'Summary of the “Bigger Piece of the Pie”\r'

'The turn of events of all hospitals in the country is declining.  Since 1975, in that location was a 1/6 slight(prenominal) on the total number of hospitals.  Investor hasten facilities is currently on the lift.From the year 1993 it started to take shape highschool until 1997 and then there was an additive decrease afterwards but it continues to rise up to the year 2003.  By the final stage of 2003, investor-owned hospital comprised 16% of the nation’s community hospitals.  Public hospitals argon excessively diminishing in numbers as well as the non- for makes which parentage more than 10 %.It is a proceed long term decay that was neutralized by the 2002 figure wherein there was a slight increment.  According to observers it will believably to remain stable in the bordering coning years or will decline slightly.  This can be explained by the unfeasibility of small hospitals commented by the professor and managing director of the health p olicy and administrative segment for the School of Public health at the University of Illinois Chicago.  More patients prefer to go to braggart(a) hospitals which were of their driving distance.  Conversion of non-for profit hospitals to for-profit hospital is as well as outpacing.The biggest factors remains a nettle to capital-investor-owned chains have it, while glide path is much more varied for not for profit systems.  Many of the broad measures of recognise quality, such as annual medial figures for profitability and debt coverage but the successfulness is not uniform throughout the vault of heaven even if many are performing better.   Investor owned hospitals are squeezed with hard debt disbursal but they were able to attract truth and debt capital.  Private firms were attracted in order to recapitalize the companies.  Hospitals are also in mess regarding reimbursement of high commercial insurance companies.Due to the high rate of the hospita ls, the insurers were prompted to push for a double number percentage increase premiums for employers.  Facing a fourth year of double-digit premium hikes, companies have been getting tough this year, pushing a lot more of those costs post onto their employees in the form of higher co-payments and other(a) cost-sharing arrangements.Recognizing the limitations of those tactics, the survey found employers looking to longer-term solutions and achievable government intervention to head mutilate the unrelenting increases.  If this continues, employers may drop coverage and push more of their costs to employees, and so making an even more bad debt for the hospitals.However, if they decide to lower the premium increase, they would not be able to boost the reimbursements the focal point the hospitals are used to.  Meanwhile, the pressure is right a agency building up for not for profit hospitals regarding charity allot.  It is an emerging issue whether or not the not-f or-profit hospitals exert pressure on for-profit hospitals to provide charity administer and whether for-profit hospitals match differently than not-for-profit hospitals to managed care pressures and hospital contest in providing charity care.Nowadays, a compound ownership markets, for-profit hospitals provide significantly less charity care as not-for-profit hospitals in the market provide more. Unexpectedly, for-profit hospitals were not more influenced by price competition than other hospitals with respect to charity care. Having a anomalous role in providing charity care may justify continuing measure exemption for not-for-profit hospitals and enhance interest in payment and other policies with regard to conversions to check out that not-for-profit hospitals continue to be represented in market areas.I think the effect of these increases reflected our straight off economic climate.  As for the charity care of the not-for-profit hospitals, I wonder if it’s their way of breaking tax and being exempted in paying a large amount.  A authorship by the Internal tax Service in July found that not-for-profit hospitals countrywide vary widely in how they report and define their community services.  I take that the lack of consistency and uniformity makes it unwieldy to assess the hospitals compliance with the current law.  I think, the changes brought by the IRS would make it easier to compare hospitals and also would help ensure greater accountability.ReferencesCrenshaw, A. (2004).  Health Insurance Costs Keep Rising.  Retrieved on February 29, 2008 from http://www.washingtonpost.com/wp-dyn/articles/A8287-2004Sep9.html \r\n'