The majority of the 2007-2014 growth in private insurer payments for hospital-based care was driven by a rapid increase in the negotiated payments for hospitals rather than escalating prices paid to physicians, suggesting significant differences in the bargaining leverage of hospitals and physicians vis-à-vis insurers. Government interventions recommended by the authors include much more active anti-trust enforcement and regulating hospital prices, particularly in markets where hospitals already hold considerable market power. They also encourage private payers to use reference pricing and incentivize physicians to make more cost-efficient referrals.
This webinar brought together experts to discuss consolidation and competition in health care and offer tips for reporters covering this issue in their communities.
This NIHCM-sponsored research shows that in markets where the supply of orthopedists is more concentrated private payers pay higher prices for knee replacement surgery.
This chart story examines the latest data on hospital consolidation, including trends, impacts, future outlook and proposed policy solutions.
This methodological paper investigates the strengths and weaknesses of data sources that might be used to study hospital ownership of physician practices. Focusing on the two most promising sources, from SK&A and the American Hospital Association, the authors document differences in estimates arising from each source and discuss likely reasons for the differences, concluding that a researcher's choice of data source and measure of integration will depend on the research question under study.
Dr. Laurence Baker and his colleagues, with support from NIHCM research grants, have produced a series of papers examining the relationship between provider market power and private prices in a variety of scenarios. This Research Insights highlights the key takeaways from four published papers.
This Research Insights summarizes findings from a study showing that a patient is more likely to choose a hospital that owns her doctor’s practice - even if the costs are higher and the quality lower than at other local hospitals.
This Health Matters webinar, hosted by USC Annenberg's Center for Health Journalism with support from NIHCM Foundation, looked at groundbreaking new research on what private insurance plans are paying for common procedures in markets across the country and how those prices are influenced by provider consolidation.
This NIHCM-sponsored research documents significantly higher private prices for a range of surgical and medical procedures and specialties in markets with higher concentration of physician practices.
This webinar explored current approaches to payment reform that offer insight for future federal and state policies.
This Health Matters webinar, hosted by USC Annenberg's Center for Health Journalism with support from NIHCM Foundation, provided an overview of trends in hospital consolidation, clarified what’s at stake for consumers and offered journalists fresh new ideas for reporting on this story.
This NIHCM-sponsored research showed that when physicians are in practices that are owned by a hospital, their patients are more likely to be admitted to that hospital than to other hospitals, even if its costs are higher and its quality is lower.
This Research Insights summarizes findings from a new study showing that hospital market power drives higher negotiated prices for privately insured patients.
This Research Insights summarizes a study that found hospital prices grew faster than physician prices from 2007 to 2014.