Title
Do Medicare and Medicaid Payer-Mix Change After the Privatization of Public Hospitals?
Document Type
Article
Publication Date
12-23-2019
Publication Title
Medical Care Research and Review
First page number:
1
Last page number:
10
Abstract
This study assessed the impact of public hospitals’ privatization on payer-mix. We used a national sample of nonfederal, acute care, public hospitals in 1997 and followed them through 2013, resulting in a cohort of 492 hospitals (8,335 hospital-year observations). Privatization to for-profit (FP) status was associated with a greater increase in Medicare payer-mix (β = 0.13; p ≤ .001), compared with a smaller increase for privatization to not-for-profit (NFP) status (β = 0.02; p ≤ .05). FP privatization was associated with a greater decrease in Medicaid payer-mix (β = −0.09; p ≤ .001), compared with NFP privatization (nonsignificant). There is a larger change in payer-mix after FP privatization than after NFP privatization.
Keywords
Public hospitals; Not-for-profit hospitals; For-profit hospitals; Privatization; Payer-mix
Disciplines
Health and Medical Administration
Language
English
Repository Citation
Ramamonjiarivelo, Z.,
Weech-Maldonado, R.,
McRoy, L.,
Epane, J. P.,
Zengul, F. D.,
Hearld, L.
(2019).
Do Medicare and Medicaid Payer-Mix Change After the Privatization of Public Hospitals?.
Medical Care Research and Review
1-10.
http://dx.doi.org/10.1177/1077558719894495