Are For-Profit Hospital Conversions Harmful to Patients and to Medicare?

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.

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

Medical Care Research and Review ◽

10.1177/107755879805500303 ◽

1998 ◽

Vol 55 (3) ◽

pp. 298-308 ◽

Cited By ~ 7

Author(s):

Kamal R. Desai ◽

Gary J. Young ◽

Carol VanDeusen Lukas

Keyword(s):

The Other ◽

For Profit ◽

Hospital Conversions

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Re: Association between Hospital Conversions to For-Profit Status and Clinical and Economic Outcomes

The Journal of Urology ◽

10.1016/j.juro.2015.03.041 ◽

2015 ◽

Vol 193 (6) ◽

pp. 2056-2057

Author(s):

David F. Penson

Keyword(s):

Economic Outcomes ◽

For Profit ◽

Profit Status ◽

Hospital Conversions

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Association Between Hospital Conversions to For-Profit Status and Clinical and Economic Outcomes

JAMA ◽

10.1001/jama.2014.13336 ◽

2014 ◽

Vol 312 (16) ◽

pp. 1644 ◽

Cited By ~ 16

Author(s):

Karen E. Joynt ◽

E. John Orav ◽

Ashish K. Jha

Keyword(s):

Economic Outcomes ◽

For Profit ◽

Profit Status ◽

Hospital Conversions

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Hospitals: N.Y. Appellate Court Denies Move to Privatize Public Hospital

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012961 ◽

1999 ◽

Vol 27 (2) ◽

pp. 202-203

Author(s):

Robert Chatham

Keyword(s):

New York ◽

New York City ◽

York City ◽

Public Health System ◽

Municipal Hospital ◽

The Public ◽

Public Benefit ◽

For Profit ◽

Benefit Corporation ◽

The City

The Court of Appeals of New York held, in Council of the City of New York u. Giuliani, slip op. 02634, 1999 WL 179257 (N.Y. Mar. 30, 1999), that New York City may not privatize a public city hospital without state statutory authorization. The court found invalid a sublease of a municipal hospital operated by a public benefit corporation to a private, for-profit entity. The court reasoned that the controlling statute prescribed the operation of a municipal hospital as a government function that must be fulfilled by the public benefit corporation as long as it exists, and nothing short of legislative action could put an end to the corporation's existence.In 1969, the New York State legislature enacted the Health and Hospitals Corporation Act (HHCA), establishing the New York City Health and Hospitals Corporation (HHC) as an attempt to improve the New York City public health system. Thirty years later, on a renewed perception that the public health system was once again lacking, the city administration approved a sublease of Coney Island Hospital from HHC to PHS New York, Inc. (PHS), a private, for-profit entity.

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Antitrust: U.S. Supreme Court Affirms FTC Jurisdiction but Vacates Scope of Analysis on CDA Policy

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500012912 ◽

1999 ◽

Vol 27 (2) ◽

pp. 197-198

Author(s):

Joseph R. Zakhary

Keyword(s):

Public Relations ◽

Supreme Court ◽

Federal Trade Commission ◽

Ninth Circuit ◽

Court Of Appeals ◽

For Profit ◽

Rule Of Reason ◽

Antitrust Analysis ◽

Business Financing ◽

The U.S

In California Dental Association v. FTC, 119 S. Ct. 1604 (1999), the U.S. Supreme Court reviewed a decision by the U.S. Court of Appeals for the Ninth Circuit that a nonprofit affiliation of dentists violated section 5 of the Federal Trade Commission Act (FTCA), 15 U.S.C.A. § 45 (1998), which prohibits unfair competition. The Court examined two issues: (1) the Federal Trade Commission's (FTC) jurisdiction over the California Dental Association (CDA); and (2) the proper scope of antitrust analysis. The Court unanimously held that CDA was subject to FTC's jurisdiction, but split 5-4 in its finding that the district court's use of abbreviated rule-of-reason analysis was inappropriate.CDA is a voluntary, nonprofit association of local dental societies. It boasts approximately 19,000 members, who constitute roughly threequarters of the dentists practicing in California. Although a nonprofit, CDA includes for-profit subsidiaries that financially benefit CDA members. CDA gives its members access to insurance and business financing, and lobbies and litigates on their behalf. Members also benefit from CDA marketing and public relations campaigns.

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Twitter Usage Using Common Reference to Tinnitus

American Journal of Audiology ◽

10.1044/2020_aja-19-00055 ◽

2020 ◽

Vol 29 (2) ◽

pp. 206-217

Author(s):

Jianyuan Ni ◽

Monica L. Bellon-Harn ◽

Jiang Zhang ◽

Yueqing Li ◽

Vinaya Manchaiah

Keyword(s):

Nonprofit Organizations ◽

Temporal Trends ◽

Temporal Analysis ◽

Cross Sectional ◽

For Profit ◽

Common Reference ◽

Personal Experiences ◽

Twitter Users ◽

Sectional Analysis ◽

Share Information

Objective The objective of the study was to examine specific patterns of Twitter usage using common reference to tinnitus. Method The study used cross-sectional analysis of data generated from Twitter data. Twitter content, language, reach, users, accounts, temporal trends, and social networks were examined. Results Around 70,000 tweets were identified and analyzed from May to October 2018. Of the 100 most active Twitter accounts, organizations owned 52%, individuals owned 44%, and 4% of the accounts were unknown. Commercial/for-profit and nonprofit organizations were the most common organization account owners (i.e., 26% and 16%, respectively). Seven unique tweets were identified with a reach of over 400 Twitter users. The greatest reach exceeded 2,000 users. Temporal analysis identified retweet outliers (> 200 retweets per hour) that corresponded to a widely publicized event involving the response of a Twitter user to another user's joke. Content analysis indicated that Twitter is a platform that primarily functions to advocate, share personal experiences, or share information about management of tinnitus rather than to provide social support and build relationships. Conclusions Twitter accounts owned by organizations outnumbered individual accounts, and commercial/for-profit user accounts were the most frequently active organization account type. Analyses of social media use can be helpful in discovering issues of interest to the tinnitus community as well as determining which users and organizations are dominating social network conversations.

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