Beyond Antitrust: Health Care And Health Insurance Market Trends And The Future Of Competition.

The United States relies on competition to balance costs and quality in the health care system. But concentration is increasing throughout the hospital, physician, and insurer markets. Midsize community hospitals face declining demand and growing competition from both larger hospitals and smaller fr...

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Bibliographic Details
Published in:Health Affairs Vol. 36; no. 9; pp. 1572 - 1578
Main Authors: Glied, Sherry A., Altman, Stuart H.
Format: tables/charts Journal Article
Published: Health Affairs Publishing, LLC Sep2017
Online Access:View this record in EBSCOhost
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      pub: Health Affairs Publishing, LLC
      place: Washington, District of Columbia
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        atl: Beyond Antitrust: Health Care And Health Insurance Market Trends And The Future Of Competition.
      aug:
        au:
          Glied, Sherry A.
          Altman, Stuart H.
        affil: Dean of the Robert F. Wagner Graduate School of Public Service, New York University, in New York City
      sug:
        subj:
          Insurance, Health
          Health Insurance Exchanges
          Economic Competition
          Hospitals
          Antitrust Legislation and Jurisprudence
          Policy Making
          United States
          Technology
          Patient Discharge Trends
          Academic Medical Centers
          Health Care Delivery
          Quality Improvement
      ab: The United States relies on competition to balance costs and quality in the health care system. But concentration is increasing throughout the hospital, physician, and insurer markets. Midsize community hospitals face declining demand and growing competition from both larger hospitals and smaller freestanding diagnostic and surgical centers, leaving the midsize hospitals vulnerable to closure or merger with other facilities. Competition among insurers has been limited by the development of hospital systems that extend the bargaining power of "must-have" hospitals (those perceived to provide the best care for complex and less common conditions) across local health care markets. Government antitrust enforcement could play an important role in maintaining competition in both the hospital and insurer markets, but in many markets, the impact of that enforcement has been limited to date. Policy makers should consider supplementing antitrust activities with strategies that combine competition and regulation--for example, by regulating selected prices and structuring competition to cover entire insurance markets.
      pubtype: Academic Journal
      doctype:
        tables/charts
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    language: English
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