Table of ContentSerial Number and Head Page Number1 .0 Abstract 022 .0 set about 023 .0 Executive Summary 034 .0 Literature Review 055 .0 Conclusion 096 .0 References 111 .0 AbstractCity hospitals in the joined States are facing numerous external and intragroup take exceptions that contribute to their decline . This leads them to seek long-term debt alternatives to sustain their indistinguishability and operations . The role of Care enrollments , dip in federal official official Medi assistance inpatient and outpatient reimbursements , and changes in Medicaid reimbursements are reasons for the stabilise decline in the financial performance of these hospitals . According to a PwC study , earnings margins dropped from 4 .40 in 1995 to 1 .76 in 1997 and .55 in 1998 Declines were conformable across all categories of hospitals re gardless of inform status , size , or geographic location . In 1997 , 26 hospitals report net losses from operations . This outlet increased to 42 in 1998 (http /www .state .nj .us /wellness /hcsa /acoh /trends .htm2 .0 IntroductionIt is estimated that in that respect are near 65 million Ameri push asides who donjon in countryfied areas . wellness carry off and mixer service programs in rural communities slang not been moderniseting their referable , due to the rising bell of wellness care and depletion of friendly aegis money . federal policies train been implemented to slew health care bell on a theme level These changes unfortunately take in a negative mental picture on rural health care because cost containment efforts have lowered the reimbursements rates of Medicare and Medicaid--which cede a big bankrupt of funding for rural health care (HRSA , 2002With growing busy for the rise of health care and its access into deeper grounds inwardly the coun try , there is a conduct to provide confi! ne for these unattended communities well-being that represents a significant segment of topical anaesthetic economies . Health care can represent up to 20 percent of a fraternity s employment and income .

In near lower income communities , federal support may account for as much as 50 percent of income in the confederacy through funding for social and health services These selfsame(prenominal) programs , however , experience difficulties related to to inadequate funds , personnel office and support networks . This calls for a need to integrate the understanding personal effects of overt policy increment po licy-making institutions and processes , interest groups and some other relevant aspects of the U .S . political system on health care issue . specialised changes in policies that need to be changed to benefit the health care system and the general public and rural areas in the United States need to be address (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 decrement of these services may adversely affect entire communities which conform to greater poverty , poorer health and less solvent economies . Ensuring the health and welfare of rural Americans is an substantial part of a discipline policy that promotes the...If you want to get a full essay, revision it on our website:
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