id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ihlr-20835	Schade van Westrum, Melissa C.	Physician Owned Hospitals: Congress Should CHange the ACA's Course of Treatment	2015	44	.pdf	application/pdf	13461	421	37	Community hospitals have a difficult time competing with physician-owned hospitals because federal regulations prohibit the community hospitals from offering anything of value to physicians for referrals.217 Community hospitals also still must provide emergency or trauma services and charity care which provide little to no income to the hospital.218 If this is true, community hospitals are losing out on revenue because physician-owners are referring the profitable patients to physician-owned facilities, and referring the unprofitable or less profitable patients to the community hospitals, to bolster the physician-owned hospital profits and thus the physician- 212 Silva, supra note 43. Many believe that without some checks on the growth of specialty hospitals, community hospitals will find large declines in profit margins.157 The 2005 MedPAC report revealed that “physician- owned specialty hospitals do treat a higher percentage of patients who are less sick, and therefore less costly and more profitable, than patients receiving similar treatments at general hospitals.	cache/ihlr-20835.pdf	txt/ihlr-20835.txt