Acquisitions of safety-net hospitals from 2016-2021: a case series.

Health affairs scholar Pub Date : 2024-06-24 eCollection Date: 2024-06-01 DOI:10.1093/haschl/qxae056
Christian Wood, Xinwei Chen, William Schpero, Paula Chatterjee
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Abstract

Safety-net hospitals have recently become targets of acquisition by health systems with the stated purpose of improving their financial solvency and preserving access to safety-net services. Whether acquisition achieves these goals is unknown. In this descriptive case series, we sought to determine the factors that contribute to safety-net hospital acquisition, and identify whether safety-net services are preserved after acquisition. We examined 22 acquisitions of safety-net hospitals from 2016 to 2021 and described characteristics of the acquired safety-net hospitals, their acquiring systems, and the operational fate of acquired hospitals. Relative to other hospitals in the same Hospital Referral Region in the year prior to acquisition, acquired safety-net hospitals tended to be smaller and have lower occupancy rates. Acquiring systems were geographically concentrated, with only 6 of 20 systems operating in more than 1 state. Safety-net hospitals frequently offered typical safety-net services prior to acquisition. However, after acquisition, 2 of the 22 acquired safety-net hospitals lost safety-net services, 3 hospitals ceased inpatient services, and 1 hospital closed entirely. These findings suggest that acquisition of safety-net hospitals may be associated with trade-offs related to the provision of safety-net services for the communities that stand to benefit from them most.

2016-2021 年收购安全网医院:案例系列。
安全网医院最近已成为医疗系统的收购目标,其宣称的目的是改善其财务偿付能力并保持安全网服务的可及性。收购是否能实现这些目标尚不得而知。在这个描述性案例系列中,我们试图确定导致安全网医院被收购的因素,并确定收购后安全网服务是否得以保留。我们研究了 2016 年至 2021 年期间 22 起安全网医院收购案,并描述了被收购的安全网医院、收购系统以及被收购医院运营命运的特点。与收购前一年同一医院转诊地区的其他医院相比,被收购的安全网医院往往规模较小,入住率较低。收购系统的地理位置比较集中,20 个系统中只有 6 个在一个州以上运营。被收购前,安全网医院通常提供典型的安全网服务。但在收购后,22 家被收购的安全网医院中有 2 家失去了安全网服务,3 家医院停止了住院服务,1 家医院完全关闭。这些研究结果表明,收购安全网医院可能与为受益最大的社区提供安全网服务有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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