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Conflicts of interest. Physician ownership of medical facilities. Council on Ethical and Judicial Affairs, American Medical Association.

In this report, the Council on Ethical and Judicial Affairs revisits the question of referral of patients to medical facilities in which physicians have financial interests ("self-referral"). The Council issued safeguards in 1986 to prevent abuses of self-referral and most recently updated the guidelines in 1989. Recent studies, however, have suggested that problems with self-referral persist; these problems undermine the commitment of physicians to professionalism. The Council has concluded that, in general, physicians should not refer patients to a health care facility outside their office practice at which they do not directly provide care or services when they have an investment interest in the facility. Physicians may invest in and refer to an outside facility if there is a demonstrated need in the community for the facility and alternative financing is not available.

American Medical Association↗

The effects of HMO ownership on hospital costs and revenues: is there a difference between for-profit and nonprofit plans?

We conducted multivariate analyses to examine whether high health maintenance organization (HMO) penetration and large share of for-profit health plans in a market reduced hospital cost and revenue growth rates between 1989 and 1998. We found that hospitals in high HMO areas experienced revenue and cost growth rates that were 21 and 18 percentage points, respectively, below hospitals in low HMO areas. We also found that, conditional on overall HMO penetration level, hospitals in areas with high for-profit HMO penetration experienced revenue and cost growth rates that were 10 percentage points below hospitals in areas with low for-profit penetration areas; the difference was especially evident within high HMO penetration areas.

Cost Control↗

Benefits, consumerism and an "ownership society".

Compared to the generations preceding them, baby boomers assume more of both decision-making and financial responsibility for their health care and retirement. This article reviews the changing health and retirement plan landscape, and describes the plans, products and features available to the baby boom generation. It then describes how employers can become educators in order to help boomers best manage their increased responsibility for their health care and retirement.

Aged↗

Pride of ownership.

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Cardiac Care Facilities↗