RT Book, Section
A1 Burns, Lawton Robert
SR Print(0)
ID 1180253257
T1 Hospital Diversification, Restructuring, and Integration
T2 The U.S. Healthcare Ecosystem: Payers, Providers, Producers
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781264264476
LK accessmedicine.mhmedical.com/content.aspx?aid=1180253257
RD 2024/04/23
AB Chapter  11  described  the  loose,  but  nevertheless  complex  relationship  between  the  hospital  and  the  physicians  on  its  medical  staff.  Healthcare  delivery  by  hospitals  and  physicians  has  grown  more  intertwined  over  the  past  4  decades.  Much  of  this  has  been  spurred  by  federal  government  efforts  to  control  rising  healthcare  costs,  which  relied  on  regulatory  approaches  in  the  1970s  (eg,  certificate  of  need  legislation),  budgetary  remedies  (eg,  diagnosis-related  groups  [DRGs]  and  the  Inpatient  Prospective  Payment  System  [IPPS])  in  the  1980s,  and  an  increasingly  diverse  and  complex  reimbursement  environment  for  Medicare  and  Medicaid  patients.  Federal  efforts  were  supplemented  by  private  sector  efforts  in  the  form  of  “managed  care.”  Most  of  these  efforts  were  directed  at  the  largest  destination  of  healthcare  spending—the  hospital  (40%  of  national  health  expenditures  in  1980).