The effects of market concentration and horizontal mergers on hospital costs and prices

International Journal of Phytoremediation

Volumn 21, Issue 1, 1998, Pages 159-180

  Connor, Robert A ^a   Feldman, Roger D ^b   Dowd, Bryan E ^b  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Antitrust; Competition; Economies of scale; Hospital mergers; Market concentration

Indexed keywords

EID: 85066180786     PISSN: 15226514     EISSN: 15497879     Source Type: Journal    
DOI: 10.1080/13571519884495     Document Type: Article

References (38)

1. Andreopoulos, S., 1997. "The Folly of Teaching-Hospital Mergers,". New England Journal of Medicine, 336(1) January: 61–4.
2. Alexander, J.A., Halpern, M.T., and Lee, S.Y., 1996. "The Short-Term Effect of Merger on Hospital Operations,". Health Services Research, 30(6): 827–47.
3. American Hospital Association. 1986-1994. Annual Survey of Hospitals [dataset], Chicago: AHA.
4. Bogue, R.J., Shortell, S.M., Sohn, M.W., Manheim, L.M., Bazzoli, G.J., and Chan, C., 1995. "Hospital Reorganization After Merger,". Medical Care, 33(7): 676–86.
5. Breyer, F., 1987. "The Specification of a Hospital Cost Function: A Comment on the Recent Literature,". Journal of Health Economics, 6(2): 147–57.
6. Burda, D., 1990. "State's Conditions Guide Merged Hospital's Actions,". Modern Healthcare, 20(11): 34
7. Dranove, D.S., Shanley, M., and Simon, C., 1993. "Is Hospital Competition Wasteful?". Rand Journal of Economics, 23(2): 247–62.
8. Dranove, D.S., Shanley, M., and White, W.D., 1993. "Price and Concentration in Hospital Markets: The Switch from Patient-Driven to Payer-Driven Competition,". Journal of Law and Economics, 36(1): 179–204.
9. Farley, D.E., August 1985. "Competition Among Hospitals: Market Structure and Its Relation to Utilization, Costs, and Financial Position," ”. In Hospital Studies Program, National Center for Health Services Research and Health Care Technology Assessment, Research Note 7, Pub. No. 85-3353 August, Washington, DC: U.S. Department of Health and Human Services.
10. Greene, J., 1990. "Do Mergers Work?". Modern Healthcare, 20(I1): 24–34.
11. Greene, J., 1992. "The Costs of Hospital Mergers,". Modern Healthcare, 22(5): 36–42.
12. Hay, G.A., and Werden, G.J., 1993. "Horizontal Mergers: Law, Policy, and Economics,". American Economic Review, 83(2): 173–7.
13. Hospital Research and Educational Trust (HRET), American Hospital Association (AHA). 1993. "Effects of Horizontal Consolidation on Hospital Markets: Executive Summary', (RO1 HS06250-02), Hospital Research and Educational Trust, Chicago: American Hospital Association.
14. Kmenta, J., 1986. Elements of Econometrics, 2nd edn., New York: Macmillan.
15. Kralewski, J.E., Wingert, T.D., Feldman, R.D., Rahn, G.J., and Klassen, T.H., 1992. "Factors Related to the Provision of Hospital Discounts for HMO Inpatients". Health Services Research, 27(2): 133–153.
16. Luff, H.S., Robinson, J.C., Garnick, D.W., Maerki, S.C., and McPhee, S.J., 1986. "The Role of Specialized Clinical Services in Competition Among Hospitals,". Inquiry, 23(1): 83–94.
17. Lynk, W.J., 1995a. "Nonprofit Hospital Mergers and the Exercise of Market Power,". Journal of Law and Economics, 38: 437–61.
18. Lynk, W.J., 1995b. "The Creation of Economic Efficiencies in Hospital Mergers,". Journal of Health Economics, 14: 507–30.
