FEDERAL ANTITRUST MERGER ENFORCEMENT STANDARDS - A GOOD FIT FOR THE HOSPITAL INDUSTRY
FEDERAL ANTITRUST MERGER ENFORCEMENT STANDARDS - A GOOD FIT FOR THE HOSPITAL INDUSTRY
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DOI：
10.1215/03616878-20-1-137
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发表时间：
1995-03-01
影响因子：
4.2
通讯作者：
MANHEIM, LM
中科院分区：
文献类型：
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作者：
BAZZOLI, GJ;MARX, D;MANHEIM, LM
我们研究的影响，1992年的横向合并医院行业的指导方针和随后的政策声明，制定了医疗保健提供者。 将反托拉斯政策适用于医院引起了一些关切，主要是因为许多社区几乎没有医院，而且该行业的经济力量正在加速对市场内合并和供应商网络发展的兴趣。 我们解决了几个问题，包括医院相对于合并指南的市场集中度阈值的地位，20世纪80年代受到挑战和未受到挑战的合并之间的市场集中度比较，以前关于市场集中度与医院市场竞争之间关系的研究结果，以及受质疑和未受质疑的合并中与合并准则有关的市场集中以外的特征的差异。 我们发现，（1）合并指南中阐述的具体标准并不能很好地预测何时会发生医院合并挑战，（2）在类似结构的市场中，对合并中受到挑战和未受到挑战的合并进行比较表明，执法行动在实践中可能偏离合并指南的执法原则。 我们认为，完善反垄断执法政策的几种选择。 考虑到可能通过医疗保健改革进行的行业重组，完善执法政策很重要。
We examine the implications of the 1992 Horizontal Merger Guidelines for the hospital industry and subsequent policy statements that were developed for health care providers. Application of antitrust policy to hospitals has raised several concerns, mainly because many communities have few hospitals and economic forces in the industry are accelerating interest in intramarket mergers and provider network development. We address several issues, including the standing of hospitals relative to the market concentration thresholds of the merger guidelines, market concentration compared among challenged and unchallenged mergers of the 1980s, findings of previous research about the relationship between market concentration and competition in hospital markets, and differences in characteristics other than market concentration that are relevant to the merger guidelines among challenged and unchallenged mergers. We found that (1) the specific standards articulated in the merger guidelines do not provide good predictability of when a hospital merger challenge would occur, and (2) comparisons of challenged and unchallenged mergers in mergers in similarly structured markets suggest that enforcement actions may deviate in practice from the enforcement principles of the merger guidelines. We consider several options for refining antitrust enforcement policy. Refinement of enforcement policies is important given the industry restructuring that is likely through health care reform.