Mergers and marginal costs: New evidence on hospital buyer power.
We estimate the effects of hospital mergers, using detailed data containing medical supply transactions (representing 23% of operating costs) from a sample of US hospitals, 2009–2015. Pre‐merger price variation across hospitals (Gini coefficient 7%) suggests significant opportunities for cost decrea...
| Publicado en: | RAND Journal of Economics (Wiley-Blackwell) Vol. 52; no. 1; pp. 151 - 179 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Wiley-Blackwell
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=149571843&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 149571843 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 07416261 56RJ jtl: RAND Journal of Economics (Wiley-Blackwell) issn: 07416261 maglogo: Y pubinfo: dt: Mar2021 vid: 52 iid: 1 pid: 480 pub: Wiley-Blackwell artinfo: ui: 149571843 10.1111/1756-2171.12365 ppf: 151 ppct: 28 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P size: 1.1MB tig: atl: Mergers and marginal costs: New evidence on hospital buyer power. aug: au: Craig, Stuart V. Grennan, Matthew Swanson, Ashley affil: University of Pennsylvania Columbia University su: Hospital mergers Gini coefficient Medical supplies Operating costs sug: subj: General (except paediatric) hospitals General Medical and Surgical Hospitals Professional machinery, equipment and supplies merchant wholesalers Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers Hospital mergers Gini coefficient Medical supplies Operating costs ab: We estimate the effects of hospital mergers, using detailed data containing medical supply transactions (representing 23% of operating costs) from a sample of US hospitals, 2009–2015. Pre‐merger price variation across hospitals (Gini coefficient 7%) suggests significant opportunities for cost decreases. However, we observe limited evidence of actual savings. In this retrospective study, targets realized 1.9% savings; acquirers realized no significant savings. Examining treatment effect heterogeneity to shed light on theories of "buyer power," we find that savings, when they occur, tend to be local, and potential benefits of savings may be offset by managerial costs of merging. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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