New Approaches to Academic Health Center Affiliations: Public Hospitals and the Department of Veterans Affairs

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In the current period of rapid change in the structure, financing, and governmental oversight of the health care delivery system, two types of health care organizations may be the most vulnerable: public hospital systems and academic health centers (AHCs). Both types of organizations must cope with unprecedented pressures to reduce costs. AHCs are especially likely to be high-cost providers of health services—25 to 40 percent higher, in fact, than non-academic centers. AHCs face decreases in traditional sources of revenue such as federal support for graduate medical education (GME); increased efforts to move GME outside the hospital setting; greater competition for new funds for biomedical research; and rising numbers of uninsured patients.

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Publication Details

Publication Date:
April 1, 1999
Authors:
Jo Ivey Boufford, Larry Gage, Kenneth W. Kizer et al.
Citation:

New Approaches to Academic Health Center Affiliations: Public Hospitals and the Department of Veterans Affairs, Jo Ivey Boufford, Larry Gage, Kenneth W. Kizer et al, The Commonwealth Fund, April 1999