The effects of multi-hospital systems on hospital prices
The effects of multi-hospital systems on hospital prices
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DOI：
10.1016/j.jhealeco.2006.10.002
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发表时间：
2007-03-01
影响因子：
3.5
通讯作者：
Keeler, Emmett
中科院分区：
文献类型：
--
作者：
Melnick, Glenn;Keeler, Emmett
在经历了多年的有限增长后，美国医院价格再次上涨。我们分析了价格显著增长时期(1999-2003年)的医院价格趋势，以评估属于多医院系统的医院是否能够比非系统医院更快地提高价格。我们发现，与可比的非系统医院相比，属于多医院系统成员的医院能够大幅提高价格(大型系统的涨幅为34%，小型系统的涨幅为17%)。此外，我们发现，系统效应并不局限于在当地市场上有其他系统成员医院的医院。一个可能的解释是，属于非本地多医院系统的医院在医疗计划方面的讨价还价地位有所提高。(C)2006爱思唯尔B.V.保留所有权利。
US hospital prices are rising again after years of limited growth. We analyze trends in hospital prices during a period of significant price growth (1999-2003) to assess whether hospitals that are part of multi-hospital systems were able to increase their prices faster than non-system hospitals. We find hospitals that were members of multi-hospital systems were able to increase their prices substantially more than comparable non-systems hospitals (34% for large systems and 17% for small systems). Further, we find that the systems effect is not confined to hospitals that have other system member hospitals in their local markets. One possible explanation is that hospitals belonging to non-local multi-hospital systems have improved their bargaining position vis-a-vis health plans. (c) 2006 Elsevier B.V. All rights reserved.