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Journal Article

Hospital Consolidation Across Geographic Markets: Insights from Market Participants on Mechanisms for Price Increases

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Katherine Gudiksen, Andréa E. Caballero, Paul Ginsburg, Bruce Allain, Thomas Greaney ...
J Health Polit Policy Law 11853756.
DOI: https://doi.org/10.1215/03616878-11853756
Published: 03 April 2025
... 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...
View articletitled, <span class="search-highlight">Hospital</span> <span class="search-highlight">Consolidation</span> Across Geographic Markets: Insights from Market Participants on Mechanisms for Price Increases View PDF for article titled, <span class="search-highlight">Hospital</span> <span class="search-highlight">Consolidation</span> Across Geographic Markets: Insights from Market Participants on Mechanisms for Price Increases
Journal Article

Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust

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Robert Berenson
J Health Polit Policy Law (2015) 40 (4): 711–744.
DOI: https://doi.org/10.1215/03616878-3150026
Published: 01 August 2015
...Robert Berenson Abstract Prices are the major driver of why the United States spends so much more on health care than other countries do. The pricing power that hospitals have garnered recently has resulted from consolidated delivery systems and concentrated markets, leading to enhanced negotiating...
View articletitled, Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust View PDF for article titled, Addressing Pricing Power in Integrated Delivery: The Limits of Antitrust
Journal Article

Antitrust and Hospital Mergers: Does the Nonprofit Form Affect Competitive Substance?

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Thomas L. Greaney
J Health Polit Policy Law (2006) 31 (3): 511–529.
DOI: https://doi.org/10.1215/03616878-2005-004
Published: 01 June 2006
... the judiciary's resolution of these cases. One such issue is the import of nonprofit status for applying antitrust law. This essay describes antitrust's role in addressing the consolidation in the hospital sector and the subtle influence that the social function of the nonprofit hospital has had in merger...
View articletitled, Antitrust and <span class="search-highlight">Hospital</span> Mergers: Does the Nonprofit Form Affect Competitive Substance? View PDF for article titled, Antitrust and <span class="search-highlight">Hospital</span> Mergers: Does the Nonprofit Form Affect Competitive Substance?
Journal Article

Commentary — competition Policy After Health Care Reform: Mending Holes in Antitrust Law's Protective Net

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Thomas L. Greaney
J Health Polit Policy Law (2015) 40 (4): 897–903.
DOI: https://doi.org/10.1215/03616878-3150136
Published: 01 August 2015
... 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...
View articletitled, Commentary — competition Policy After Health Care Reform: Mending Holes in Antitrust Law's Protective Net View PDF for article titled, Commentary — competition Policy After Health Care Reform: Mending Holes in Antitrust Law's Protective Net
Journal Article

The Hospital Support Game Revisited

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David B. Smith, Carl G. Homer
J Health Polit Policy Law (1977) 2 (2): 257–265.
DOI: https://doi.org/10.1215/03616878-2-2-257
Published: 01 April 1977
... by marshalling the support of their respective constituents. This political gamesmanship gave way in the late sixties and early seventies to greater cooperation and a significant consolidation of the hospitals. The authors hypothesize that an important factor influencing this development was the change...
View articletitled, The <span class="search-highlight">Hospital</span> Support Game Revisited View PDF for article titled, The <span class="search-highlight">Hospital</span> Support Game Revisited
Journal Article

The ACA's Choice Problem

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Allison K. Hoffman
J Health Polit Policy Law (2020) 45 (4): 501–515.
DOI: https://doi.org/10.1215/03616878-8255445
Published: 01 August 2020
...-biopharmaceutical-pricing-home-abroad/ . Covered California . 2018 . “ Proposed Fiscal Year 2018–2019 Budget .” May 17 . board.coveredca.com/meetings/2018/05-17/CoveredCA_2018-19_Proposed_Budget-5-17-18.pdf . Dafny Leemore S. 2014 . “ Hospital Industry Consolidation—Still More to Come? ” New...
View articletitled, The ACA's Choice Problem View PDF for article titled, The ACA's Choice Problem
Journal Article

