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Hospital and Healthcare Transformation over Last Few Decades

  • John A. SavinoEmail author
  • Rifat Latifi

Abstract

As demonstrated throughout this book, hospitals have undergone massive and significant transformation, which if viewed by the previous generations of physicians, they would have difficulty recognizing the current hospitals’ transformed state. Traditionally, physicians expended enormous political capital to avoid being captured by the hospital in order to maintain both professional autonomy and control over their income without managerial interference. However, during the Clinton administration, the physician independence diminished significantly and has continued since. The current healthcare model in the United States is focused on an antagonistic environment between health systems, hospitals, and physicians versus the health insurance companies’ reimbursement paradigms. Yet, the modern hospitals survive despite many challenges and continue to provide the best possible care that humans ever received.

Keywords

Hospital transformation Insurance Healthcare policies Bundle payments Quality Government agencies Medicaid Medicare 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Westchester Medical Center Health Network, New York Medical CollegeValhallaUSA
  2. 2.New York Medical College, School of Medicine, Department of Surgery and Westchester Medical CenterValhallaUSA

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