Risk-sharing integration efforts in the hospital sector.
The extent of hospital involvement in integrated delivery systems (IDSs) during 1996 was assessed by a national sample of 235 short-term private general hospitals. Two out of five hospitals were participating in networks with some financial risk sharing, and another third reported membership in IDS networks without financial obligations. Managed care's presence was the only significant factor moving hospitals from a stand-alone status to network membership. The decision to share financial risk was influenced not only by managed care pressures, but also by the level of local hospital competition and the severity of the inpatient case mix.
Jantzen
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Department of Economics, Iona College, New Rochelle, NY, USA.
Loubeau
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PR
D000704:Analysis of Variance; D001509:Bed Occupancy / Q000706:statistics & numerical data; D019058:Community Networks / Q000191:economics / Q000706:statistics & numerical data*; D003659:Decision Making, Organizational; D019033:Delivery of Health Care, Integrated / Q000191:economics* / Q000706:statistics & numerical data; D003953:Diagnosis-Related Groups / Q000145:classification; D004465:Economic Competition; D006302:Health Services Research; D006769:Hospitals, General / Q000191:economics / Q000706:statistics & numerical data*; D016304:Hospitals, Private / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D008389:Marketing of Health Services; D010067:Ownership / Q000706:statistics & numerical data; D020414:Risk Sharing, Financial / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014481:United States