CHANGING DYNAMICS OF THE HEALTH CARE MARKET PLACE

全世界的医疗保健市场正在发生前所未有的变化 在组织和交付方面发生重大变化的国家 医疗保健服务。对于消费者和医疗保健提供者来说，这些 变化是特别令人担忧的。对医疗保健的影响 医疗中心配送体系瘦身，扩大市场控制权 通过网络建设、医院兼并和医院创建 健康产业联盟仍不为人所知。 医疗保健是费城地区经济的一个主要特征。 它是大费城地区最大的单一就业来源。 大都市区，占该地区经济的14%。该地区有 医学院、教学医院、 生物技术产业和卫生保健提供的其他组成部分 系统。费城地区的医疗保健行业正在实施一项 为在变化中保持竞争力而采取的各种战略 市场：托马斯·杰斐逊大学、宾夕法尼亚医院和美因河畔 Line Health正在创建提供商联盟；阿勒格尼健康教育 和研究基金会(宾夕法尼亚医学院和 位于费城的圣克里斯托弗医院)正在与Hahnemann合并 大学医院和医学院；以及宾夕法尼亚大学 医疗中心正在发展一个全面的初级保健网络 广泛地延伸到郊区。然而，最戏剧性的是 独立蓝十字和(创新/进取)的拟议合并 研究生健康系统将打造前所未有的垂直整合 将提供和资助摇篮的卫生保健提供组织 服务。平行行业重组包括最近的收购 由当地制药巨头联合医疗集团的SmithKline Beecham 公司的药房福利服务部门，23亿美元，以及 柯达决定出售Sterling Winthrop制药部门，该部门位于 费城郊区。 拟议的为期一天的会议将汇集200多个国家的政府 和行业决策者、研究人员、学生、媒体、消费者和 其他感兴趣的各方审查和分析 费城地区的医疗保健市场。它将尝试 了解正在做的事情和正在实施的战略 当地学术卫生中心、医院、保险和制药 公司以及其他试图在中国开拓利基市场的行业 不断变化的医疗保健市场。会议将着眼于 费城地区作为这些和其他变化的“实验室”，将 分析这些综合变化对该地区的潜在影响 经济舱。 会议将由宾夕法尼亚大学的 伦纳德·戴维斯健康经济研究所(LDI)。LDI学者一直在研究 与医疗保健行业领袖和政府广泛接触 分析医疗保健方面的变化，包括地方和国家。在试运行中 在本次会议上，LDI将利用其人才库的集体专业知识 学者以及来自政府、行业和 消费者群体。

Unprecedented changes are occurring in the health care marketplace across the country with significant changes in the organization and delivery of health care services. For consumers and providers of health care, these changes are of particular concern. The implications on the health care delivery system of medical centers downsizing, expansion of market control through network building, hospital mergers and the creation of hospital and health industry alliances is still not known. Health care is a dominant feature of the Philadelphia region's economy. It is the largest single source of employment in the greater Philadelphia metropolitan area, comprising 14% of the region's economy. The area has an unusually high concentration of medical schools, teaching hospitals, biotechnology industry and other components of the health care delivery system. The Philadelphia area's health care industry is implementing a variety of strategies in order to remain competitive in the changing marketplace: Thomas Jefferson University, Pennsylvania Hospital and Main Line Health are creating a provider alliance; Allegheny Health Education and Research Foundation (owner of the Medical College of Pennsylvania and St. Christopher's Hospital in Philadelphia) is merging with Hahnemann University Hospital and Medical School; and the University of Pennsylvania Medical Center is developing a comprehensive primary care network extending broadly into the suburban areas. Most dramatic, however, is the proposed merger of Independence Blue Cross and (the innovative/aggressive) Graduate Health System to create an unprecedented vertically integrated organization for health-care delivery that will provide and finance cradle services. Parallel industry restructuring includes the recent acquisition by local pharmaceutical giant SmithKline Beecham of United HealthCare Corporation's pharmacy-benefit services unit for $2.3 billion, as well as the decision by Kodak to sell Sterling Winthrop drug unit, located in suburban Philadelphia. The proposed one-day conference will bring together over 200 government and industry decision makers, researchers, students, media, consumers and other interested parties to examine and analyze the changing dynamics of the Philadelphia region's health-care marketplace. It will attempt to understand what is being done and the strategies being implemented by local academic health centers, hospitals, insurance and pharmaceutical companies, as well as other industries attempting to carve out a niche in the changing healthcare market. The conference will look at the Philadelphia region as a "laboratory" for these and other changes and will analyze the potential impact of these combined changes on the region's economy. The conference will be coordinated by the University of Pennsylvania's Leonard Davis Institute of Health Economics (LDI). LDI scholars have been extensively involved with health care industry leaders and government in analyzing changes in healthcare, both locally and nationally. In staging this conference, LDI will draw upon the collective expertise of its pool of scholars as well as collaborators from among government, industry and consumer groups.