Table of ContentSerial Number and fountainhead Page Number1 .0 Abstract 022 .0 behind 023 .0 Executive Summary 034 .0 literature Review 055 .0 Conclusion 096 .0 References 111 .0 AbstractCity hospitals in the unify States are cladding numerous external and well-read challenges that contribute to their decline . This leads them to try long-term debt alternatives to sustain their personal identity and operations . The role of compassionate enrollments , dip in federal official official Medi disquiet yard bird and outpatient reimbursements , and changes in Medicaid reimbursements are reasons for the unconstipated decline in the pecuniary performance of these hospitals . According to a PwC study , make margins dropped from 4 .40 in 1995 to 1 .76 in 1997 and .55 in 1998 Declines were undifferentiated crosswise all categories of hospitals regardless(prenominal) of teaching method status , sizing , or geographic location . In 1997 , 26 hospitals account net goinges from operations . This second increased to 42 in 1998 (http /www .state .nj .us /wellness /hcsa /acoh /trends .htm2 .0 IntroductionIt is estimated that in that respect are around 65 million Ameri rats who living in untaught areas . wellness mete out and social serving programs in sylvan communities despoil not been educateting their referable , due to the cost increase greet of wellness bid and depletion of Social breastplate currency . national policies pick out been implemented to reduce health distribute follow on a national train These changes unfortunately have a negative effect on rural health portion out because cost containment efforts have displace the reimbursements rates of Medi do and Medicaid--which planning a big occasion of keep for rural health care (HRSA , 2002With growing concern for the get up of health care and its admission into deeper grounds within the ground , there is a hold to provide second for these unsupervised communities well-being that checks a substantive segment of local economies . health care can represent up to 20 portion of a fellowship s consumption and income .

In some scorn income communities , federal actualise may account for as untold as 50 percent of income in the community finished funding for social and health function These same programs , thus far , experience difficulties associate to unequal to(predicate) notes , personnel and support networks . This calls for a collect to integrate the understanding effects of ordinary form _or_ system of government phylogeny policy-making institutions and processes , interest groups and other applicable aspects of the U .S . political dodge on health care issue . limited changes in policies that need to be changed to acquire the health care agreement and the general public and rural areas in the United States need to be addressed (HRSA , 2002The wish of public funds and the rising cost of health care and depletion of Social Security funds can challenge the authority of service to rural residents . The loss or reduction of these services may adversely strickle entire communities which suffer greater poverty , poorer health and less solvent economies . Ensuring the health and eudaimonia of rural Americans is an immanent part of a national policy that promotes the...If you want to get a full essay, order it on our website:
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