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 Zo Ramamonjiarivelo, Robert Weech-Maldonado, Luceta McRoy, Josué Patien Epané, Ferhat D Zengul, Larry Hearld
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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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