Specialty Hospitals and Community Hospitals
Read Case 5-1 in the course text pages 136 (bottom) to page 141. Answer the discussion questions on the top of page 142.
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THESE ARE THE QUESTIONS:
1. What has happened with this debate since mid 2006?
2. How might one try to come to an objective conclusion?
3. Senator Grassley noted during the Senate Finance Committee hearing that “it appears that 40 new specialty hospitals have opened” during the moratorium and the investigation. Do some research to find out whether this is true and how it might have happened
4. If you were a legislative decision maker, what solutions would you propose after the MedPAC proposals to reduce selected DRG payments substantially and redefine a number of groupings for orthopedic and cardiac procedures that were headed off by a campaign by lobbyists for medical device makers, hospitals, and specialist physicians?
Mclaughlin, C. P. & Mclaughlin, C. D. (2008). Health policy analysis: An interdisciplinary approach. Sudbury: Jones and Bartlett Publishers
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