Search Results for cross-market merger

... consolidation cross-market merger employer-sponsored insurance health care costs MANUUNSECDRIITPETD Journal of Health Politics, Policy and Law Gudiksen et al. Hospital Consolidation across Geographic Markets Hospital Consolidation Across Geographic Markets: Insights from Market Participants...

... going forward: for example, the need to take on both hard cases, including hospital-physician consolidations that foreclose competition or raise rivals' costs, and innovative challenges reflective of rapidly changing industry dynamics, such as cross-market mergers. He also points to important...

.... ■  Is there a sound economic basis for challenging “cross-market” mergers? As noted above, some payers have expressed concerns about such transactions, but more economic work is needed to fully understand whether there is a sound economic rationale for a challenge. ■  Is it possible to construct effective conduct...

...Erwin A. Blackstone; Joseph P. Fuhr, Jr. The hospital industry has recently experienced substantial merger activity. This paper examines several actual and proposed hospital mergers to determine the extent of competition in the affected markets and the effect these mergers may have on competition...

...Erwin A. Blackstone; Joseph P. Fuhr, Jr. This article examines the antitrust issues in rural hospital mergers by focusing on an important antitrust case involving the merger of two small hospitals in Ukiah, California. A key issue in this matter was whether the geographic market served...

.... Health Affairs 16 : 9 -28. Conner, R. A., R. D. Feldman, and B. E. Dowd. 1998 . The Effects of Market Concentration from Horizontal Mergers on Hospital Costs and Prices. International Journal of the Economics of Business 5 : 159 -180. Cuellar, A. E., and P. J. Gertler. 2005 . How...

... selective contractor, the Blue Cross Prudent Buyer Plan. The HHI was found to influence prices strongly, with prices rising as the degree of concentration increased. In general, antitrust enforcers who oppose a merger favor the speci- fication of smaller markets. The smaller the market area...

... inclination to exercise market power in the form of higher prices; however, community control is likely to be attenuated for hospitals that through merger or acquisition become members of hospital systems—particularly those that operate on a regional or multiregional basis. We report findings from a study...

... Guidelines are only slightly helpful to enforcement agencies in deciding which mergers to challenge. Hospital markets would generally be labeled as concentrated or highly concentrated, so that application of these thresholds would prompt chal- lenges to most mergers. Their empirical analysis...

... a retrospec- tive study to evaluate the market results in several consummated mergers, and one case is currently pending in administrative litigation. Initially, national systems acquired hospitals throughout the United States, but recent acquisitions have been more localized. Some believe...

...-side mergers and acquisitions has produced (to date) impressive reductions in the growth of health care expenditures, it has exposed the intricate cross-subsidies built into providers’ prices. Unless some market (or nonmarket) mechanism is used explicitly to finance uncompensated care and graduate...

... in markets where hospital mergers had occurred to price increases in similar markets where no mergers had occurred found no difference in the rates of increase in hospital charges (Eisenstadt and Klass 1988a). Other studies, using a cross-sectional approach to compare concentrated and un...

... market. Spurred by changes in their environments, hospitals during the last decade have become markedly less homogeneous in their range of products and geographic markets. As a result, the impact of hospital mergers in the future may need to be assessed in multiple, more narrowly defined relevant markets...

..., consolidation consistently reduces innovation and harms the public good. They also find that several factors within the pharmaceutical industry impede proper evaluation of proposed mergers. Because consumer choice across substitutes is limited, pharmaceutical markets frustrate conventional methods of defining...

... raised several concerns, mainly because many communities have few hospitals and economic forces in the industry are accelerating interest in intramarket mergers and provider network development. We address several issues, including the standing of hospitals relative to the market concentration thresholds...

.... Greenberg. 1981 . The Relation between Blue Cross Market Share and the Blue Cross “Discount” on Hospital Charges. Journal of Risk and Insurance 48 (3): 235 -246. Feldman, R., and D. Wholey. 2001 . Do HMOs Have Monopsony Power? International Journal of Health Care Economics 1 : 7 -22. Fine, D...

... true during the peak of the managed care movement (Gaynor and Town 2012). Unfortunately, the hospital merger wave of the 1990s left many cit- ies (both large and small) with highly concentrated hospital markets. In addition, the withering of managed care and the increase in health insur- ance...

... for what antitrust's role in addressing pricing power should be, especially because in the wake of two periods of merger “manias” and “frenzies” many markets already lack effective competition. It is particularly challenging for antitrust to address extant monopolies lawfully attained. New payment...

... processes that will generate efficiencies over time on a continuous basis. Important trade-offs among these strategies may exist. For example, mergers designed to increase market share and market power may reduce efficiency. After a point, increasing the size of an organization increases unit costs...

..., though one study provided some support for the commonly accepted view that Kaiser Permanente is a constraining force on the market as an ACO-type organization (Grossman, Tu, and Cross 2013 ), we wonder whether, in fact, this view is correct with regard to self-insured, and large, employers. Second...