COVID-19: Financial Stress Test for Academic Medical Centers
Identifieur interne : 000666 ( Main/Curation ); précédent : 000665; suivant : 000667COVID-19: Financial Stress Test for Academic Medical Centers
Auteurs : Christopher C. Colenda ; William B. Applegate ; Burton V. Reifler ; Dan G. BlazerSource :
- Academic Medicine [ 1040-2446 ] ; 2020.
Abstract
The coronavirus pandemic (COVID-19) is having profound effects on the lives and well-being of the world’s population. All levels of the nation’s public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation’s safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.
Url:
DOI: 10.1097/ACM.0000000000003418
PubMed: 32287082
PubMed Central: 7179061
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Christopher C. Colenda<affiliation><nlm:aff id="aff1"><bold>C.C. Colenda</bold>
is president emeritus, West Virginia University Health System, Morgantown, West Virginia, and dean emeritus, College of Medicine, Texas A&M University Health Sciences, Bryan, Texas.</nlm:aff>
<wicri:noCountry code="subfield">Texas.</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff2"><bold>W.B. Applegate</bold>
is president and dean emeritus, Wake Forest University Health Sciences, and professor of medicine, geriatrics and gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff>
<wicri:noCountry code="subfield">North Carolina.</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff3"><bold>B.V. Reifler</bold>
is professor emeritus and former chair, Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.</nlm:aff>
<wicri:noCountry code="subfield">North Carolina.</wicri:noCountry>
</affiliation>
<affiliation><nlm:aff id="aff4"><bold>D.G. Blazer II</bold>
is professor emeritus, Department of Psychiatry, and former dean of medical education, Duke University School of Medicine, Durham, North Carolina.</nlm:aff>
<wicri:noCountry code="subfield">North Carolina.</wicri:noCountry>
</affiliation>
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<wicri:noCountry code="subfield">North Carolina.</wicri:noCountry>
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<front><div type="abstract" xml:lang="en"><p>The coronavirus pandemic (COVID-19) is having profound effects on the lives and well-being of the world’s population. All levels of the nation’s public health and health care delivery systems are rapidly adjusting to secure the health infrastructure to manage the pandemic in the United States. As the nation’s safety net health care systems, academic medical centers (AMCs) are vital clinical and academic resources in managing the pandemic. COVID-19 may also risk the financial underpinnings of AMCs because their cost structures are high, and they may have incurred large amounts of debt over the last decade as they expanded their clinical operations and facilities. This Invited Commentary reviews existing data on AMC debt levels; summarizes relief provided in the Coronavirus Aid, Relief, and Economic Security Act; and suggests policy options to help mitigate risk.</p>
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