State Oversight of Hospital Conversions: Preserving Trust or Protecting Health?

2002 ◽  
Author(s):  
Jill R. Horwitz
Keyword(s):  
State Oversight ◽  
Hospital Conversions

The Conversion Conundrum: The State and Federal Response to Hospitals’ Changes in Charitable Status

1997 ◽  
Vol 23 (2-3) ◽  
pp. 221-250
Author(s):  
Lawrence E. Singer
Keyword(s):  
Joint Venture ◽  
Low Cost ◽  
State Level ◽  
The State ◽  
Nonprofit Hospitals ◽  
For Profit ◽  
Tax Exempt ◽  
Federal Response ◽  
Profit Status ◽  
Hospital Conversions

The pressures encountered by hospitals in the current era of reimbursement declines and stiffened competition are well known. As the “ultimate” payors—primarily employers and government—aggressively continue to seek low cost care, the response of the hospital industry has been to move toward consolidation and efficiency-enhancing mechanisms.Increasingly, nonprofit, tax-exempt hospitals have come to believe that they are at a significant disadvantage vis-á-vis their for-profit brethren in their ability to attract the capital needed to compete in the market. A growing trend among nonprofit hospitals, therefore, is to sell to or enter into a joint venture with a proprietary organization, or alternatively to convert to for-profit status. In 1995, fifty-eight nonprofit hospitals became for-profit; hospital conversions to for-profit status in 1996 are projected to outstrip the pace established the prior year.The conversion trend has not gone unnoticed at the state level. Recently, several states have proposed or enacted laws regulating sales and conversions of nonprofit hospitals, and many more states are contemplating such legislation.

“Doing it Our Way” Participation and Kinship in Traditional Surrogacy Narratives in Aotearoa New Zealand

2021 ◽  
Vol 8 (3) ◽  
pp. 1-26
Author(s):  
Hannah Grace Gibson
Keyword(s):  
New Zealand ◽  
Ethnographic Research ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Aotearoa New Zealand ◽  
State Oversight ◽  
Gestational Surrogacy ◽  
Multiple Discourses

The practice of traditional surrogacy gives rise to multiple discourses around women’s autonomy and kinship practices globally. In the Aotearoa New Zealand context, traditional surrogacy (where the surrogate donates her own egg as well as gestating the foetus) is legal only on an altruistic basis. Furthermore, it is subject to neither medical nor state oversight, unlike gestational surrogacy which is heavily regulated. Drawing on three years of ethnographic research, this article focuses on both traditional surrogates in Aotearoa New Zealand who have children of their own and those who have chosen a childfree life. Their narratives reveal multilayered motivations that align with and diverge from the ‘help’ narrative often associated with altruistic surrogacy. By drawing on and contributing to current debates on surrogacy globally, I show that traditional surrogates take on their role with clear ideas about kinship and different interpretations of reproductive participation. Their narratives bring to the fore the under-researched topic of traditional surrogacy, and in particular of women who do not want children of their own but choose to donate their eggs and gestate the foetus for another woman. I argue that their negotiation of stigma to make/resist kin disrupts pervasive heteronormative modes of kinship.

3. State Oversight of Academia

2017 ◽  
pp. 49-68
Author(s):  
Donald E. Heller
Keyword(s):  
State Oversight

Hospital Conversions from for-Profit to Nonprofit Status: The other Side of the Story

1998 ◽  
Vol 55 (3) ◽  
pp. 298-308 ◽  
Author(s):  
Kamal R. Desai ◽  
Gary J. Young ◽  
Carol VanDeusen Lukas
Keyword(s):  
The Other ◽  
For Profit ◽  
Hospital Conversions

county government finance practices: What independent auditors are finding and what makes local government susceptible

2012 ◽  
Vol 24 (4) ◽  
pp. 558-578 ◽  
Author(s):  
Steve Modlin
Keyword(s):  
North Carolina ◽  
Internal Control ◽  
Local Governments ◽  
County Government ◽  
Audit Process ◽  
Efficient Manner ◽  
County Governments ◽  
Inaccurate Data ◽  
Financial Audit ◽  
State Oversight

The financial audit process has provided much transparency into the internal control structure and the ability of local governments to remain fiscally stable. The outcomes of many of these audits have provided much information regarding the ability of local governments to provide services in a timely and efficient manner. Even with the implementation of stricter legislation and more stringent accounting standards in addition to an increased level of state oversight, irregular practices and mismanagement continue to occur. This study examines the independent auditor findings in professionally administered governments in North Carolina. Findings indicate numerous reporting problems within a majority of county governments ranging from internal control problems to reconciliation issues that are required to be addressed for information users that question the sustainability of the unit. Lengthy audits processes, less expensive audits and smaller governments that do not have the ability to employ more accountants or accounting specialists are among the factors that increase the probability of reporting problems and inaccurate data.

Talking Cents: Public Discourse, State Oversight, and Democratic Education in East St. Louis

2006 ◽  
Vol 40 (1) ◽  
pp. 6-23 ◽  
Author(s):  
DONYELL L. ROSEBORO ◽  
MICHAEL P. O'MALLEY ◽  
JOHN HUNT
Keyword(s):  
Public Discourse ◽  
Democratic Education ◽  
State Oversight

Relations between State and Local Governments

2013 ◽  
Author(s):  
Carol S. Weissert ◽  
Jessica L. Ice
Keyword(s):  
Policy Implementation ◽  
Local Governments ◽  
The State ◽  
Future Research ◽  
Local Autonomy ◽  
Different Types ◽  
State Oversight ◽  
Research Questions ◽  
State And Local

This chapter reviews research on relations between state and local governments. The authors focus on the different types of local governmental units and their relationship to the state, decentralization and local autonomy, and state oversight and funding in policy implementation. The authors summarize the strengths and weaknesses of research on state–local relationships and offer suggestions for future research questions.

Hospital Conversions and Uncompensated Care

1997 ◽  
Vol 16 (3) ◽  
pp. 270-271
Author(s):  
David Shactman ◽  
Stuart Altman
Keyword(s):  
Uncompensated Care ◽  
Hospital Conversions
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