Document Detail

Juggling multiple payers: American problems and foreign solutions.
MedLine Citation:
PMID:  6237998     Owner:  NLM     Status:  MEDLINE    
The number and diverse methods of payers are among the principal causes of disarray in American hospital finance. Hospital managers are preoccupied with an intricate and deceptive shifting of costs among payers to maximize their revenues. In all other developed countries third parties cooperate, either voluntarily or by regulation, rather than try to shift costs to each other. In some countries third parties merge and hospital budgets are spread across all payers by standard calculations. In some countries with multiple payers, a common financial office administers all transactions with hospitals. The trend is to concentrate payment in a single source. Hospitals abroad are more stable than those in the United States. With stability, however, come inhibitions against risk, innovation, and failure.
W A Glaser
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Inquiry : a journal of medical care organization, provision and financing     Volume:  21     ISSN:  0046-9580     ISO Abbreviation:  Inquiry     Publication Date:  1984  
Date Detail:
Created Date:  1984-11-28     Completed Date:  1984-11-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0171671     Medline TA:  Inquiry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  178-88     Citation Subset:  IM    
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MeSH Terms
Cost Control
Financial Management*
Financial Management, Hospital*
Financing, Government / methods
Insurance, Health, Reimbursement / methods*
Insurance, Hospitalization / organization & administration*
Patient Credit and Collection / methods
Rate Setting and Review / standards
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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