As mentioned earlier, in 2001 the GAO stated that there were "no data on the incidence of patient dumping
before [EMTALA's] enactment, and the only measure of current incidence--the number of confirmed violations--is imprecise.
Hyman, Patient Dumping
and EMTALA: Past Imperfect/Future Shock, 8 HEALTH MATRIX 29, 32-43 (1998).
Lewis, 1999, Using Subjective Risk Adjusting to Prevent Patient Dumping
in the Health Care Industry, Journal of Economics and Management Strategy, 8(3): 351-382.
In 1986 and 1987, 2 articles appeared in the literature by physicians from Cook County Hospital in Chicago detailing the extent of patient dumping
to that facility (1, 2).
With virtually all existing information limited to local case studies, it has been impossible for researchers to examine the influence that various characteristics of the healthcare system have on the magnitude of patient dumping
, transferring state clients to corporate providers, saves the state the cost of running its own institutions.
will inevitably occur as long as private hospitals do not have all the specialized departments-such as intensive care units-needed in a "fully equipped" hospital.
In Florida, patient dumping
has become so bad that the state now taxes private hospitals to help offset the costs of treating the poor.
Smaller public hospitals "subjected to patient dumping
by more powerful hospital systems" would also seem to be likely candidates for higher percentages of outlier reimbursements, she added.
The hospitals are impacted directly with dramatically reduced costs, beds freed up for patients who need immediate medical care, and by alleviating an ongoing problem with patient dumping
Delgadillo has been involved in looking at health issues since 2002, when he began reviewing the practice of patient dumping
on Skid Row.
Also known as "demarketing of services" or "management of patient mix,"(2) patient dumping
refers to the hospital practice of transferring or refusing to treat persons who are indigent, uninsured, or otherwise undesirable to admit.
While most of the concern about patient dumping
has focused on actions taken in the emergency department, the article by Schlesinger et al.
Richard Pan (D-Sacramento) introduced legislation to stop the practice of patient dumping
on the criminal justice system before those patients are medically stabilized.
Commission on Civil Rights today announced the release of its 2014 statutory enforcement report, Patient Dumping
, which may be accessed at http://www.