Toward a Definitive Antitrust Standard for Nonprofit Hospital Mergers

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William G. Kopit, Robert W. McCann
J Health Polit Policy Law (1988) 13 (4): 635–662.
DOI: https://doi.org/10.1215/03616878-13-4-635
Published: 01 August 1988
... Enterprise in Health Care ed. Institute of Medicine. Washington, DC: National Academy Press. Eisenstadt , D. , and M. Klass. 1988a . The Relationship Between Nonprofit Hospital Market Structure and Economic Performance: Evidence from Pennsylvania and from Recent Nonprofit Hospital Consolidations...
View articletitled, Toward a Definitive Antitrust Standard for Nonprofit <span class="search-highlight">Hospital</span> Mergers View PDF for article titled, Toward a Definitive Antitrust Standard for Nonprofit <span class="search-highlight">Hospital</span> Mergers
Journal Article

Policy Diffusion across Disparate Disciplines: Private and Public-Sector Dynamics Affecting State-Level Adoption of the ACA

Open Access
Rena M. Conti, David K. Jones
J Health Polit Policy Law (2017) 42 (2): 377–385.
DOI: https://doi.org/10.1215/03616878-3766771
Published: 01 April 2017
... by Expanding to Reach More Affluent Communities .” Health Affairs (Millwood) 33 , no. 10 : 1786 – 92 . Cutler David M. , and Morton Fiona Scott . “ Hospitals, Market Share, and Consolidation .” Journal of the American Medical Association 310 , no. 18 : 1964 – 70 . Dafny...
View articletitled, Policy Diffusion across Disparate Disciplines: Private and Public-Sector Dynamics Affecting State-Level Adoption of the ACA View PDF for article titled, Policy Diffusion across Disparate Disciplines: Private and Public-Sector Dynamics Affecting State-Level Adoption of the ACA
Journal Article

Equity Investment in Physician Practices: What's All This Brouhaha?

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Mark V. Pauly, Lawton Robert Burns
J Health Polit Policy Law (2024) 49 (4): 631–664.
DOI: https://doi.org/10.1215/03616878-11186103
Published: 01 August 2024
.... The most frequently cited change is today's large-scale consolidation, for example, horizontal integration of hospitals within and across markets, horizontal integration of insurers across markets and business lines, and vertical integration of physicians with both hospitals and insurers. However...
FIGURES
View articletitled, Equity Investment in Physician Practices: What's All This Brouhaha? View PDF for article titled, Equity Investment in Physician Practices: What's All This Brouhaha?
Journal Article

Quality Information and Fragmented Markets: Patient Responses to Hospital Volume Thresholds

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Karl Kronebusch
J Health Polit Policy Law (2009) 34 (5): 777–827.
DOI: https://doi.org/10.1215/03616878-2009-025
Published: 01 October 2009
.... J. Gertler. 2003 . Trends in Hospital Consolidation: The Formation of Local Systems. Health Affairs 22 ( 6 ): 77 -87. Davies, H. T. O., A. E. Washington, and A. B. Bindman. 2002 . Health Care Report Cards: Implications for Vulnerable Patient Groups and the Organizations Providing Them Care...
View articletitled, Quality Information and Fragmented Markets: Patient Responses to <span class="search-highlight">Hospital</span> Volume Thresholds View PDF for article titled, Quality Information and Fragmented Markets: Patient Responses to <span class="search-highlight">Hospital</span> Volume Thresholds
Journal Article

Covered California: The Impact of Provider and Health Plan Market Power on Premiums

