東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back to Search results for [ null ]

Switch To: Labeled | MARC Mode | ISBD

The effect of the shift from HMO to ...

Zhang, Jie.

Linked to FindBook

Google Book

Amazon

博客來

The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals./
Author:	Zhang, Jie.
Description:	119 p.
Notes:	Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3039.
Contained By:	Dissertation Abstracts International66-06B.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3180796
ISBN:	0542208598

The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals.
Zhang, Jie.

The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals. - 119 p.

Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3039.

Thesis (Ph.D.)--The University of Texas School of Public Health, 2005.

In spite of the dramatic increase and general concern with U.S. hospital bad debt expense (AMNews, January 12, 2004; Philadelphia Business Journal, April 30, 2004; WSJ, July 23, 2004), there appears to be little available analysis of the precise sources and causes of its growth. This is particularly true in terms of the potential contribution of insured patients to bad debt expense in light of the recent shift in managed care from health maintenance organization (HMO) plans to preferred provider organization (PPO) plans (Kaiser Annual Survey Report, 2003). This study examines and attempts to explain the recent dramatic growth in bad debt expense by focusing on and analyzing data from two Houston-area hospital providers within one healthcare system. In contrast to prior studies in which self-pay was found to be the primary source of hospital bad debt expense (Saywell, R. M., et al., 1989; Zollinger, T. W., 1991; Weissman, Joel S., et al., 1999), this study hypothesizes that the growing hospital bad debt expense is mainly due to the shifting trend away from HMOs to PPOs as a conscious decision by employers to share costs with employees. Compared to HMO plans, the structure of PPOs includes higher co-pays, coinsurance, and deductibles for the patient-pay portion of medical bills, creating the potential for an increase in bad debt for hospital providers (from a case study). This bad debt expense has a greater impact in the community hospital than in the Texas Medical Center hospital.

ISBN: 0542208598Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals.
LDR:02479nmm 2200265 4500 001 1815496
005 20060710102011.5
008 130610s2005 eng d
020 $a 0542208598
035 $a (UnM)AAI3180796
035 $a AAI3180796
040 $a UnM $c UnM
100 1 $a Zhang, Jie. $3 1017452
245 1 4 $a The effect of the shift from HMO to PPO plans on the prevalence of hospital bad debt in the insured population: A case study in two Houston-area hospitals.
300 $a 119 p.
500 $a Source: Dissertation Abstracts International, Volume: 66-06, Section: B, page: 3039.
500 $a Supervisor: Osama I. Mikhail.
502 $a Thesis (Ph.D.)--The University of Texas School of Public Health, 2005.
520 $a In spite of the dramatic increase and general concern with U.S. hospital bad debt expense (AMNews, January 12, 2004; Philadelphia Business Journal, April 30, 2004; WSJ, July 23, 2004), there appears to be little available analysis of the precise sources and causes of its growth. This is particularly true in terms of the potential contribution of insured patients to bad debt expense in light of the recent shift in managed care from health maintenance organization (HMO) plans to preferred provider organization (PPO) plans (Kaiser Annual Survey Report, 2003). This study examines and attempts to explain the recent dramatic growth in bad debt expense by focusing on and analyzing data from two Houston-area hospital providers within one healthcare system. In contrast to prior studies in which self-pay was found to be the primary source of hospital bad debt expense (Saywell, R. M., et al., 1989; Zollinger, T. W., 1991; Weissman, Joel S., et al., 1999), this study hypothesizes that the growing hospital bad debt expense is mainly due to the shifting trend away from HMOs to PPOs as a conscious decision by employers to share costs with employees. Compared to HMO plans, the structure of PPOs includes higher co-pays, coinsurance, and deductibles for the patient-pay portion of medical bills, creating the potential for an increase in bad debt for hospital providers (from a case study). This bad debt expense has a greater impact in the community hospital than in the Texas Medical Center hospital.
590 $a School code: 0219.
650 4 $a Health Sciences, Health Care Management. $3 1017922
690 $a 0769
710 2 0 $a The University of Texas School of Public Health. $3 1023950
773 0 $t Dissertation Abstracts International $g 66-06B.
790 1 0 $a Mikhail, Osama I., $e advisor
790 $a 0219
791 $a Ph.D.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3180796