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• catalog abstract "Annotation Contributions from CEOs of major medical centers, university presidents, senior members of congressional and executive offices, and economic analysts address key issues facing academic medical centers and prescribe regulatory and legislative remedies to ensure their survival. An introduction reviews the financial history of the academic medical center, and chapters describe consequences of the drop in patient admissions, reductions in Medicare payments, bankruptcies, and downgrades by bond-rating organizations. A final chapter suggests changes in public policies and steps that academic medical centers can take to avoid repeating the mistakes of the 1990s. Chapter presentations are followed by comments and discussion. Annotation c. Book News, Inc., Portland, OR (booknews.com). Annotation Academic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades. While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species -- that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems -- and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. Theseexperts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health. Contributors include Nancy Kane (Harvard School of Public Health), Jamie Reuter (Institute for Health Care Res.".
• catalog contributor b12289839.
• catalog coverage "United States".
• catalog created "c2001.".
• catalog date "2001".
• catalog date "c2001.".
• catalog dateCopyrighted "c2001.".
• catalog description "Academic medical centers provide cutting edge acute care, train tomorrow's physicians, and carry out research that will expand the range of treatable and curable illnesses. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- ".
• catalog description "Annotation Contributions from CEOs of major medical centers, university presidents, senior members of congressional and executive offices, and economic analysts address key issues facing academic medical centers and prescribe regulatory and legislative remedies to ensure their survival. An introduction reviews the financial history of the academic medical center, and chapters describe consequences of the drop in patient admissions, reductions in Medicare payments, bankruptcies, and downgrades by bond-rating organizations. A final chapter suggests changes in public policies and steps that academic medical centers can take to avoid repeating the mistakes of the 1990s. Chapter presentations are followed by comments and discussion. Annotation c. Book News, Inc., Portland, OR (booknews.com).".
• catalog description "Annotation".
• catalog description "Includes bibliographical references and index.".
• catalog description "Introduction / Henry J. Aaron -- The financial health of academic medical centers : an elusive subject / Nancy M. Kane -- Academic medical centers and the economics of innovation in health care / James C. Robinson -- Politically feasible and practical public policies to help academic medical centers / Lawrence S. Lewin.".
• catalog description "financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins and pushed some into the red; the revolution in information technology is imposing large new capital costs; and the character of medical education is receiving its most thorough review in decades. While there is a general consensus that medical centers are under pressure, experts disagree about the depth and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species -- ".
• catalog description "that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature and depth of their current financial problems -- and then fashion analytically sound and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional and executive office staffs, and leading analysts. Theseexperts address the key issues and prescribe remedies both regulatory and legislative to ensure that the teaching hospital remains a picture of financial health. Contributors include Nancy Kane (Harvard School of Public Health), Jamie Reuter (Institute for Health Care Res.".
• catalog extent "ix, 110 p. :".
• catalog identifier "0815702361 (cloth)".
• catalog identifier "081570237X (paper)".
• catalog issued "2001".
• catalog issued "c2001.".
• catalog language "eng".
• catalog publisher "Washington, D.C. : Brookings Institution Press,".
• catalog spatial "United States".
• catalog spatial "United States.".
• catalog subject "2001 M-779".
• catalog subject "362.1/1/0973 21".
• catalog subject "Academic Medical Centers economics United States.".
• catalog subject "Academic Medical Centers economics".
• catalog subject "RA975.T43 F88 2001".
• catalog subject "Teaching hospitals United States Finance.".
• catalog subject "WX 27 AA1 F996 2001".
• catalog tableOfContents "Introduction / Henry J. Aaron -- The financial health of academic medical centers : an elusive subject / Nancy M. Kane -- Academic medical centers and the economics of innovation in health care / James C. Robinson -- Politically feasible and practical public policies to help academic medical centers / Lawrence S. Lewin.".
• catalog title "The future of academic medical centers / Henry J. Aaron, editor.".
• catalog type "text".