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RUesneacrcoh amrticple ensated care provided by for-profit,.pdf

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RUesneacrcoh amrticple ensated care provided by for-profit,

Cram et al. BMC Health Services Research 2010, 10:90 /1472-6963/10/90 Open AccessR E S E A R C H A R T I C L E BioMed Central ? 2010 Cram et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Research articleUncompensated care provided by for-profit, not-for-profit, and government owned hospitals Peter Cram*1,2, Levent Bayman1, Ioana Popescu1, Mary S Vaughan-Sarrazin1,2, Xueya Cai1 and Gary E Rosenthal1,2 Abstract Background: There is growing concern certain not-for-profit hospitals are not providing enough uncompensated care to justify their tax exempt status. Our objective was to compare the amount of uncompensated care provided by not- for-profit (NFP), for-profit (FP) and government owned hospitals. Methods: We used 2005 state inpatient data (SID) for 10 states to identify patients hospitalized for three common conditions: acute myocardial infarction (AMI), coronary artery bypass grafting (CABG), or childbirth. Uncompensated care was measured as the proportion of each hospitals total admissions for each condition that were classified as being uninsured. Hospitals were categorized as NFP, FP, or government owned based upon data obtained from the American Hospital Association. We used bivariate methods to compare the proportion of uninsured patients admitted to NFP, FP and government hospitals for each diagnosis. We then used generalized linear mixed models to compare the percentage of uninsured in each category of hospital after adjusting for the socioeconomic status of the markets each hospital served. Results: Our cohort consisted of 188,117 patients (1,054 hospitals) hospitalized for AMI, 82,261 patients (245 hospitals) for CABG, and 1,091,220 patients for childbirth (793 hospitals). The percentage of admissions classified a