title: Hospitals play hardball. DMC, others are telling governments they can choose between giving them more money or accepting cutbacks.
abstract: Hospitals are applying the same gritty, hard-nosed negotiating tactics they used with commercial payers to a new target: local government. For example, Detroit Medical Center has announced major cuts unless city, county and state governments pledge to boost funding. DMC Chairman Dick Gabrys, left, says the system means business.
authors.forename: Mark
authors.initials: M
authors.lastname: Taylor
mesh_terms: D005377:Financial Management, Hospital / Q000379:methods*; D005380:Financing, Government / Q000331:legislation & jurisprudence*; D005431:Florida; D006271:Health Facility Closure / Q000191:economics; D006786:Hospitals, Urban / Q000191:economics*; D009111:Local Government; D008824:Michigan; D017008:Negotiating / Q000379:methods*; D017664:Uncompensated Care / Q000191:economics*; D014481:United States