19. Makuc, D.M., Haglund, B., Ingram, D.D., and Kleinman, J.C., 1991. "Vital and Health Statistics: Health Service Areas for the United States," ”. In National Center for Health Statistics, DHHS Publication No. (PHS) 92-1386 Centers for Disease Control. Series 2, No. 112
20. Melnick, G.A., and Zwanziger, J., 1988. "Hospital Behavior under Competition and cost-Containment Policies: The California Experience, 1980 to 1985". 260(18): 2669–75.
21. Melnick, G.A., and Zwanziger, J., "Competition Lowers Cost at California Hospitals". Hospital, 63(1)56–8.
22. Melnick, G.A., Zwanziger, J., Bamenzai, A., and Pattison, R., "The Effects of Market Structure and Bargaining Position on Hospital Prices". Journal of Health Economics, 11(3)217–33.
23. Mullner, R.M., and Anderson, R.M., 1987. "A Descriptive and Financial Ratio Analysis of Merged and Consolidated Hospitals: United States, 1980-1985". Advances in Health Economics & Health Services Research, 7: 41–58.
24. Noether, M., 1988. "Competition Among Hospitals,". Journal of Health Economics,: 259–84.
25. Robinson, J.C., and Luff, H.S., 1985. "The Impact of Hospital Market Structure on Patient Volume, Average Length of Stay, and the Cost of Care,". Journal of Health Economics, 4(4) December: 333–356.
26. Robinson, J.C., and Luff, H.S., 1987. "Competition and the Cost of Hospital Care, 1972-82. Journal of the American Medical Association, 257(23) June 19: 3241–45.
27. Robinson, J.C., and Luff, H.S., 1988. "Competition, Regulation, and Hospital Costs, 1982 to 1986,". Journal of the American Medical Association, 260(18): 2676–81.
28. Robinson, J.C., and Phibbs, C.S., 1989. "An Evaluation of Medicaid Selective Contracting in California,". Journal of Health Economics, 8(4): 37–55.
29. Staten, M., Umbeck, J., Dunkelberg, W., and Pauly, M.V., "Market Share/Market Power Revisited: A New Test for an Old Theory; Reply,". Journal of Health Economics, 7(1)73–80.
30. Stenbacka, R., "Mergers, Investments, in Cost Reduction and Welfare". Scandinavian Journal of Economics, 94(1)113–22.
31. Thorpe, K.D., Cretin, S., and Keelor, B., 1988. "Are the Diagnosis-Related Group Case Weights Compressed?". Health Care Financing Review, 10(2): 37–46.
32. US Department of Health and Human Services, Office of Inspector General. July 2 1992. OIG Final Report on 'Effects of Hospital Mergers on Costs, Revenues, and Patient Volume', July 2, Washington, D.C.: USDHHS/ OIG. OEI- 12-90-02450
33. US Department of Health and Human Services. 1994a. "Health Care Provider Cost Report Information System," ”. In Health Care Financing Administration, Bureau of Data Management and Strategy, Washington, D.C.: USDHHS/HCFA. HCFA2552-85, PPS II-VIII [datasets]
34. US Department of Health and Human Services. September 1994b. “ Office of Data Analysis and Management, Bureau of Health Professions, "Area Resource File (ARF)," ”. September, Washington, D.C.: USDHHS/ODAM/BHP. [dataset]
35. US Department of Health and Human Services. 1994c. Health Care Financing Administration, "HCFA Hospital Wage Index Survey" [datasets], Washington, D.C.: USDHHS/HCFA.
36. White, H., 1980. "A Hetero-skedasticity - Consistent Covariance Matrix and a Direct Test for Hetero-skedasticity,". Econometrica, 48: 817–38.
37. Zwanziger, J., and Melnick, G.A., 1988. "The Effects of Hospital Competition and the Medicare PPS Program on Hospital Cost Behavior in California,". Journal of Health Economics, 7(4): 301–20.
38. Zwanziger, J., Melnick, G.A., and Bamezai, A., 1994. "Costs and Price Competition in California Hospitals, 1980-1990,". Health Affairs, 13(4): 118–26.