IRS official backs legislation on tax-exemption standards.
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Biomedical subjects
Publications and source records attributed to D Burda.
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The Internal Revenue Service has approved an unusual transaction that allows a small not-for-profit hospital with a declining patient census to affiliate with a larger hospital, sell part of itself to staff physicians, maintain its tax-exempt status and stay afloat. While the IRS declined to name the hospitals involved, MODERN HEALTHCARE has discovered their identities and tracks their unconventional path toward affiliation.
Nearly half of 24 state hospital association presidents report that proposals have been introduced in their states this year that are aimed at expanding access to healthcare services for the uninsured, underinsured or uninsurable. Four other executives say such legislation already has passed in their states this year, according to Modern Healthcare's monthly Fax poll of state hospital association executives.
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The HHS investigative branch has wrested $10 million in settlements from 43 hospitals or hospital systems since the start of Medicare's prospective payment system in 1983. The federal government is hurling its resources at hospitals, which have found it more cost-effective to work out a discreet deal rather than fight allegations in court. Some charge that the inspector general's office is more interested in being punitive with providers than prudent with taxpayer's money.
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When it comes to total quality management, Harvard Community Health Plan has two personalities. It's using the principles espoused by such TQM gurus as Joseph Juran to reduce costs and improve quality in its clinics and offices. But HCHP also is enhancing its image in the healthcare industry by teaching TQM principles to others for big bucks.
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