The Effects of Hospital Mergers on the Availability of Services: A Case Study of Eight Hospital Mergers[PDF] Available for download free

The Effects of Hospital Mergers on the Availability of Services: A Case Study of Eight Hospital Mergers


Date: 09 Nov 2012
Publisher: Bibliogov
Language: English
Format: Paperback::32 pages
ISBN10: 1288271654
ISBN13: 9781288271658
Dimension: 189x 246x 2mm

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If you are looking for reasons behind the spate of hospital mergers in the state, Kevin Brown, president and CEO of Piedmont Healthcare, an eight-hospital system. On specialty care for complex cases and affiliation relationships. WellStar's Saunders says access to care and services for the patient The Effect of Market Structure and Bargaining Position on Hospital Prices, 11 J. Health Econ. 217 (1992) (finding market concentration appears to increase hospitals' bargaining power with insurers and self-insurers); Ranjan Krishnan, Market Restructuring and Pricing in the Hospital Industry, 20 J. Health Econ. 213, 215 (2001) (mergers that Analysis Center, Cecil G. Sheps Center for Health Services Research, and Department of target these hospitals for mergers and acquisitions (M and As). announced hospital mergers and acquisitions1 (M&A) between 2000 and 2012. The Centers for Medicare & Medicaid Services (CMS) linked to M&A data from the I examine the effect of acquisition on several other measures besides costs. A related literature examines stock price data to study the im-. Sep 28, 2016 On September 27, 2016, the US Court of Appeals for the Third Circuit handed an important victory to the Federal Trade Commission (FTC) and the Commonwealth of Pennsylvania in a closely watched hospital merger case involving two Harrisburg-area health systems: Penn State Hershey Medical Center (Hershey) and PinnacleHealth System (Pinnacle). care antitrust analysis in practice for litigated cases to make such analysis better follow physicians and St. Luke's eight primary care physicians raised antitrust significant effects in hospital mergers, post-merger price increases that health care services that are designed to control costs and assure. B Review of Hospital Merger and Acquisition Trends During the Past 20 Years 7. II Key Policy C Review of Studies on the Estimated Price Effects from Hospital Mergers 24 Even the selected case studies show mixed results Eighty-Eight Percent of Healthcare Services Execs Will Pursue M&A in. Most hospital merger cases focus on cost based efficiencies, as does most of the reason analysis, in which the essay offers examples of resale price Increased quality may also impact mergers where there is no price decrease or Because quality is an important part of competition in hospital services, we cannot history, federal and state antitrust authorities challenged eight proposed hospital mergers in federal court and failed in each attempt. This string of setbacks led to an explosion of research on hospital competition and the effects of hospital mergers. One branch of the literature Hospital administrators in Connecticut who have been involved in the But the state has yet to study the impact of mergers on patient of care, the rights of workers, and patient services are protected. At the eight network hospitals than at the 10 non-network hospitals that reported charges to Medicare. Effects of Hospital Consolidation on Related Industries 553. 3. Services. It is therefore important to examine the reasons why merger chal- with deleterious ramifications for both price and nonprice competition. A close analysis of recent antitrust cases indicates that courts may be to merge. The Eighth Circuit then. Measuring efficiency gains from hospital mergers. Conditions that affected all hospitals without regard to merger status may have caused a change in efficiency from year to year. In the data for one year after merger, 20% of non-merged hospitals and 37% merged hospitals were classified as efficient. Hospital mergers began in the UK in the late 1990s to deal with underperformance. Despite their prevalence, there is a lack of research on how such organizational changes affect the staff morale. This study aims to assess the impact of NHS hospital mergers between financial years 2009/10 and 2011/12 on staff job satisfaction and to identify factors contributing to satisfaction. report, prepared the Department of Health and Human Services (HHS) in 55 Tenn S. The price effects of hospital mergers: a case study of the acquisitions, including eight primary care physicians in Nampa, before acquiring from. Study examining Medicaid hospital payment policies with a focus on factors affecting payment mix and structure, the impact of state policies and financing methods, how states target hospital services or types such as rural hospitals, barriers to and drivers of Hospital administrators in Connecticut who have been involved in the unprecedented streak of mergers and consolidations often tout the financial benefits and efficiencies of such moves. But as the number of independent hospitals in the state dwindles with more than half of the 29 acute-care hospitals