Comparing For-Profit and Not-for-Profit Health Care Providers

A Review of the Literature

by Lisa R. Shugarman, Nancy Nicosia, Cynthia R. Schuster

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This report summarizes a literature review examining the relationship between ownership status and facility costs in hospitals, nursing homes, and dialysis centers as well as four post-acute care settings: skilled nursing facilities, long-term care hospitals, institutional rehabilitation facilities, and home health agencies. The report provides background on the issues related to profit status and provider costs and summarizes and discusses the implications of the findings in the literature for future work on the relationship between profit status and provider costs, particularly in the post-acute care setting.

Table of Contents

  • Chapter One


  • Chapter Two


  • Chapter Three


  • Chapter Four

    Summary and Discussion

  • Chapter Five


  • Appendix A1

    Methodological Approach – Hospitals

  • Appendix A2

    Methodological Approach – Nursing Homes

  • Appendix A3

    Methodological Approach – Other Settings of Care

  • Appendix B1

    Model Specifications – Hospitals

  • Appendix B2

    Model Specifications – Nursing Homes

  • Appendix B3

    Model Specifications – Other Settings of Care

The research reported here was prepared for the Medicare Payment Advisory Commission and performed under the auspices of RAND Health.

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