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Ethical issues facing private, not-for-profit hospitals in the u.s

The case of the methodist hospital system

Bibliographic Data

ID20201128
AuthorsAlan Blankley, Alan I Blankley (Western Michigan University), Dana A Forgione (0000-0001-8320-492X, University of Baltimore), Dana Forgione
Year1996
Volume8
Issue3
Pages334-353
Publication date1996-03-01
Open AccessYes
TypeARTICLE
VenueJournal of Public Budgeting Accounting & Financial Management (JOURNAL)
Journal identifiersISSN: 1096-3367 • E-ISSN: 1945-1814
PublisherEmerald (PUBLISHER)
DOI10.1108/jpbafm-08-03-1996-b002
OpenAlexW186713865
LanguageEN

Pressures to contain costs have given private hospitals the economic incentive to reduce provision of charity care services, shifting the burden onto governmental hospitals. Budget pressures on governmental units have produced resistance to any further shift in the charity care burden. We observe in a lawsuit (State of Texas vs. The Methodist Hospital) what appears to be a classic moral hazard situation. The government expects a certain (unspecified) level of charity care to be performed in exchange for tax exemption; hospital management allegedly consumes perquisites and overstates reported charity care figures. Both sides use accounting numbers to defend their positions

Business · Economics · Incentive · Lawsuit · Moral hazard · Political science · Tax exemption · Healthcare Policy and Management · Law · Medical Malpractice and Liability Issues · Public Administration

Highly citedNo

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