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| Author | : United States. Department of Health and Human Services. Office of Inspector General |
| Publisher | : |
| Total Pages | : 30 |
| Release | : 1992* |
| Genre | : Hospital mergers |
| ISBN | : |
| Author | : United States. Department of Health and Human Services. Office of Inspector General |
| Publisher | : |
| Total Pages | : 18 |
| Release | : 1992 |
| Genre | : Hospital mergers |
| ISBN | : |
| Author | : Cory Stephen Capps |
| Publisher | : |
| Total Pages | : 54 |
| Release | : 2005 |
| Genre | : Consolidation and merger of corporations |
| ISBN | : |
| Author | : Michael G. Vita |
| Publisher | : DIANE Publishing |
| Total Pages | : 48 |
| Release | : 1999 |
| Genre | : Hospital mergers |
| ISBN | : 1428958452 |
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 580 |
| Release | : 1986-01-01 |
| Genre | : Medical |
| ISBN | : 0309036437 |
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.
| Author | : Allie Mollo |
| Publisher | : |
| Total Pages | : |
| Release | : 2021 |
| Genre | : |
| ISBN | : |
This paper examines the effects of mergers and acquisitions (M&A) on target hospitals' quality of care, costs, and revenue comparative to non-target hospitals. I find that quality of care is moderately improved and both patient-associated cost and revenue are modestly reduced in target hospitals following deal activity. My results contrast with much of the literature on hospital M&A but are consistent with Sheen (2014)'s finding that M&A transactions lead to higher product quality and reduced prices.
| Author | : |
| Publisher | : American Bar Association |
| Total Pages | : 222 |
| Release | : 2003 |
| Genre | : Antitrust law |
| ISBN | : 9781590312230 |
The health care industry continues to undergo unprecedented consolidation. Health care providers and payors alike have pursued a wide variety of integrative strategies to achieve efficiencies or other business advantages. The Health Care Mergers and Acquisitions Handbook is designed to educate the practitioner about the antitrust analysis of mergers and acquisitions within the health care industry. Over the past two decades there has been an extraordinary amount of litigation related to challenges of hospital mergers. Each chapter identifies and analyzes important antitrust issues governing such consolidations. Accordingly, the first several chapters are devoted to a detailed treatment of substantive issues peculiar to such mergers: an introduction to hospital merger litigation, describing trends in litigation and the way in which such mergers are analyzed; issues unique to market definition, including product market definition and geographic market definition; the competitive effects of hospital mergers, assessing the evidence necessary to establish a prima facie case in a merger challenge and the rebuttal arguments offered by merging parties; a unique rebuttal argument offered by merging hospitals that is treated separately due to its prominent role in hospital merger litigation - the role and significance of efficiencies in determining the competitive merits of such mergers; the potential applicability of the state action doctrine to hospital mergers. In addition to a substantive treatment of hospital mergers, the Handbook also addresses; combinations of health care management organizations (HMOs) and physician practice groups; the analysis used by the enforcement agencies when reviewing mergers of HMOs; antitrust issues posed by physician practice consolidations. The appendix contains a chart summarizing litigated hospital mergers.--
| Author | : Federal Trade Commission |
| Publisher | : |
| Total Pages | : 30 |
| Release | : 2014-09-25 |
| Genre | : |
| ISBN | : 9781502493859 |
This consummated merger combined two hospitals located close together in the Oakland-Berkeley region of the San Francisco Bay Area. The greater metropolitan area contained many other hospitals that offered a similar range of services, but which were located farther away. A central issue raised by the Sutter-Summit transaction was whether travel costs were low enough such that these hospitals were a sufficient constraint on the merging parties to prevent an anticompetitive price increase. We use detailed claims data from three large health insurers to compare the post-merger price change for the merging parties to the price change for a set of control group hospitals. Our results show that Summit's price increase was among the largest of any comparable hospital in California, indicating this transaction may have been anticompetitive.
| Author | : Harald Seider |
| Publisher | : Nomos Verlagsgesellschaft Mbh & Company |
| Total Pages | : 246 |
| Release | : 2006 |
| Genre | : Business & Economics |
| ISBN | : 9783832921699 |
The direction of causality matters for policy procedure. If volume causes outcome, then policies supporting centralization of procedures in a few facilities may make sense. Specialty hospitals may have the benefit of producing better outcomes. Antitrust analysis of hospital mergers should probably consider any improved outcomes when evaluating the impact of the merger. Accordingly, the author analyzes the causality of the volume-outcome relationship for coronary artery bypass grafts (CABGs) and finds that volume might play the crucial role for hospitals quality. This finding makes minimum volume requirements a reasonable policy which is shown by a simulation on Californian data. However, the primary focus of the finding lies in US Antitrust application. Due to a causative volume-outcome relationship, a hospital merger may have welfare enhancing effects despite possible price increases. Patients will be better off as long as the quality improvement outweighs the loss of welfare due to the price increase. This is shown by a standard merger case simulation as well as a real merger, which took place in California in 1999. Results suggest that the presence of a volume-outcome relationship might serve as an efficiency defense at Antitrust trials.
| Author | : Wendy Jayne Taparanskas |
| Publisher | : |
| Total Pages | : 214 |
| Release | : 1997 |
| Genre | : Hospital mergers |
| ISBN | : |
This study examines the effect of mergers on hospital performance and identifies patterns in performance characteristics which are unique to hospitals that merge. Performance is defined by variables contributing either to operational outcome or operating structure and efficiency of a hospital. Hospital performance is also examined in the context of an integrated system, which includes the effect of the community in which the hospital derives its patient population. Finally, hospital merger behavior is compared to general firm merger behavior. For the purpose of this study, data for an eight year time period for 151 hospitals (33 experiencing mergers) in Missouri were collected and analyzed using logistic regression. It was found that hospitals with lower occupancy rates, higher average length of stays, and lower total revenue in proportion to total operating expenses were more likely to merge. In addition, these hospitals were located in areas with lower labor force participation rates, greater total population, and had higher hospital payroll expenses, along with higher overall hospital operating expenses. The impact of performance changes were seen in the first two years, but some performance goals were most likely to be achieved after three to four years. Hospital merger behavior was found to mirror general firm merger behavior through increasing structural efficiency, size, and market share.
