title: The impact of the Balanced Budget Act on the utilization and financial condition of children's services in California hospitals.
abstract: The objective of this study was to evaluate the utilization and financial performance of children's services after the Balanced Budget Act of 1997. The author analyzed these performance factors by hospital ownership, HMO penetration, and disproportionate share hospitals. Using data from California hospitals and conducting an analysis from 1997 to 1999, the author found that public hospitals were able to increase their profits from pediatric and neonatal intensive care services. The study also revealed that DSH hospitals located in high HMO penetration markets reduced their operating losses in nursery and pediatric services.
authors.affiliation: Department of Health, Virginia Commonwealth University, Richmond, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: McCue
mesh_terms: D002017:Budgets / Q000331:legislation & jurisprudence; D002140:California; D002648:Child; D002662:Child Health Services / Q000191:economics* / Q000706:statistics & numerical data*; D004469:Economics, Hospital / Q000706:statistics & numerical data / Q000639:trends*; D017598:Efficiency, Organizational; D005375:Financial Audit; D005377:Financial Management, Hospital / Q000706:statistics & numerical data / Q000639:trends*; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006279:Health Maintenance Organizations / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D010067:Ownership; D020444:Reimbursement, Disproportionate Share / Q000706:statistics & numerical data; D014600:Utilization Review