Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts.
Price Effects Of Vertical Integration And Joint Contracting Between Physicians And Hospitals In Massachusetts.
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DOI：
10.1377/hlthaff.2021.00727
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发表时间：
2022-05
期刊：
影响因子：
9.7
通讯作者：
Rosenthal, Meredith B.
中科院分区：
文献类型：
--
作者：
Curto, Vilsa;Sinaiko, Anna D.;Rosenthal, Meredith B.
医疗保健行业的垂直整合最近受到了反垄断机构和州监管机构的审查。我们使用2013-2017年马萨诸塞州的医生隶属关系和所有付款人索赔数据，研究了医生和医院之间垂直整合和联合承包的趋势、地理差异和价格效应。与中小型系统的垂直整合和联合承包在初级保健医生中的比例从19.5%上升到32.8%，在专家中的比例从26.1%上升到37.8%。垂直整合和与大型系统的联合承包略有下降，而这些医生隶属关系的地理差异上升。我们发现，垂直整合和联合承包导致初级保健医生的价格上涨2.1%-12.0%，专家的价格上涨0.7%-6.0%，大型系统的价格上涨幅度最大。这些发现可以为寻求限制医疗保健价格增长的政策制定者提供信息。
Vertical integration in health care has recently garnered scrutiny by antitrust authorities and state regulators. We examined trends, geographic variation, and price effects of vertical integration and joint contracting between physicians and hospitals using physician affiliations and all-payer claims data from Massachusetts in 2013–2017. Vertical integration and joint contracting with small and medium systems rose from 19.5% to 32.8% for primary care physicians and from 26.1% to 37.8% for specialists. Vertical integration and joint contracting with large systems slightly declined while geographic variation in these physician affiliations rose. We found that vertical integration and joint contracting led to price increases of 2.1%–12.0% for primary care physicians and 0.7%–6.0% for specialists, with the greatest increases in large systems. These findings can inform policymakers seeking to limit growth in health care prices.
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DOI：
10.1111/j.1530-9134.2009.00221.x
发表时间：
2009-06-01
影响因子：
1.9
作者：
Ho, Katherine
通讯作者：
Ho, Katherine
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：
2.1
作者：
Carlin, Caroline S.;Feldman, Roger;Dowd, Bryan
通讯作者：
Dowd, Bryan
影响因子：
9.7
作者：
Baker, Laurence C.;Bundorf, M. Kate;Kessler, Daniel P.
通讯作者：
Kessler, Daniel P.
影响因子：
3.5
作者：
Baker, Laurence C.;Bundorf, M. Kate;Kessler, Daniel P.
通讯作者：
Kessler, Daniel P.