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Health Care Industry history
Health Care Industry company history timeline
By 1980, NHE accounted for 8.9 percent of GDP, an even larger leap than the decade prior.
1984 Aug;19(3):333–355. [PMC free article] [PubMed] [Google Scholar]Greenfield S, Nelson EC, Zubkoff M, Manning W, Rogers W, Kravitz RL, Keller A, Tarlov AR, Ware JE., Jr Variations in resource utilization among medical specialties and systems of care.
JAMA. 1986 Aug 22;256(8):1017–1020. [PubMed] [Google Scholar]Leape LL. Practice guidelines and standards: an overview.
1987: Richard Scott and Richard Rainwater join together to form Columbia Healthcare Corporation; form El Paso Healthcare System (EPHS), along with a group of physician investors.
JAMA. 1987 Aug 21;258(7):936–940. [PubMed] [Google Scholar]Donabedian A. Evaluating the quality of medical care.
From this move, EPHS increased the average daily census at its other facilities by 35 patients, bringing an earnings (EBDIT) increase of $3.5 million, to $8.9 million EBDIT on 1988 revenues of $43 million.
1988 Jun;108(6):880–886. [PubMed] [Google Scholar]Demos MP. What every physician should know about the National Practitioner Data Bank.
In 1989, EPHS introduced its One Source medical services program--marketing to major area employers--which provided discounts at EPHS system facilities.
JAMA. 1989 Nov 24;262(20):2869–2873. [PubMed] [Google Scholar]Berwick DM. Continuous improvement as an ideal in health care.
In 1990, EPHS continued to consolidate its El Paso position, by acquiring two diagnostic imaging centers, beginning construction on a 296,000-square-foot medical office building, and initiating plans for a 29,000-square-foot oncology center.
Columbia's total revenues were already approaching the half-billion mark in 1990.
By 1990, NHE accounted for 12.1 percent of GDP — the largest increase thus far in the history of healthcare.
Should practice parameters be the standard of care in malpractice litigation? JAMA. 1991 Nov 27;266(20):2886–2891. [PubMed] [Google Scholar]
How well do peer review organization methods detect hospital care quality problems? JAMA. 1992 May 6;267(17):2349–2354. [PubMed] [Google Scholar]
By the end of 1992, Columbia's network had grown to 24 hospitals and over $1 billion in assets.
By 1993, Scott, known to keep a paperweight on his desk reading 'If you are not the lead dog, the view never changes,' was ready to launch Columbia as a national healthcare provider.
Galen, with 74 hospitals in 1993, had formerly been part of Humana.
After a period of debate toward the end of 1993, Congress left for winter recess with no conclusions or decisions, leading to the bill’s quiet death.
The Healthtrust merger was completed in April 1995, with Healthtrust stockholders receiving 0.88 Columbia shares for each share of Healthtrust stock.
1995: Columbia/HCA acquires Healthtrust.
In November of 1996, Columbia/HCA acquired the Atlanta-based Central Health Services, Inc.
By the beginning of 1996, Columbia/HCA had grown to 340 hospitals, 125 outpatient surgery centers, and a range of other healthcare facilities.
In 1996, Clinton signed the Health Insurance Portability and Accountability Act (HIPAA), which established privacy standards for individuals.
In March, 1997, the company's facility in El Paso, Texas, became the subject of a federal healthcare fraud investigation.
The merger was completed in August of 1997.
In January of 1998, the company entered into an agreement to sell its Value Behavioral Health subsidiary--one of the operating groups obtained in its Value Health acquisition.
1998: Columbia/HCA completes a series of divestitures.
In early 2000, Columbia/HCA announced that it had reached an understanding with the Civil Division of the United States Department of Justice to recommend an agreement to settle, subject to certain conditions, civil claims actions against the company.
2000: Company reaches an understanding with the Department of Justice to recommend an agreement to settle its civil claims actions, paying $745 million in fines; later, changes its name to HCA - The Healthcare Company.
By the year 2000, NHE accounted for 13.3 percent of GDP — just a 1.2 percent increase over the past decade.
The first open enrollment season for the Marketplace started in October 2013, and it was rocky, to say the least.
Nevertheless, 8 million people signed up for insurance through the ACA Marketplace during the first open enrollment season, with enrollment peaking in 2016 at 12.2 million (with 10 million of those receiving subsidies to help pay for insurance).
Since Donald Trump was sworn in as the 45th President of the United States on January 20, 2017, many have questioned what would happen with our healthcare system — specifically, what would happen to the ACA, since Donald Trump ran on a platform of “repealing and replacing” the bill.
Lastly, in August of 2017, the Trump administration significantly cut federal spending on advertising promoting awareness of the ACA exchanges, as well cut spending on ACA "navigators" who served to guide people through the enrollment process.
In January of 2018, the Trump administration allowed states to add work requirements to Medicaid, requiring beneficiaries to prove that they either work or go to school.
According to the Kaiser Family Foundation, the ACA has covered an average of 11.3 million annually since its inception, though 8.5% of the United States population (roughly 27.5 million Americans) remain uninsured, as reported by the KKF in 2018.
Eliminating the penalty immediately caused insurance premiums to rise, even though the elimination of the penalty didn't go into effect until January of 2019.
Hungry to notch a win on healthcare prior to the 2020 election, the Trump administration continues to push ahead on initiatives designed to reign-in healthcare costs.
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