Cross-subsidies and payment for hospital care

This study uses hospital data from the 1979 American Hospital Association Reimbursement Survey in a multivariate framework to assess the impact of discounts and third-party reimbursement on hospital costs and profitability. Three central issues are addressed: (1) Is a differential payment justified for Medicare, Medicaid, and/or Blue Cross on the basis of differential costs? (2) Have the cost-containment efforts of the dominant payers reduced total payments to hospitals? and (3) What part of the overall savings in payments to hospitals is in the form of reduced costs rather than reduced profits? On the basis of the evidence in this study, we find (1) that the differential payment is not justified; (2) that the cost-containment efforts of the dominant payers have reduced total payments to hospitals somewhat, but a substantial amount of cost-shifting remains; and (3) that the savings is in profits, rather than in costs.     

“Can’t Stop,Won’t Stop”: Self-Control,Risky Lifestyles,and Repeat Victimization

Objectives

Drawing from lifestyle-routine activity and self-control perspectives, the causal mechanisms responsible for repeat victimization are explored. Specifically, the present study investigates: (1) the extent to which self-control influences the changes victims make to their risky lifestyles following victimization, and (2) whether the failure to make such changes predicts repeat victimization.

Methods

Two waves of panel data from the Gang Resistance Education and Training program are used (N = 1,370) and direct measures of change to various risky lifestyles are included. Two-stage maximum likelihood models are estimated to explore the effects of self-control and changes in risky lifestyles on repeat victimization for a subsample of victims (n = 521).

Results

Self-control significantly influences whether victims make changes to their risky lifestyles post-victimization, and these changes in risky lifestyles determine whether victims are repeatedly victimized. These changes in risky lifestyles are also found to fully mediate the effects of self-control on repeat victimization.

Conclusions

Findings suggest that future research should continue to measure directly the intervening mechanisms between self-control and negative life outcomes, and to conceptualize lifestyles-routine activities as dynamic processes.     

Fostering management education to deter corruption: what do students know about corruption and its legal consequences?

This article analyses the current knowledge about corruption and its legal consequences among university students. Based on data from 1,511 undergraduate and graduate students from all academic disciplines at four major universities in the German-speaking part of Switzerland, it appears that the majority of students have difficulty identifying corrupt behaviour and its legal consequences. Law students achieve slightly better results. However, even law students demonstrate a significant lack of knowledge of corruption issues. In particular, most of the students are unaware that corruption that occurs abroad can also be prosecuted in Switzerland. The limited knowledge among students regarding corruption and its legal consequences as identified in this study suggests that the teaching and study of anti-corruption-related subjects should be better integrated into the curricula of universities and business schools.     

Sudden asphyxial death due to an esophageal leiomyoma

An exceedingly rare case of an esophageal leiomyoma causing sudden death by asphyxiation due to tracheal compression is presented. A brief discussion of esophageal leiomyomata is included.