Do Medicare and Medicaid Payer-Mix Change After the Privatization of Public Hospitals?

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ID: 104149
2019
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Abstract
This study assessed the impact of public hospitals' privatization on payer-mix. We used a national sample of nonfederal, acute care, public hospitals in 1997 and followed them through 2013, resulting in a cohort of 492 hospitals (8,335 hospital-year observations). Privatization to for-profit (FP) status was associated with a greater increase in Medicare payer-mix (β = 0.13; ≤ .001), compared with a smaller increase for privatization to not-for-profit (NFP) status (β = 0.02; ≤ .05). FP privatization was associated with a greater decrease in Medicaid payer-mix (β = -0.09; ≤ .001), compared with NFP privatization (nonsignificant). There is a larger change in payer-mix after FP privatization than after NFP privatization.
Reference Key
ramamonjiarivelo2019domedical Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ramamonjiarivelo, Zo;Weech-Maldonado, Robert;McRoy, Luceta;Epané, Josué Patien;Zengul, Ferhat D;Hearld, Larry;
Journal medical care research and review : mcrr
Year 2019
DOI
10.1177/1077558719894495
URL
Keywords
public hospitals privatization for-profit hospitals not-for-profit hospitals payer-mix

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