This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Nauenberg, E. Articles by Osborne, J. W. Search for Related Content PubMed PubMed Citation Articles by Nauenberg, E. Articles by Osborne, J. W. Social Bookmarking                   What's this?

Network Structure and Hospital Financial Performance in New York State: 1991-1995

State University of New York at Buffalo

Carol S. Brewer

State University of New York at Buffalo

Kisalaya Basu

St. Joseph’s Hospital, Hamilton, Ontario

Mary K. Bliss

State University of New York at Buffalo

Jason W. Osborne

University of Oklahoma

As networks have proliferated, questions have arisen regarding which structure is optimal. To obtain an answer from the hospital perspective, the authors conducted a survey of New York State hospitals to determine how network integration, complexity, and financial risk sharing relate to measures of financial performance during the period of 1991-1995. Of the 64 hospitals indicating a network affiliation by 1995, 67.2 percent listed some network risk-sharing activity. The least integrated networks were associated with the smallest improvements in throughput, and the most complex were associated with the largest negative changes in operating margins. During the first 2 years of network membership, hospitals joining risk-sharing networks experienced operating margin gains averaging 12 percentage points higher than hospitals joining networks without risk sharing; however, this difference dissipated in later years. Networks with higher levels of integration, lower levels of complexity, and which involve some risk-sharing between affiliates are most likely to experience improved hospital financial performance during the network’s initial years.

Medical Care Research and Review, Vol. 56, No. 4, 415-439 (1999)
DOI: 10.1177/107755879905600402


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				G. J. Bazzoli, L. Dynan, L. R. Burns, and C. Yap Two Decades of Organizational Change in Health Care: What Have we Learned? Med Care Res Rev, September 1, 2004; 61(3): 247 - 331. [Abstract] [PDF]