4144.0: Tuesday, November 14, 2000: 12:30 PM-2:00 PM

BBRA: Unbalancing Our Health Care Delivery Systems

The Balanced Budget Act of 1997 (BBA) made significant changes to the Medicare and Medicaid programs, reducing spending for both programs by $116 billion and $15 billion respectively from 1998 to 2002. Actual spending reductions turned out to be much higher. In 1999, Congress acknowledged that the BBA and its payment reductions created unintended consequences for health care providers and passed the Balanced Budget Refinement Act (BBRA). This legislation increases Medicare and Medicaid spreading by approximately $16 billion over five years, with approximately $7 billion directed to hospitals. This session will discuss the impact of the BBA and the BBRA on both urban teaching hospitals and rural community hospitals. Estimates of the consequences on urban and rural hospital services, programs for the uninsured, clinical research activities and education and training for medical students and residents will be made
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Facilitator(s):Alison Hughes, MPA
Oliver Fein, MD
Organizer(s):Darrel Gaskin
12:30 PMAn Overview of the Impact of the BBA and its 1999 Revision on Rural Health
Keith Mueller, MD
12:50 PMRural Hospital and the BBRA
Tom Ricketts, PhD, MPH
1:10 PMAn Overview of the Impact of the BBA and its 1999 Revisions on AHCs
Karen Fisher, JD
1:30 PMThe BBA and the Social Responsibility of Urban AHCs
Oliver Fein, MD
Sponsor:Medical Care

The 128th Annual Meeting of APHA