Treatment consolidation after vertical integration: Evidence from outpatient procedure markets.
Treatment consolidation after vertical integration: Evidence from outpatient procedure markets.
复制标题
DOI：
10.1016/j.jhealeco.2021.102569
复制
发表时间：
2022-01
影响因子：
3.5
通讯作者：
Whaley CM
中科院分区：
文献类型：
--
作者：
Richards MR;Seward JA;Whaley CM
在美国，医院对医生执业的所有权已经增长，这些战略决策似乎推动了更高的价格和支出。使用详细的医生所有权信息和宇宙的佛罗里达出院记录，我们显示了新的证据，医院-医生整合止赎的影响在门诊手术市场。在医院收购后，医生将近10%的医疗保险和商业保险病例从门诊手术中心（ASC）转移到医院，并且使用ASC的可能性降低了18%。改变医生对治疗设置的选择可能与患者和付款人的成本、便利性和质量偏好相冲突。
Hospital ownership of physician practices has grown across the US, and these strategic decisions seem to drive higher prices and spending. Using detailed physician ownership information and a universe of Florida discharge records, we show novel evidence of hospital-physician integration foreclosure effects within outpatient procedure markets. Following hospital acquisition, physicians shift nearly 10% of their Medicare and commercially insured cases away from ambulatory surgery centers (ASCs) to hospitals and are up to 18% less likely to use an ASC at all. Altering physician choices over treatment setting can be in conflict with patient and payer cost, convenience, and quality preferences.
登录
查看更多内容
垂直整合是否可以改善医疗补助受益人获得手术护理的机会？
DOI：
10.1016/j.jamcollsurg.2019.09.016
发表时间：
2020-01
影响因子：
5.2
作者：
Haddad, Diane N.;Resnick, Matthew J.;Nikpay, Sayeh S.
通讯作者：
Nikpay, Sayeh S.
影响因子：
13.7
作者：
Cooper, Zack;Craig, Stuart V.;Van Reenen, John
通讯作者：
Van Reenen, John
影响因子：
2.3
作者：
Garmon, Christopher
通讯作者：
Garmon, Christopher
DOI：
10.1108/s1474-8231(2013)0000015009
发表时间：
2013-01-01
期刊：
ANNUAL REVIEW OF HEALTH CARE MANAGEMENT: REVISITING THE EVOLUTION OF HEALTH SYSTEMS ORGANIZATION
影响因子：
--
作者：
Burns, Lawton Robert;Goldsmith, Jeff C.;Sen, Aditi
通讯作者：
Sen, Aditi
影响因子：
8.2
作者：
Bernheim, BD;Whinston, MD
通讯作者：
Whinston, MD