Opening of Specialty Cardiac Hospitals and Use of Coronary Revascularization in Medicare Beneficiaries

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Abstract
Specialty hospitals, which provide care limited to specific medical conditions or procedures, are opening at a rapid pace across the United States.1 Proponents argue that specialty hospitals provide higher-quality health care and greater cost-efficiency by concentrating physician skills and hospital resources needed for managing complex diseases.2,3 Critics claim that specialty hospitals focus primarily on low-risk patients and provide less uncompensated care, which places competing general hospitals at significant financial risk.4,5

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