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Publications by Anthony T. Lo Sasso for Health Policy Center

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How Did Safety Net Hospitals Cope in the 1990s? (Article)
Stephen Zuckerman, Gloria Bazzoli, Amy J. Davidoff, Anthony T. Lo Sasso

This paper contrasts changes that took place among urban safety net hospitals (SNHs) during the period 1990 to 1997 with changes that occurred at other urban facilities. We use data from American Hospital Association Annual Survey and define three groups of SNHs based on 1990 provision of uncompensated care (UC): those that provided a large share of UC in their market; those for which UC imposed a burden because it represented a large share of their expenses; and those meeting both conditions. We found that, through 1997, high market share/high burden SNHs lost service volume relative to non-SNHs, but did not undertake reductions in staffing levels and expenses or reduce UC. High market share only hospitals were similar to non-SNHs, but reduced their UC market share and were more likely to enter into a merger. High burden only SNHs were most likely to close, but those that remained open experienced growth in volume and maintained their financial position. (Health Affairs 2001 July/August; 20(4):159-168)

Posted: July 01, 2001Availability: HTML

The Effect of Changing State Health Policy on Hospital Uncompensated Care (Article)
Amy J. Davidoff, Anthony T. Lo Sasso, Gloria Bazzoli, Stephen Zuckerman

This paper examines the effect of changing state policy, such as Medicaid eligibility, payment generosity, and HMO enrollment, on provision of hospital uncompensated care. Using national data from the American Hospital Association for the period from 1990 through 1995, we find that not-for-profit and public hospitals’ uncompensated care levels respond positively to Medicaid payment generosity, although the size of the effect is small. Not-for-profit hospitals respond negatively to Medicaid HMO penetration. Results suggest that public insurance payment generosity is an effective but inefficient policy instrument for influencing uncompensated care among not-for-profit hospitals. Further in localities with high HMO penetration or high penetration of for-profit hospitals, it may be necessary to establish explicit payments for car of the uninsured. (Inquiry 2000 Fall; 37: 253-267).

Posted: October 01, 2000Availability: HTML


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