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Providers forecast 5-year construction spending.

Results from a national survey of hospitals and long-term care facilities project construction plans for the first half of the 1990s. The survey was conducted by the author for the Merit Shop Foundation of the Associated Builders and Contractors. Using a constant measure of average anticipated spending per bed, the findings are compared by facility sizes, building ages, bed utilization, facility ownership, and occupancy rates.

Bed Occupancy↗

California HMOs may provide national forecast.

With more than one quarter of the nation's health maintenance organization (HMO)-insured patients, California may provide an example of what other states can expect in terms of the financial viability of HMOs. A recent study of the enrollment patterns, premium trends, and net profit margins of 47 full-service California HMO plans over a four-year period showed that larger HMOs tend to be in better financial health than smaller HMOs. Meanwhile, the state has revised its code of regulations to include stricter requirements for the operation of full-service HMO plans.

Bankruptcy↗