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MARKETWATCH
How The Expansion Of Hospital Systems Has Affected Consumers
Alison Evans Cuellar and
Paul J. Gertler
The past decade has seen profound changes in how the hospital industry has organized itself, including the rising importance of hospital systems. Theoretically, system consolidation can have positive effects from improved efficiency and quality or negative effects from greater market power. This study examines which hospitals consolidate and finds that hospitals were more likely to join systems if they were for-profit institutions, were located in urban areas, or had high managed care loads. Furthermore, the evidence suggests that system formation has primarily served to increase market power, not improve patient care quality or hospital efficiency, at least in the short run.

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T. L. Greaney
Antitrust and Hospital Mergers: Does the Nonprofit Form Affect Competitive Substance?
Journal of Health Politics Policy and Law,
June 1, 2006;
31(3):
511 - 529.
[Abstract]
[PDF]
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S. Glied
Side Effects: A Dose of Competition and Access to Care
Journal of Health Politics Policy and Law,
June 1, 2006;
31(3):
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[Abstract]
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