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Contract management and institutional cost control.

P C Nutt1, R G Milter

  • 1Ohio State University, Columbus 43210.

Hospital & Health Services Administration
|April 1, 1992
PubMed
Summary

Contract management helped control hospital costs, especially in small, isolated facilities. This study examined cost factors before and after management contracts were implemented.

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Area of Science:

  • Health Services Management
  • Hospital Administration
  • Healthcare Economics

Background:

  • Hospital cost containment is a critical issue in healthcare.
  • Previous studies on contract management's impact on hospital costs have limitations.
  • Understanding factors influencing cost control in hospitals is essential for policy development.

Purpose of the Study:

  • To explore the ability of contract management to control hospital costs.
  • To examine trends in cost-related performance factors for contract-managed hospitals.
  • To identify key contract features and hospital characteristics influencing cost containment.

Main Methods:

  • Analysis of cost-related performance factors for 61 contract-managed hospitals.
  • Comparison of data from three years pre- and three years postcontract (excluding the contract year).
  • Inclusion of factors from contract features and hospital characteristics, expanding the data base.

Main Results:

  • Contract management demonstrated effectiveness in containing costs.
  • Cost containment was observed particularly in small, isolated hospitals.
  • The study period predates current reimbursement policies that reward cost containment.

Conclusions:

  • Contract management can be a viable strategy for controlling hospital expenditures.
  • Specific hospital characteristics (e.g., size, isolation) may influence the success of contract management.
  • Findings provide insights for current healthcare policy regarding cost-containment strategies.

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