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Richard M. Scheffler, Eric Kessell, Margareta Brandt
J Health Polit Policy Law (2015) 40 (6): 1179–1202.
DOI: https://doi.org/10.1215/03616878-3424474
Published: 01 December 2015
... of Justice and Federal Trade Commission) . 2010 . “ Horizontal Merger Guidelines .” www.ftc.gov/sites/default/files/attachments/merger-review/100819hmg.pdf . Gaynor Martin , and Town Robert . 2012 . “ The Impact of Hospital Consolidation — Update .” The Synthesis Project , June...
FIGURES
View articletitled, Covered California: The Impact of Provider and Health Plan Market Power on Premiums View PDF for article titled, Covered California: The Impact of Provider and Health Plan Market Power on Premiums
Journal Article

Applying Antitrust Concepts to the Acute Care Hospital Industry: Defining the Relevant Market for Hospital Services

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James M. Klingensmith
J Health Polit Policy Law (1988) 13 (1): 153–165.
DOI: https://doi.org/10.1215/03616878-13-1-153
Published: 01 February 1988
.... In 1961, for instance, there were only five hospital mergers in the United States; by the early 1970s an average of 50 such consolidations occurred each year (Starkweather 1981). As a result, by 1986 multihospital systems (organizations which own or operate three or more individual hospitals...
View articletitled, Applying Antitrust Concepts to the Acute Care <span class="search-highlight">Hospital</span> Industry: Defining the Relevant Market for <span class="search-highlight">Hospital</span> Services View PDF for article titled, Applying Antitrust Concepts to the Acute Care <span class="search-highlight">Hospital</span> Industry: Defining the Relevant Market for <span class="search-highlight">Hospital</span> Services
Journal Article

Legislating Hospital Bed Reduction: The Michigan Experience

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Pamela Paul-Shaheen, Eugenia S. Carpenter
J Health Polit Policy Law (1982) 6 (4): 653–675.
DOI: https://doi.org/10.1215/03616878-6-4-653
Published: 01 August 1982
... and criteria. Added as prior- ities for HSA plan development were: 1. The development of plans specifically identifying excess beds. 2. The development of plans with the following priorities: -Multi-hospital consolidation -Closure of entire hospitals -Consolidation of major clinical...
View articletitled, Legislating <span class="search-highlight">Hospital</span> Bed Reduction: The Michigan Experience View PDF for article titled, Legislating <span class="search-highlight">Hospital</span> Bed Reduction: The Michigan Experience
Journal Article

Community Control and Pricing Patterns of Nonprofit Hospitals: An Antitrust Analysis

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Gary J. Young, Kamal R. Desai, Fred J. Hellinger
J Health Polit Policy Law (2000) 25 (6): 1051–1081.
DOI: https://doi.org/10.1215/03616878-25-6-1051
Published: 01 December 2000
... Research 22 (1): 69 -89. Gaskin, D. J., and J. Hadley. 1997 . The Impact of HMO Penetration on the Rate of Hospital Cost Inflation, 1985–1993. Inquiry 34 (3): 205 -216. Gaynor, M., and D. Haas-Wilson. 1999 . Change,Consolidation, and Competition in Health Care Markets. Journal of Economic...
View articletitled, Community Control and Pricing Patterns of Nonprofit <span class="search-highlight">Hospitals</span>: An Antitrust Analysis View PDF for article titled, Community Control and Pricing Patterns of Nonprofit <span class="search-highlight">Hospitals</span>: An Antitrust Analysis
Journal Article

The Price of Health Care: Why Is the United States an Outlier?

