Fraud and abuse concerns prompt N.J. system to sell MedQuist stake.
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Biomedical subjects
Publications and source records attributed to K Pallarito.
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Rochester, N.Y., which has experienced success in controlling healthcare costs while providing widespread access to care, is being studied as a possible model for national healthcare reform. Because of efficiencies in its system, employers there have been able to save hundreds of millions of dollars in recent years. But some say the city has benefited from special circumstances that may not last much longer.
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The horror stories--legends or true--about hospitals moving from one facility to another can strike fear in an administrator's heart. As with a residential move, planning is necessary--but for healthcare facilities, the planning must anticipate the tiniest detail. And finally, practice will make the perfect move.
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Dwindling revenue sharing money and the recession's downward pressure on tax receipts are forcing state and local governments to take a scalpel, or in some cases an ax, to their direct subsidies to hospitals. One Louisiana hospital saw its entire subsidy eliminated because state officials said the facility had become self sufficient and didn't need the assistance, which exceeded $15 million last year.
Faced with mounting budget deficits, more states are taking a look at privatization--the closing or downsizing of state-operated psychiatric, rehabilitation and acute-care facilities--as a way of trimming outlays. Officials believe those services often can be provided more cost-effectively in the private sector, a solution that's preferable to reducing services or raising taxes.
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