Center for Studying Health System Change

Providing Insights that Contribute to Better Health Policy

Advanced Search Instructions

You can refine your search with the following modifiers:

* Use an to perform a wildcard search.Example: prescript* would return "prescription", "prescriptions" etc.
"" Use quotes to match a phrase.Example: "prescription drug" only returns results where the words are next to each other.
+ Use a plus sign to perform a search where the additional term MUST be part of the page.Example: prescription +drug
- Use a minus sign to perform a search where the additional term SHOULD NOT be part of the page.Example: prescription -drug
< > Use a < > sign to perform a search where the additional term should be of greater or lesser importance in the search.Example: prescription >drug
Find pages with the word precription with additional importance for the word drug.
( ) Use parentheses to group different search terms together.Example: prescription (+medicare -drug)
 

Insurance Coverage & Costs Access to Care Quality & Care Delivery Quality Improvement & Measurement Information Technology Patient-Provider Relationships Payment Policy Chronic Conditions Public Health Health Care Markets Issue Briefs Data Bulletins Research Briefs Policy Analyses Community Reports Journal Articles Other Publications Surveys Site Visits Design and Methods Data Files


Focused Factories? Physician-owned Specialty Facilities

November/December 2003
Health Affairs,, Vol. 22, No. 6
Lawrence P. Casalino, Kelly Devers, Linda R. Brewster

Hospitals must decide whether to cooperate or compete with their specialists who own specialty facilities; either choice is fraught with dangers. Based on findings from HSC’s 2002-03 site visits to 12 nationally representative communities, the study describes the recent rapid increase in physician-owned specialty hospitals and ambulatory surgery centers, reasons for the increase, possible impacts and potential policy options. These facilities could lead to excess capacity, provision of unnecessary services and lower quality because of decreased volume at some facilities. They also could reduce community hospitals’ net revenue and thus their ability to subsidize socially necessary but unprofitable services. But regulatory intervention should be cautious, because data on impact are inconclusive, and these facilities could potentially function as "focused factories" that improve quality and reduce costs.

A free copy of this article is available at the Health Affairs Web site.
 

Back to Top