Liszewski D M
Visiting Nurse Service of New York, New York.
Nurs Clin North Am. 1988 Jun;23(2):399-413.
An historical overview of corporate restructuring in the health care industry is presented. Initial reasons for forming multicorporate structures centered on avoiding regulations governing certified home health agencies and maximizing third party payer reimbursement. As competition increased, home care agencies employed diversification strategies for survival and reorganized their single corporate structures to launch new businesses and engage in profit-making activities. Corporate restructuring is a time-consuming and complex endeavor that should only be undertaken as a part of an agency's strategic plan. Evaluating an agency's corporate structure is a continual process and the criteria for evaluating change over time. The current experience with diversification in the health care industry suggests that the proliferation of multicorporate structures is stemming as health care providers begin to refocus on their core business.
本文呈现了医疗保健行业企业重组的历史概述。形成多公司结构的最初原因集中在规避适用于认证家庭健康机构的法规以及最大化第三方付款人的报销。随着竞争加剧,家庭护理机构采用多元化战略以求生存,并重组其单一公司结构以开展新业务并从事盈利活动。企业重组是一项耗时且复杂的工作,应仅作为机构战略计划的一部分来进行。评估机构的公司结构是一个持续的过程,且评估标准会随时间变化。医疗保健行业当前的多元化经验表明,随着医疗保健提供商开始重新聚焦于其核心业务,多公司结构的扩散正在兴起。