.... Altman, S. H. 1984 . The Growing Physician Surplus:Will It Benefit or Bankrupt the U.S. Health System? In The Coming Physician Surplus: In Search of Public Policy , ed. E. Ginzberg and M. Ostow. Totowa, NJ: Rowman and Allanheld. Anderson, G. F., U. E. Reinhardt, P. S. Hussey, and V. Petrosyan. 2003...

...Cyril F. Chang; Howard P. Tuckman This paper explores the profits of not-for-profit (NFP) hospitals and identifies the factors that determine whether such profits are adequate. A model which relates hospital charges to surpluses is used to derive NFP surplus from gross patient charges and operating...

... and a financial stress rate of 16 percent. Their relatively low proportion of care to privately-insured patients meant that providers heavily involved in serving the poor were less able than others to generate a financial surplus from patient care. Revenues from their larger propor- tions...

... research, education, and care to the poor. Table 1. Characteristics of COTH Hospitals” by Ownership, Degree of Affiliation with Medical School, and Financial Surplus,b 1982 Public Hospitals Private Flagship Hospitals‘ Private Affiliated Hospitalsd Surplus...

... of surplus disposal efforts to relieve price-depressing farm surpluses found favor with farmers and farm policymakers, its success in alle- viating nutritional distress has consistently been disputed by nutritionists and ad- vocates for the poor. It was criticism surrounding the nutritional benefits...

... reimbursement. The point is that a cost-based reimbursement formula could be (and even has been) constructed to permit hospitals an operating surplus. But only if the current Medicare formula can be shown to be an inevitable conse- quence of cost-based reimbursement is a blanket concern warranted...

... on rising into the next century at least. Twenty years ago, this trend was viewed as a healthy response to a physician “shortage”; today it feeds a growing “surplus.” Yet now as then, it is a standard debating trick of defenders of the status quo to issue the challenge, “Define the optimum level...

... Capita: Total Settlement Spending (Annual) settlement funds for budget defi cit reduction. Judging from the coeffi cient on the budget surplus variable, states with higher budget surpluses spent fewer settlement dollars. Requirements for a balanced budget had no effect on overall settlement...

... about 85 percent of the combined surpluses of the other forty-nine states.’ The surplus had two effects. First, before Proposition 13 passed, it tended to limit the debate on the level of the tax reduction. Second, it currently is cushioning us from feeling the real effects of a cut...

... that the nation will soon experience a physician surplus, if it does not have one already. This perspective is derived from a series of studies over the past twenty years predicting that vast physi- cian surpluses would exist by the year 2000, with estimates as high...

... foundations work in an area, they usually work toward goals set by capitalists, not by society as a whole. Foundations emerged in this country when the surpluses created in certain industries exceeded the amount which could be reinvested. Rather than spending the excess on personal goods...

.... The methodology is shown in Table 1. With en- rollment projections that were considered conservative (about 30 percent less than the HMO itself had predicted), surplus-per-member-per-year estimates that were also conservative (about 40 percent less than the HMO’s estimates), and cash flow estimates...

... workloads still further. The next section will examine the workings of the neurosurgery market in order to evaluate the excess capacity hypothesis. Evidence of excess neurosurgical capacity Considerable evidence exists to support a conclusion that the United States has a surplus...

... between 25,000 and 150,000 surplus physicians before the current century ends.8 A major national study, recently re- leased, concludes that “there will be too many physicians in 1990.”9 Federal policy as it relates to the education of nurses and allied health professionals is now to “slam...

... solutions included direct or indirect state action to reduce medical school enrollments. Ten of the states reporting a projected surplus of medical manpower as a statewide problem also claimed that shortages of primary care physicians affected some of their rural and inner-city areas. This group...

... and practices that achieved a surplus initially had some autonomy in how that surplus might be spent. Longitudinal Accounts of a Panel of Initial GP Fundholders When the NHS celebrated its fortieth anniversary in 1988, I, as an annual observer of the health service at work over the decades...

...-for-service with a 20 or 30 percent holdback-that is, the physician receives all but 20 or 30 percent of the fee. If IPA-wide physician costs are below budget, the surplus is prorated to physicians according to their charges. Since any savings generated by a physician are shared with all physicians...

... to the greater severity of illness or related social problems of their patients, and how much to teaching and research. Indeed, a great concern must focus on the teaching programs. As the nation approaches a doctor surplus of lOo,OOO, pressures to cut the number of physi- cians in training...

... to danger in institutions with a volume of procedures (heart surgery, for example) too low to ensure qual- ity. By the mid-1970s experts agreed that the nation had a sizable bed surplus; indeed perhaps 10-20 percent of capacity might be unneeded. The worrisome doctor shortage had by the mid...

... revenue 1,372,490 2,343,535 Surplus 2,270,469 1,875,955 Maine PPS Years 2– 6 Data Discrepancies (1985–1989) ($000...