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...
| Published in: | Health Affairs Vol. 36; no. 9; pp. 1572 - 1578 |
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| Main Authors: | , |
| Format: | tables/charts Journal Article |
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Health Affairs Publishing, LLC
Sep2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125308710&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125308710 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Sep2017 vid: 36 iid: 9 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 125308710 125308710 125308710 10.1377/hlthaff.2017.0555 125308710 ppf: 1572 ppct: 6 formats: tig: 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 Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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