Hospitals respond by expanding outside care

Article Abstract:

Many hospitals are developing home health and ambulatory care centers in response to increased competition from non-hospital organizations. Hospital-owned home-based agencies and proprietary facilities have grown 46% since 1988, according to the National Assn for Home Care. The role of hospitals in outpatient care is also increasing due to the efforts of managed care insurers, who are establishing integrated care networks. Hospital-affiliated units have an advantage in the outpatient market because they are able to offer more comprehensive services.

Outpatient Care Facilities, Outpatient Care Centers, Management, Services, Ambulatory care facilities, Hospitals, Ambulatory medical care, Ambulatory care, Hospital outpatient services

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Vermont leaning toward single-payer; budget target set

Article Abstract:

Vermont policymakers are about to implement a health care reform plan. They will choose between a single-payer model or a mandated employer contribution system. The single-payer plan calls for a flat 12% payroll tax, while companies would pay a set amount per worker under the employer-supported model. Both systems would rely on regulated rates, centralized authority and managed care. The state medical society is currently lobbying to become a collective bargaining unit for physicians.

Medical & Health Services, Planning, Medical care, Social policy, Vermont, Health insurance, Health care reform

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Woman cites ADA in bid for experimental treatment

Article Abstract:

Karen Henderson won her appeal to force her husband's firm, St. Louis, MO-based Bodine Aluminum, to pay for a $100,000 investigational breast cancer treatment at Barnes Hospital under the Americans with Disabilities Act. Henderson's husband earns only $224 each week and the treatment is allowed only for those patients who can pay. The treatment is allowed by her insurance company, Alliance Blue Cross Blue Shield, for some kinds of leukemia.

Personal Health Care, Care and treatment, Cases, Breast cancer, Alternative medicine, Self care (Health), Henderson, Karen

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