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The Future of Academic Medical Centers by Henry J. Aaron, X

Academic medical centers provide cutting edge acute care, train tomorrow's physicians, center delta medical missouri and carry out research that will expand the range of treatable center delta medical missouri and curable illnesses. But these centers themselves may need urgent care -- experts generally agree that many are suffering acute -- even life-threatening -- financial distress. Many academic medical centers are suffering for several reasons: in-patient admissions are down, as many procedures that once required a hospital stay are now performed on an out-patient basis or in a physician's office; managed care plans have negotiated discounted fees that cut hospital operating margins; the Balanced Budget Act of 1997 curtailed Medicare reimbursements, lowered margins center delta medical missouri and pushed some into the red; the revolution in information technology is imposing large new capital costs; center delta medical missouri and the character of medical education is receiving its most thorough review in decades.While there is a general consensus that medical centers are under pressure, experts disagree about the depth center delta medical missouri and pervasiveness of the current financial distress. Are they whining about financial pressures other, less-favored sectors find routine; or is the high quality American teaching hospital becoming an endangered species -- that could face extinction if nothing is done. Because academic medical centers perform such important jobs, it is critical to determine the true nature center delta medical missouri and depth of their current financial problems -- center delta medical missouri and then fashion analytically sound center delta medical missouri and politically sustainable solutions. This book brings together chief executive officers of major medical centers, university presidents, senior members of Congressional center delta medical missouri and executive office staffs, center delta medical missouri and leading analysts. Theseexperts address the key issues center delta medical missouri and prescribe remedies both regulatory center delta medical missouri and legislative to ensure that the teaching hospital remains a picture of financial health.
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