NDLI: Weighing the Effects of Vertical Integration Versus Market Concentration on Hospital Quality

Please wait, while we are loading the content...

Weighing the Effects of Vertical Integration Versus Market Concentration on Hospital Quality

Content Provider	SAGE Publishing
Author	Short, Marah Noel Ho, Vivian
Copyright Year	2019
Abstract	Provider organizations are increasing in complexity, as hospitals acquire physician practices and physician organizations grow in size. At the same time, hospitals are merging with each other to improve bargaining power with insurers. We analyze 29 quality measures reported to the Center for Medicare and Medicaid Services’ Hospital Compare database for 2008 to 2015 to test whether vertical integration between hospitals and physicians or increases in hospital market concentration influence patient outcomes. Vertical integration has a limited effect on a small subset of quality measures. Yet increased market concentration is strongly associated with reduced quality across all 10 patient satisfaction measures at the 95% confidence level (p < .05) and 6 of the 10 patient satisfaction measures remain statistically significant with a Bonferroni corrected p value (p < .005). Regulators should continue to focus scrutiny on proposed hospital mergers, take steps to maintain competition, and reduce counterproductive barriers to entry.
Related Links	https://journals.sagepub.com/doi/pdf/10.1177/1077558719828938?download=true
Starting Page	538
Ending Page	548
Page Count	11
ISSN	10775587
Issue Number	6
Volume Number	77
Journal	Medical Care Research and Review (MCR)
e-ISSN	15526801
DOI	10.1177/1077558719828938
Language	English
Publisher	Sage Publications CA
Publisher Date	2019-02-09
Publisher Place	Los Angeles
Access Restriction	Open
Rights Holder	© The Author(s) 2019
Subject Keyword	integrated health care market competition quality of care economic analysis physician–hospital relations
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Hospital-physician collaboration: landscape of economic integration and impact on clinical integration.

The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria.

The Association between Hospital-Physician Vertical Integration and Outpatient Physician Prices Paid by Commercial Insurers: New Evidence

Polarity management: the key challenge for integrated health systems executive summary (1998).

Physician-hospital integration and the economic theory of the firm

Physician perceived market competition associated with barriers to delivery of quality care: Evidence from a national cross-sectional survey of physicians in the USA

The effects of competition on variation in the quality and cost of medical care (2005)

The Role of Government in Health Care Reform in the United States and England

The Effects of Hospital Competition on Inpatient Quality of Care

Weighing the Effects of Vertical Integration Versus Market Concentration on Hospital Quality

Similar Documents

Hospital-physician collaboration: landscape of economic integration and impact on clinical integration.

The effects of market concentration on health care price and quality in hospital markets in Ibadan, Nigeria.

The Association between Hospital-Physician Vertical Integration and Outpatient Physician Prices Paid by Commercial Insurers: New Evidence

Polarity management: the key challenge for integrated health systems executive summary (1998).

Physician-hospital integration and the economic theory of the firm

Physician perceived market competition associated with barriers to delivery of quality care: Evidence from a national cross-sectional survey of physicians in the USA

The effects of competition on variation in the quality and cost of medical care (2005)

The Role of Government in Health Care Reform in the United States and England

The Effects of Hospital Competition on Inpatient Quality of Care

Weighing the Effects of Vertical Integration Versus Market Concentration on Hospital Quality