000			01387pab a2200193 454500
008			180718b1999 xxu||||| |||| 00| 0 eng d
100			_aDrucker, Mark L.
245			_aPublic hospitals as competitors for medicaid revenue: the case study of St. Louis regional medical center
260			_c1999
300			_ap.1587-1613
362			_aNov-Dec
520			_aMedicaid revenues may determine whether public hospitals will survive. Public hospitals participate aggressively in the public market competition for their states' Medicaid dollars. States must decide whether the survival of public hospitals, as providers of last resort to both Medicaid and uninsured patients, is of continuing importance to their Medicaid programs. Cities, if the states were willing, alternatively could voucher uninsured patients and direct Medicaid patients to the private hospitals that would outlive closed public hospitals. In fact, Medicaid's managed care programs already have heightened this competition, by organizing sufficiently large populations of prepaid Medicaid patients to attract networks of private providers to offer discounted prices, in competition with public hospitals for this market. - Reproduced
650			_aMedical centres
650			_aHospitals
650			_aRevenue
650			_aHospitals
773			_aInternational Journal of Public Administration
909			_a42698
999			_c42698 _d42698