When nearly 70% of Boston area fishermen said they couldn't afford quality health care for their families, Caritas Christi Health Care System teamed with Massachusetts Fisherman's Partnership to offer low-cost health coverage.
Some observers may say the timing was preordained. Against the backdrop of Tenet Healthcare Corp.'s mounting woes, the Catholic Health Association, headed by the Rev. Michael Place (left), is expected this week to release a report arguing that Roman Catholic hospitals deserve special and distinct financial concessions from the federal government because of the role they play.
"While contemporary Catholic health care and other not-for-profit health care institutions excel in quality, innovation and technology, they remain community-benefit organizations, founded and sustained because of community need," Sister Carol Keehan, a Daughter of Charity who chairs the board of trustees of the Catholic Health Association of the United States, said in May 26 testimony in Washington before the House Ways and Means Committee, which conducted a hearing on the tax-exempt hospital sector. Keehan chairs the board of Sacred Heart Health System in Pensacola, Fla.
In less than a decade, Ascension Health has risen to the top tier of U.S. healthcare systems, with operating revenue that bests household names like Google and Amazon.com. Helping lead the system's meteoric rise is CEO Anthony Tersigni, left. "We are a ministry. We're not a business. We do business practices for one basic reason: We have bondholders who are counting on us to repay the bonds."
Journal of the American Board of Family Medicine: JABFM
BACKGROUND: Access Assured, an experimental program to deliver primary care to uninsured patients using a monthly retainer payment system, has been shown to provide a financially viable method of delivering primary care services to people without health insurance. This qualitative study was designed to assess patient attitudes and concerns about this program and to identify ways to improve it. METHODS: We conducted telephone interviews with 40 purposefully selected Access Assured members between May and June of 2009.
Every year since 1984, Congress has expanded Medicaid to cover an increasing proportion of low-income children. In this study, a multivariate analysis of data from the 1987 National Medical Expenditure Survey was used to determine whether expanded Medicaid eligibility is likely to be effective in encouraging recommended preventive visits for low-income, preschool children.
Recent battle cries to boost health care coverage for children might suggest help is on the way. Yet as politicians tout their new-found generosity, they've also been snatching away some government money for kids.
Inquiry: A Journal of Medical Care Organization, Provision and Financing
This paper examines the effect of changing state policy, such as Medicaid eligibility, payment generosity, and HMO enrollment on provision of hospital uncompensated care. Using national data from the American Hospital Association for the period 1990 through 1995, we find that not-for-profit and public hospitals' uncompensated care levels respond positively to Medicaid payment generosity, although the magnitude of the effect is small. Not-for-profit hospitals respond negatively to Medicaid HMO penetration.
Using the 1996 Medical Expenditure Panel Survey, the authors investigate differences between households with two earners and those with a single earner in households' access to employer-based health insurance and the generosity of insurance options. They examine whether a household has an offer of coverage, whether a household holds coverage, and whether all household members are covered. They also explore whether two-earner households have more generous options as measured by the number and types of plans available, as well as contribution requirements.
OBJECTIVE: This study examines the effects of Medicaid payment generosity on access and care for adult and child Medicaid beneficiaries. DATA SOURCE: Three years of the National Surveys of America's Families (1997, 1999, 2002) are linked to the Urban Institute Medicaid capitation rate surveys, the Area Resource File, and the American Hospital Association survey files.