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Biomedical subjects

H W Long

Publications and source records attributed to H W Long.

At least 19 recordsLinked to original sources
PubMed1979

Investment decision making in the health care industry: the future.

The economic and political environment in which providers of health care will operate during the 1980s will continue to be increasingly restrictive. Any private-sector organization's long-run survival depends directly on the quality of its investment decisions, broadly defined. This decision making will require three major innovations if private sector health care providers are to survive: 1) traditional biases about the economics of not-for-profit entities must be abandoned; 2) standard data, procedures, and personnel from the accounting discipline must be supplemented with information, methodologies, and people from the discipline of corporate finance; and 3) economic and fiscal risk must be measured and incorporated into both investment decisions and interactions with external regulators. Practitioners can begin to implement these innovations immediately. Although substantial literature exists developing all these concepts generally and applying them to for-profit settings, the literature purporting to treat investment decision making for private-sector health care providers is, on average, replete with conceptual error, simplistic thinking, erroneous applications, and out-of-date methodologies. The literature is, in a word, horrid. Authors, both practitioner and academic, should stop writing terrible books and booklike periodicals for easy royalty dollars, and, instead, pursue sound applied research and disseminate their results in classrooms and in refereed journals.

Decision Making↗
PubMed1976

Health care reimbursement is federal taxation of tax-exempt providers.

Under parallel financial circumstances, the health care provider and the tax-paying corporation show equal bottom lines--the corporation pays a tax, and the health institution has a similar amount withheld by the Social Security Administration. Regardless of how this withholding is explained or who administers it, a tax is still a tax.

Commerce↗
PubMed1976

Valuation as a criterion in not-for-profit decision-making.

Viable management decisions, in health care just as in industry, must be based on many inputs--including financial valuation, which has not traditionally been applied in the health sector. Financial valuation helps to insure both continued service to the community and economic survival of the institution.

Capital Expenditures↗
PubMedDate not supplied

Fiscal health of hospitals in a decade of Medicare.

The accompanying article is testimony that was presented by Dr. Long before the Subcommittee on Health of the Committee on Ways and Means of the U.S. House of Representatives on February 27, 1991. The testimony was presented in conjunction with the subcommittee's hearing on Hospital Payment under Medicare in conjunction with receiving ProPAC's Seventh Annual Report to Congress.

Data Collection↗
PubMedDate not supplied

Medicare catastrophic coverage: a postmortem.

As we move beyond the 1980s, it is worth reflecting on the rise and fall of the Medicare Catastrophic Coverage Act of 1988 (P.L. 100-360). Hailed by nearly everyone at its passage as both sensible and needed, it died less than two years later without ever becoming viable. Attacked vigorously by the elderly whom it was designed to serve, the measure finally succumbed to political pressure and passed from the scene, except for some items relating to Medicaid, on the first day of this year. This article examines the Act and the circumstances that led to its demise.

Aged↗
PubMedDate not supplied

But 'twas a famous victory.

The Omnibus Budget Reconciliation Act of 1989 sets forth the basic parameters for physician payment reform. The program requires the Health Care Financing Administration to (1) set (regulate) all physicians' fees for services delivered under Part B of Medicare commencing January 1, 1992, with a four-year phase-in period, (2) limit the dollar amounts of balance billing by tying those amounts to the regulated rates, and (3) establish "Volume Performance Standard Rates of Increase" (previously known as "Expenditure Targets") as a mechanism for attempting to regulate the quantities of services delivered.

Fee Schedules↗
PubMedDate not supplied

Do these guys know why they're applauding?

Contained in Title IV, Section 6102, of the Omnibus Budget Reconciliation Act of 1989 are more than 21 pages of legislative language designed to require the Health Care Financing Administration (HCFA) to set all physicians' fees for services delivered under Part B of Medicare commencing January 1, 1992, and phased in over the following four years. In addition, balance billing dollar limits keyed to the regulated rates are set forth, as are "Volume Performance Rates of Increase," a reincarnation of a vehicle previously known as "Expenditure Targets."

Economics, Medical↗
PubMedDate not supplied

Health policy guided by five questions.

As the U.S. Congress pursues a course for the restructuring of the U.S. health care system, it will have to carefully evaluate potential solutions in terms of their effect on cost and access. This article explores five questions, the answers to which will have to guide any health care policy changes at the federal level.

Canada↗