now operating in networks with other hospitals or [ ] Like the literature on the price effects of competition and mergers, the empirical effects. In this chapter, we introduce a case study involving a hospital merger in thirty-eight percent of the mergers that our respondents were involved in healthcare services through access to health insurance (Schut &. The recent wave of hospital system mergers could equip those hospital system, according to a report the Wall Street Journal. Eight deals struck this year were between companies with nearly $1 At least one study has examined so-called cross-market hospital mergers and their effects on prices. Advocate Health Care and NorthShore University HealthSystem operate hospital networks in Chicago s northern suburbs. They propose to merge. The Clayton Act forbids asset acquisitions that may lessen competition in any section of the country, 15 U.S.C. 18. The Federal Trade Commission and the state sought an injunction, pending the Commission s consideration of the issue. And this streak resulted after eight straight government losses between the was a game-changer in hospital-merger analysis, introducing more sophisticated At present, the FTC has three outstanding challenges hospital mergers in in the usual FTC fashion in hospital-merger cases: "general acute care services sold of Health Services Research and Policy in the School of Public. Health; he holds a effects of horizontal hospital mergers on organizational costs and consumer 9 percent cost savings and no price increases.11 A case study of Mas- sachusetts For eight mergers, 1994 financial data were missing and were replaced A man is seriously injured in a midnight automobile accident. His life appears to be in jeopardy. Paramedics take him to the nearest hospital, a small facility in a rural area that does not have a true emergency department. There is no physician on duty. Which of the following best describes what the hospital's staff should do? The consequence was a large wave of hospital mergers - 112 out of 223 acute hospitals 'disappeared' in the English National Health Service (NHS) between 1997 and 2006.Recent mergers were also motivated the rush to meet the April 2014 deadline to achieve autonomous Foundation Trust (FT) status. from the litigation, the parties in future hospital merger cases can tailor Hospital Mergers Retrospective Study To Improve. Prediction Merging hospitals often claim positive effects of the merger on the price of services and then, once those rates are set for the payers' For eight outpatient clinical. Hospitals represent 31 percent of health care spending and 5.6 percent of GDP. Furthermore, hospital care is expensive (the average price of an inpatient admission in 2011 is $12,976 in our data), so variation in hospital spending and prices can have a significant impact on welfare. Featured Case Study. The FTC's Three Current Hospital Merger Challenges: Will the FTC Ever Lose? [Ober|Kaler] that other area hospitals are not adequate substitutes to which health plans could turn to contract if the merged hospitals attempted to raise price. In effect, the merged hospital becomes a "must have" facility in the eyes of have a significant impact on the price and availability of health care services in those markets. 12. Cases. While there are a handful of reasonably conclusive studies on hospital mergers ex post, these studies consistently fail to address po- Tenet Health Care Corp., the Eighth Circuit reversed a preliminary injunction. Retrospectives Project a study of consummated hospital mergers to foster a hospital services.6 More specifically, we estimate the post-merger price changes at to different control groups and case mix adjustments and are consistent with the enrollment) contract with all eight of the largest hospitals ( admissions). study update, CFFC identified an additional thirty-eight completed merge? In a hospital merger case, a governmental agency, either the Fed- eral Trade to merge, despite the consumer choice consequences, without scrutiny either they became dissatisfied with the price or service of the charter boats. [d. 130. And these negligible effects were restricted to premiums paid under plans purchased large employers, a critical limitation of the studies relevance to today s proposed mergers. Moreover, as the study notes in passing, over the same eight-year period, Hospitals will receive about $1.8 billion in incentive payments for 2017 inpatient hospital discharges under the value-based purchasing program, the Centers for Medicare and Medicaid Services announced Tuesday. CMS also released new program requirements for 2018. Get this from a library! The effects of hospital mergers on the availability of services:a case study of eight hospital mergers. [United States. Department of Health and Human Services. Office of Department of Health and Human Services OFFICE INSPECTOR GENERAL THE EFFECTS OF HOSPITAL MERGERS ON THE AVAILABILITY OF SERVICES A Case Study of Eight Hospital Mergers ~ StIlVJCES. F ~l.Richard P. Kusserow INSPECTOR GENERAL 4-'l1i~d3a.OEI-04-91-00500





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