Robert Dickler, MHA; Gina Shaw, BA
Acknowledgments: The authors thank Robert D'Antuono, Karen Fisher, and Ernest Valente of the Division of Health Care Affairs at the Association of American Medical Colleges for their review of the material to ensure accuracy and clarity.
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The Balanced Budget Act of 1997 had a profound impact on the financing and organization of many health care services. The Act disproportionately affected U.S. teaching hospitals, leading to substantial budget reductions in many institutions and the threat of cuts in major programs and services that teaching hospitals provide to communities. This paper examines the overall financial and organizational impact of the Balanced Budget Act on teaching hospitals and considers its effect on residency education. It also discusses to what degree the Balanced Budget Refinement Act of 1999 will mitigate these effects and posits other solutions to the serious financial issues facing teaching hospitals in the United States.
Robert Dickler, Gina Shaw. The Balanced Budget Act of 1997: Its Impact on U.S. Teaching Hospitals. Ann Intern Med. 2000;132:820–824. doi: 10.7326/0003-4819-132-10-200005160-00010
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Published: Ann Intern Med. 2000;132(10):820-824.
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