div class="ds-work-card--cover"><div class="ds-work-cover--wrapper"><div class="ds-work-cover--container"><button class="ds-work-cover--clickable js-swp-download-button" data-signup-modal="{"location":"swp-splash-paper-cover","attachmentId":44112418,"attachmentType":"pdf"}"><img alt="First page of “Hospital Financial Conditions and the Provision of Unprofitable Services”" class="ds-work-cover--cover-thumbnail" src="https://0.academia-photos.com/attachment_thumbnails/44112418/mini_magick20190215-24854-gqbvwf.png?1550221929" /><img alt="PDF Icon" class="ds-work-cover--file-icon" src="//a.academia-assets.com/assets/single_work_splash/adobe.icon-574afd46eb6b03a77a153a647fb47e30546f9215c0ee6a25df597a779717f9ef.svg" /><div class="ds-work-cover--hover-container"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span><p>Download Free PDF</p></div><div class="ds-work-cover--ribbon-container">Download Free PDF</div><div class="ds-work-cover--ribbon-triangle"></div></button></div></div></div><div class="ds-work-card--work-information"><h1 class="ds-work-card--work-title">Hospital Financial Conditions and the Provision of Unprofitable Services</h1><div class="ds-work-card--work-authors ds-work-card--detail"><a class="ds-work-card--author js-wsj-grid-card-author ds2-5-body-md ds2-5-body-link" data-author-id="33441845" href="https://vcu.academia.edu/GloriaBazzoli"><img alt="Profile image of Gloria Bazzoli" class="ds-work-card--author-avatar" src="//a.academia-assets.com/images/s65_no_pic.png" />Gloria Bazzoli</a></div><div class="ds-work-card--detail"><p class="ds-work-card--detail ds2-5-body-sm">2009, Atlantic Economic Journal</p><div class="ds-work-card--work-metadata"><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">visibility</span><p class="ds2-5-body-sm" id="work-metadata-view-count">…</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">description</span><p class="ds2-5-body-sm">19 pages</p></div><div class="ds-work-card--work-metadata__stat"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">link</span><p class="ds2-5-body-sm">1 file</p></div></div><script>(async () => { const workId = 14495869; 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Coverdill</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health Affairs, 1986</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"The effects of hospital ownership on nontraditional services","attachmentId":44964822,"attachmentType":"pdf","work_url":"https://www.academia.edu/24638191/The_effects_of_hospital_ownership_on_nontraditional_services","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/24638191/The_effects_of_hospital_ownership_on_nontraditional_services"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="35666099" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/35666099/Importance_of_Pricing_for_Hospitals_Expenses_from_Financial_and_Social_Perspectives">Importance of Pricing for Hospitals " Expenses from Financial and Social Perspectives</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="11548265" href="https://esenyurt.academia.edu/KemalER">Kemal ER</a></div><p class="ds-related-work--abstract ds2-5-body-sm">This paper analyzes the importance of health care services " charging applied by hospitals in USA. The subject is examined from financial and sociological perspective. In the first step, US hospitals " situation is described. After that, a comprehensive literature review on Pricing Theories is presented. In the next step, problems of health care sector are investigated from a sociological perspective. In the third part of the study, pricing applications of hospitals in USA are considered. The paper has shown that strong positioned interest groups in the US health care sector pay much less than the weak positioned. As a result of weak positioning 1.7 million people in 2014 filed for bankruptcy and 35 million people were contacted by agencies for uncovered bills. Furthermore, more than 15 million people spent all their savings to cover medical bills. On the other side, 1.1 trillion USD is spent by US federal and governmental states on health issues. Moreover, hospitals are complaining about underpayment. As a solution proposal to this problem, all actors in U.S. health sector must come together to find solutions to pricing of health care services and regulations required for better organization.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Importance of Pricing for Hospitals \" Expenses from Financial and Social Perspectives","attachmentId":55536653,"attachmentType":"pdf","work_url":"https://www.academia.edu/35666099/Importance_of_Pricing_for_Hospitals_Expenses_from_Financial_and_Social_Perspectives","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/35666099/Importance_of_Pricing_for_Hospitals_Expenses_from_Financial_and_Social_Perspectives"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="31776146" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care">Hospital conversions, margins, and the provision of uncompensated care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="43718243" href="https://independent.academia.edu/CurtisFlorence1">Curtis Florence</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health Affairs, 2000</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Hospital conversions, margins, and the provision of uncompensated care","attachmentId":52079199,"attachmentType":"pdf","work_url":"https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31776146/Hospital_conversions_margins_and_the_provision_of_uncompensated_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="5290686" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/5290686/Have_procompetitive_changes_altered_hospital_provision_of_indigent_care">Have procompetitive changes altered hospital provision of indigent care</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="7280691" href="https://famu.academia.edu/EllenSCampbell">Ellen S. Campbell</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Health Economics, 1993</p><p class="ds-related-work--abstract ds2-5-body-sm">In the past decade alone there have been numerous changes in the financial and competitive environment of hospitals in the United States. Some examples include the advent of Medicare's Prospective Payment System, growth in managed care options, relaxation of states' Certificate of Need (CON) regulations, and court cases questioning the tax-exempt status of nonprofit hospitals. In this paper we attempt to reveal how hospitals alter their provision of care to the poor in a more cost conscious and competitive environment. Using hospital data from the State of California for the fiscal years ending in 1983 and 1987, estimates explaining uncompensated care commitments are presented. In particular, this study illustrates how hospitals under different ownership control varied their provision of uncompensated care over the period studied on average and by profitability level. Other factors, such as hospital location, teaching status, medicare patient load, and contractual adjustments, are also included in the analysis. A number of interesting trends are detected. Moreover, the results are found to be compatible with a quid pro quo hypothesis which states that hospital regulators reward large uncompensated care providers with profitable CON licenses.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{"location":"wsj-grid-card-download-pdf-modal","work_title":"Have procompetitive changes altered hospital provision of indigent care","attachmentId":49361269,"attachmentType":"pdf","work_url":"https://www.academia.edu/5290686/Have_procompetitive_changes_altered_hospital_provision_of_indigent_care","alternativeTracking":true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/5290686/Have_procompetitive_changes_altered_hospital_provision_of_indigent_care"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{"location":"continue-reading-button--sticky-ctas","attachmentId":44112418,"attachmentType":"pdf","workUrl":null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{"location":"download-pdf-button--sticky-ctas","attachmentId":44112418,"attachmentType":"pdf","workUrl":null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_44112418" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. 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