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The Quality Effects of Hospital Mergers
The competitive effects of not-for-profit hospital mergers a case study
Author: Michael G. Vita
Publisher: DIANE Publishing
Published: 1999
Total Pages: 48
ISBN-13: 1428958452
DOWNLOAD EBOOK →Health Care Mergers and Acquisitions Handbook
Author:
Publisher: American Bar Association
Published: 2003
Total Pages: 222
ISBN-13: 9781590312230
DOWNLOAD EBOOK →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.--
Patient Safety and Quality
Author: Ronda Hughes
Publisher: Department of Health and Human Services
Published: 2008
Total Pages: 592
ISBN-13:
DOWNLOAD EBOOK →"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
The Competitive Effects of Not-for-profit Hospital Mergers
Integrating Healthcare Quality Concerns Into the US Hospital Merger Cases, a Mission Impossible?
Author: Theodosia Stavroulaki
Publisher:
Published: 2019
Total Pages:
ISBN-13:
DOWNLOAD EBOOK →Hospitals merge to constrain costs and improve quality. Although hospital consolidation can yield substantial cost and qualitative efficiencies, it can also harm competition by creating market power. Can the agencies and the courts strike the appropriate balance between the quality improvements a hospital merger brings and the risk of market power? Can they assess the quality improvements stemming from the hospital merger and weigh them against potential anticompetitive harm? And, if yes, how? These questions are not easy. However, this essay raises and examines them. Exploring the seminal US hospital merger cases, it underlines that the agencies, driven by the belief that healthcare is not special, focus more on the mergers' impact on prices and less on quality. It concludes that the agencies, by narrowing their analysis to the price concerns of a hospital merger, disincentivize merging parties from bringing quality of care arguments at the heart of the merger analysis and health policy researchers from developing research examining hospital mergers' impact on quality. It suggests that the Federal Trade Commission (FTC) should issue guidelines explaining what quality dimensions it values most on the basis of the main objectives of the US healthcare system and how these dimensions can be balanced against harm to competition.
The Competitive Effects of Not-For-Profit Hospital Mergers
Author: Federal Trade Commission
Publisher: CreateSpace
Published: 2014-09-14
Total Pages: 48
ISBN-13: 9781502365576
DOWNLOAD EBOOK →Applying conventional horizontal merger enforcement rules to mergers of nonprofit hospitals is controversial. Critics contend that the different objective function of not-for-profits entities should mitigate, and possibly eliminate, competitive concerns about mergers involving nonprofit hospitals. We provide evidence relevant to this debate by analyzing ex post a horizontal merger in a concentrated hospital market. Here, the transaction reduced the number of competitors (both nonprofit) in the alleged relevant market from three to two. We find that the transaction resulted in significant price increases; we reject the hypothesis that these price increases reflect higher post-merger quality. This study should help policymakers assess the validity of current merger enforcement rules, especially as they apply to not-for-profit enterprises.
Hospital Mergers with Regulated Prices
Author: Kurt Richard Brekke
Publisher:
Published: 2014
Total Pages: 0
ISBN-13:
DOWNLOAD EBOOK →We study the effects of a hospital merger using a spatial competition framework with semialtruistic hospitals that invest in quality and expend cost-containment effort facing regulated prices. We find that the merging hospitals always reduce quality, whereas non-merging hospitals respond by increasing (reducing) quality if qualities are strategic substitutes (complements). A merger leads to higher average treatment cost efficiency and, if qualities are strategic substitutes, might also increase average quality in the market. If a merger leads to hospital closure, the resulting effect on quality is positive (negative) for all hospitals in the market if qualities are strategic substitutes (complements). Whether qualities are strategic substitutes or complements depends on the degree of altruism, the effectiveness of cost-containment effort, and the degree of cost substitutability between quality and treatment volume.
The Price Effects of Hospital Mergers
Author: Federal Trade Commission
Publisher:
Published: 2014-09-25
Total Pages: 30
ISBN-13: 9781502493859
DOWNLOAD EBOOK →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.
