Table of ContentSerial Number and Head Page Number1 .0 Abstract 022 .0 mental institution 023 .0 Executive Summary 034 .0 Literature Review 055 .0 Conclusion 096 .0 References 111 .0 AbstractCity hospitals in the lounge about together States are facing numerous external and inside ch each(prenominal)enges that contribute to their decline . This leads them to seek long-term debt alternatives to sustain their individuation and operations . The role of Care enrollments , declension in federal official Medi worry inpatient and outpatient reimbursements , and changes in Medicaid reimbursements are reasons for the steady decline in the financial action of these hospitals . According to a PwC study , value margins dropped from 4 .40 in 1995 to 1 .76 in 1997 and .55 in 1998 Declines were tenacious across all categories of hospita ls regard little of teaching status , size of it , or geographic location . In 1997 , 26 hospitals inform net deviationes from operations . This number increased to 42 in 1998 (http / entanglement .state .nj .us / wellness /hcsa /acoh /trends .htm2 .0 IntroductionIt is estimated that there are to the highest degree 65 one thousand million Ameri discounts who living in agrestic areas . health wish swell and loving service programs in rural communities form non been getting their due , due to the ascending equal of health supervise and depletion of Social security frame capital . study policies actualise been implemented to reduce health care realise on a national level These changes unfortunately cast off a negative effect on rural health care because cost containment efforts have lowered the reimbursements rates of Medicare and Medicaid--which reach a big part of funding for rural health care (HRSA , 2002With growing concern for the rise of health ca re and its access into deeper grounds within! the country , there is a indispensability to provide deport for these unattended communities well-being that represents a signifi whoremongert segment of local economies . Health care can represent up to 20 percent of a fraternity s employment and income .
In some lower income communities , federal support may account for as much as 50 percent of income in the community through funding for social and health services These same programs , however , experience difficulties marry to inadequate silver , personnel and support networks . This calls for a drive to integrate the understanding effects of public poli cy translation governmental institutions and processes , interest groups and other relevant aspects of the U .S . governmental system on health care issue . special(prenominal) changes in policies that drive to be changed to benefit the health care system and the general public and rural areas in the United States need to be addressed (HRSA , 2002The lack of public funds and the rising cost of health care and depletion of Social Security funds can challenge the effectiveness of service to rural residents . The loss or reduction of these services may adversely tint entire communities which suffer greater poverty , poorer health and less solvent economies . Ensuring the health and welfare of rural Americans is an all-important(a) part of a national policy that promotes the...If you want to get a wide-eyed essay, order it on our website: OrderCustomPaper.com
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