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Tal Gross, Miriam J. Laugesen
J Health Polit Policy Law (2018) 43 (5): 771–791.
DOI: https://doi.org/10.1215/03616878-6951127
Published: 01 October 2018
...: Applied Economics 10 , no. 1 : 1 – 39 . Gaynor Martin , and Town Robert . 2012 . “ The Impact of Hospital Consolidation—Update .” Synthesis Project Policy Brief no. 12. Princeton, NJ : Robert Wood Johnson Foundation . doi: 10.13140/RG.2.1.4294.0882 . Glied Sherry A. 2000...
View articletitled, The Price of Health Care: Why Is the United States an Outlier? View PDF for article titled, The Price of Health Care: Why Is the United States an Outlier?
Journal Article

The Corporatization of American Hospitals

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Gloria J. Bazzoli
J Health Polit Policy Law (2004) 29 (4-5): 885–906.
DOI: https://doi.org/10.1215/03616878-29-4-5-885
Published: 01 October 2004
... decentralized hospital sys- tem, enter a variety of other health care business, and consolidate own- ership and control in what may eventually become an industry dominated by huge health care conglomerates. —Paul Starr, The Social Transformation of American Medicine Paul Starr...
View articletitled, The Corporatization of American <span class="search-highlight">Hospitals</span> View PDF for article titled, The Corporatization of American <span class="search-highlight">Hospitals</span>
Journal Article

Improving Health Care: A Dose of Competition Executive Summary

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J Health Polit Policy Law (2006) 31 (3): 437–472.
DOI: https://doi.org/10.1215/03616878-31-3-437
Published: 01 June 2006
... consumers to choose relatively lower-cost health care. Physicians have tried new types of joint ventures and consolidation, and hospitals have consolidated through merger and the creation of multi-hospital networks. These new organizational forms offer the potential for reducing costs and increasing...
View articletitled, Improving Health Care: A Dose of Competition Executive Summary View PDF for article titled, Improving Health Care: A Dose of Competition Executive Summary
Journal Article

Effects of Regulation and Competition on Health Care Disparities: The Case of Cardiac Angiography in New Jersey

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Derek DeLia, Joel C. Cantor, Amy Tiedemann, Cecilia S. Huang
J Health Polit Policy Law (2009) 34 (1): 63–91.
DOI: https://doi.org/10.1215/03616878-2008-992
Published: 01 February 2009
...' Perceptions of Patients. Social Science and Medicine 50 : 813 -828. Vogt, W. L., and R. Town. 2006 . How Has Hospital Consolidation Affected the Price and Quality of Hospital Care? Research Synthesis Report No. 9. Princeton, NJ: Robert Wood Johnson Foundation. Weisfeld, A., and R. L. Perlman...
View articletitled, Effects of Regulation and Competition on Health Care Disparities: The Case of Cardiac Angiography in New Jersey View PDF for article titled, Effects of Regulation and Competition on Health Care Disparities: The Case of Cardiac Angiography in New Jersey
Journal Article

Implementing Regulatory Reform: The Saga of Michigan's Debedding Experiment

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Eugenia S. Carpenter, Pamela Paul-Shaheen
J Health Polit Policy Law (1984) 9 (3): 453–473.
DOI: https://doi.org/10.1215/03616878-9-3-453
Published: 01 June 1984
... at both the state and local levels. Further, in drawing up bed-reduction plans, HSAs were required to consider the impact of hospital closures and consolidations on a host of issues, including physician staff privileges; employment opportunities for other health manpower; the special needs...
View articletitled, Implementing Regulatory Reform: The Saga of Michigan's Debedding Experiment View PDF for article titled, Implementing Regulatory Reform: The Saga of Michigan's Debedding Experiment
Journal Article

The Health System in Transition: Care, Cost, and Coverage

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Kenneth E. Thorpe
J Health Polit Policy Law (1997) 22 (2): 339–361.
DOI: https://doi.org/10.1215/03616878-22-2-339
Published: 01 April 1997
... exhibited by payers has generated incentives for both pro- viders and managed care firms to consolidate, enhancing their ability to negotiate. Managed care firms will continue to consolidate to increase their bargaining power with hospitals, physicians, and drug companies. Providers will continue...
View articletitled, The Health System in Transition: Care, Cost, and Coverage View PDF for article titled, The Health System in Transition: Care, Cost, and Coverage