Strategies to Overcome the Market Dominance of Hospitals-Reply.

Published on Jul 20, 2021in JAMA2.474
· DOI :10.1001/JAMA.2021.6895
Soleil Shah4
Estimated H-index: 4
(Stanford University),
Amol S. Navathe17
Estimated H-index: 17
(UPenn: University of Pennsylvania),
Robert Kocher2
Estimated H-index: 2
(Stanford University)
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This Viewpoint reviews the conditions which incentivize consolidation of health systems, hospitals, and physician practices into entities that decrease health care quality and increase prices, and in the context of financial pressures wrought by the COVID-19 pandemic proposes policy solutions that could protect patients against potential adverse effects of accelerating trends toward consolidation [ABSTRACT FROM AUTHOR] Copyright of JAMA: Journal of the American Medical Association is the propert...
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While early evidence suggests that accountable care organizations (ACOs) are associated with higher quality and lower costs, there have been simultaneous concerns that ACOs may incentivize consolid...
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Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cross-subsidization of unprofitable services. Using patient-level data from general short-term hospitals in Arizona and Colorado before and after entry by cardiac specialty hospitals, w...
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