Market restructuring and pricing in the hospital industry

被引:43
作者
Krishnan, R [1 ]
机构
[1] Michigan State Univ, Eli Broad Sch Business, E Lansing, MI 48824 USA
关键词
mergers and acquisitions; market share; hospitals; DRG analysis;
D O I
10.1016/S0167-6296(00)00076-X
中图分类号
F [经济];
学科分类号
02 ;
摘要
This paper examines the diagnosis related group-level (DRG) price effects of recent hospital mergers and acquisitions that occurred in Ohio and California. Empirical results indicate that hospital mergers and acquisitions increase prices at the DRG level. Further, price increases are greater in DRGs where the merging hospitals gained substantial market share compared to DRGs where the merging hospitals did not gain significant market share. These results suggest that DRG specific market share plays an important role in a hospital's post-merger pricing strategy. (C) 2001 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:213 / 237
页数:25
相关论文
共 41 条
[1]   FEDERAL ANTITRUST MERGER ENFORCEMENT STANDARDS - A GOOD FIT FOR THE HOSPITAL INDUSTRY [J].
BAZZOLI, GJ ;
MARX, D ;
ARNOULD, RJ ;
MANHEIM, LM .
JOURNAL OF HEALTH POLITICS POLICY AND LAW, 1995, 20 (01) :137-169
[2]   Hospital-insurer bargaining. An empirical investigation of appendectomy pricing [J].
Brooks, JM ;
Dor, A ;
Wong, HS .
JOURNAL OF HEALTH ECONOMICS, 1997, 16 (04) :417-434
[3]  
Connor R., 1998, International Journal of the Economics of Business, V5, P159
[4]   Which types of hospital mergers save consumers money? [J].
Connor, RA ;
Feldman, RD ;
Dowd, BE ;
Radcliff, TA .
HEALTH AFFAIRS, 1997, 16 (06) :62-74
[5]  
CONNOR RA, 1998, HORIZONTAL HOSP MERG
[6]   Tumor characteristics and clinical outcome of elderly women with breast cancer [J].
Diab, SG ;
Elledge, RM ;
Clark, GM .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 2000, 92 (07) :550-556
[7]   Competition and pricing by nonprofit hospitals: a reassessment of Lynk's analysis [J].
Dranove, D ;
Ludwick, R .
JOURNAL OF HEALTH ECONOMICS, 1999, 18 (01) :87-98
[8]   DO STATE RATE SETTING REGULATIONS REALLY LOWER HOSPITAL EXPENSES [J].
DRANOVE, D ;
CONE, K .
JOURNAL OF HEALTH ECONOMICS, 1985, 4 (02) :159-165
[9]   PRICE AND CONCENTRATION IN-HOSPITAL MARKETS - THE SWITCH FROM PATIENT-DRIVEN TO PAYER-DRIVEN COMPETITION [J].
DRANOVE, D ;
SHANLEY, M ;
WHITE, WD .
JOURNAL OF LAW & ECONOMICS, 1993, 36 (01) :179-204
[10]   Economies of scale in non-revenue producing cost centers: Implications for hospital mergers [J].
Dranove, D .
JOURNAL OF HEALTH ECONOMICS, 1998, 17 (01) :69-83