The difference between a specialty hospitals and a community hospitals is that the specialty hospital is specialized on specific health conditions. Women hospital, children hospital, cancer treatment center are all example of specialty hospital. In the other hand, a community hospital is more a general like hospital. Community hospitals are all non-federal, short-term general and special hospitals whose facilities are available to the public. There is a relationship between these two categories of hospital. A patient is diagnose of a health condition in the general hospital, then referred to a specialty hospital for appropriate cares. The debate here was about the Medicare Prescription Drug Improvement, and Modernization Act Of 2003, related to how hospital are and should be paid. The payment system needed to be revised. The specialty hospitals are a part of a larger problem and that is that there exists a real problem in the payment system.
I – What has happened with the debate since mid-2006.
Prior to 1983, Medicare and most other insurers paid hospitals on a cost-based reimbursement system. Under the cost-based reimbursement system, hospitals informed payers of the cost of the care that was provided, and those amounts were then paid. Although there were some constraints on how much a hospital could claim as its costs, the result was to reward volume and discourage efficiency.
Some important developments regarding the debate since mid-2006 have been observed. The senators have been standing up for this cause and have been supported b