{"title":"The impact of ownership form and regulatory measures on firm behavior: a study of hospices.","authors":"V Hamilton","doi":"10.1002/nml.4130040405","DOIUrl":null,"url":null,"abstract":"<p><p>This article examines differential responses to the Medicare hospice benefit across ownership types. The analysis reveals little difference in costs or quality of service among government-owned, for-profit, and nonprofit hospices. However, there are significant differences in the numbers of patients served by ownership status. The results are consistent with the hypothesis that nonprofit hospices are patient maximizers, not profit maximizers in disguise who are aiming to circumvent the nondistribution constraint. A comparison of these results with those in the hospital and nursing home industries leads to the conclusion that Medicare regulations and the predominance of Medicare revenues in an industry induce similar outcomes in cost and quality across ownership types.</p>","PeriodicalId":47683,"journal":{"name":"Nonprofit Management & Leadership","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"1994-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/nml.4130040405","citationCount":"14","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nonprofit Management & Leadership","FirstCategoryId":"91","ListUrlMain":"https://doi.org/10.1002/nml.4130040405","RegionNum":3,"RegionCategory":"管理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
引用次数: 14
Abstract
This article examines differential responses to the Medicare hospice benefit across ownership types. The analysis reveals little difference in costs or quality of service among government-owned, for-profit, and nonprofit hospices. However, there are significant differences in the numbers of patients served by ownership status. The results are consistent with the hypothesis that nonprofit hospices are patient maximizers, not profit maximizers in disguise who are aiming to circumvent the nondistribution constraint. A comparison of these results with those in the hospital and nursing home industries leads to the conclusion that Medicare regulations and the predominance of Medicare revenues in an industry induce similar outcomes in cost and quality across ownership types.
期刊介绍：
Nonprofit Management and Leadership (NML) publishes the field''s best conceptual advances in understanding management, leadership, or governance of private nonprofit organizations. Each issue of NML offers readers the authoritative insights of top scholars on the common concerns of nonprofit managers, leaders, and boards in all private nonprofit settings, including social services, the arts, education, foundations, community development, religion, and member associations. The journal publishes full research monographs up to 10,000 words, and research notes up to 5,500 words. All research methods and approaches are welcome, so long as authors can articulate substantial advances in knowledge relevant to the field and implications for practice.
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