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Book An Empirical Analysis of the Effects of Mergers on Hospital Performance

Download or read book An Empirical Analysis of the Effects of Mergers on Hospital Performance written by Wendy Jayne Taparanskas and published by . This book was released on 1997 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examines the effect of mergers on hospital performance and identifies patterns in performance characteristics which are unique to hospitals that merge. Performance is defined by variables contributing either to operational outcome or operating structure and efficiency of a hospital. Hospital performance is also examined in the context of an integrated system, which includes the effect of the community in which the hospital derives its patient population. Finally, hospital merger behavior is compared to general firm merger behavior. For the purpose of this study, data for an eight year time period for 151 hospitals (33 experiencing mergers) in Missouri were collected and analyzed using logistic regression. It was found that hospitals with lower occupancy rates, higher average length of stays, and lower total revenue in proportion to total operating expenses were more likely to merge. In addition, these hospitals were located in areas with lower labor force participation rates, greater total population, and had higher hospital payroll expenses, along with higher overall hospital operating expenses. The impact of performance changes were seen in the first two years, but some performance goals were most likely to be achieved after three to four years. Hospital merger behavior was found to mirror general firm merger behavior through increasing structural efficiency, size, and market share.

Book Do Hospital Mergers Reduce Waiting Times

Download or read book Do Hospital Mergers Reduce Waiting Times written by Vanessa Cirulli and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: We analyse - theoretically and empirically - the effect of hospital mergers on waiting times in healthcare markets where prices are fixed. Using a spatial modelling framework where patients choose provider based on travelling distance and waiting times, we show that the effect is theoretically ambiguous. In the presence of cost synergies, the scope for lower waiting times as a result of the merger is larger if the hospitals are more profit-oriented. This result is arguably confirmed by our empirical analysis, which is based on a conditional flexible difference-indifferences methodology applied to a long panel of data on hospital mergers in the English NHS, where we find that the effects of a merger on waiting times crucially rely on a legal status that can reasonably be linked to the degree of profit-orientation. Whereas hospital mergers involving Foundation Trusts tend to reduce waiting times, the corresponding effect of mergers involving hospitals without this legal status tends to go in the opposite direction.

Book The competitive effects of not for profit hospital mergers a case study

Download or read book The competitive effects of not for profit hospital mergers a case study written by Michael G. Vita and published by DIANE Publishing. This book was released on 1999 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Catal s von Schilderyen

Download or read book Catal s von Schilderyen written by and published by . This book was released on 1751 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Evaluating the Performance of Merger Simulation

Download or read book Evaluating the Performance of Merger Simulation written by Yaa Akosa Antwi and published by . This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Antitrust enforcement in the hospital industry has been an area of sharp contention in recent years. Prior to the decision in the Evanston Northwestern case in 2005, the Federal Trade Commission and the United States Department of Justice had lost the last seven hospital cases. One of the reasons for the failure of the government to prevail in these court cases has been their inability to convince the courts to accept their definition of a geographic market. In reviewing mergers, the antitrust enforcement authorities seek to determine what effects the proposed merger would have on prices, quality, and other related aspects of the prospectively merging firms' services. Most commonly, the primary focus is on the effect of the prospective merger on prices. There are a number of different approaches to the evaluation of hospital mergers, and these approaches often lead to differing predictions about the effects of the merger on hospital prices. In this paper we propose a method of hospital merger analysis which relies, in part, on calculating an index of hospital competition called the Logit Competition Index (LOCI). LOCI is calculated using hospital discharge data. Using these data, discharges are organized into types, the market shares of the hospitals in the analysis are calculated within these types, and then these market shares are aggregated together into a numerical index. Changes in this index due to a merger are theorized to predict the price changes caused by the merger. Consequently, our methodology does not require the definition of a geographical market. We apply our method to simulate merger effects of consummated and hypothetical mergers using data of hospitals in the state of California from 1992 to 2004. We find that the wave mergers that happened in California in the 1990's led to substantial increase in price not only for merging firms but also non-merging firms. Finally, because of the long span of our data, we are able to compare our predicted price increase with actual price increase of consummated mergers. Our methodology predicts well actual changes in price due to merger. These results have important implications for merger analysis in hospital markets and also for antitrust enforcement. It presents antitrust authorities with a methodology does not rely on geographic market definition but predicts fairly well price increases due to mergers.

Book The Price Effects of Hospital Mergers

Download or read book The Price Effects of Hospital Mergers written by Federal Trade Commission and published by . This book was released on 2014-09-25 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This consummated merger combined two hospitals located close together in the Oakland-Berkeley region of the San Francisco Bay Area. The greater metropolitan area contained many other hospitals that offered a similar range of services, but which were located farther away. A central issue raised by the Sutter-Summit transaction was whether travel costs were low enough such that these hospitals were a sufficient constraint on the merging parties to prevent an anticompetitive price increase. We use detailed claims data from three large health insurers to compare the post-merger price change for the merging parties to the price change for a set of control group hospitals. Our results show that Summit's price increase was among the largest of any comparable hospital in California, indicating this transaction may have been anticompetitive.

Book The Price Effects of Hospital Mergers

Download or read book The Price Effects of Hospital Mergers written by Steven Tenn and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Effects of Market Structure on Organizational Performance

Download or read book The Effects of Market Structure on Organizational Performance written by Patrick Asubonteng Rivers and published by . This book was released on 1997 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Patient Safety and Quality

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Book Efficiency  Growth and Concentration

Download or read book Efficiency Growth and Concentration written by H. E. Frech and published by . This book was released on 1998 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Assessing the Early Impact of Hospital Mergers

Download or read book Assessing the Early Impact of Hospital Mergers written by Elliot K. Wicks and published by . This book was released on 1998 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Empirical Analysis of the Assessment of Innovation Effects in U S  Merger Cases

Download or read book Empirical Analysis of the Assessment of Innovation Effects in U S Merger Cases written by Benjamin R. Kern and published by . This book was released on 2017 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this empirical study all mergers that have been challenged by the U.S. antitrust agencies FTC and DOJ between 1995 and 2008 were analyzed in regard to the question to what extent and how the agencies assessed the innovation effects of mergers. Theoretical background is the still open question how negative effects of mergers on innovation should be taken into account in merger policy. Although we can show in our study that in one third of all challenged mergers also innovation concerns were raised, the results also point to a still existing large degree of uneasiness and inconsistencies of the agencies in regard to the assessment of innovation effects. A particularly interesting result is that - despite the wide-spread rejection of the "innovation market approach" in the antitrust debate - the agencies used more an innovation-specific assessment approach that includes also innovation in the market definition than the pure traditional product market concept. Additionally, we also found significant differences between the assessment approaches of the FTC and the DOJ.

Book An Empirical Analysis of Mergers  Efficiency Gains and Impact on Consumer Prices

Download or read book An Empirical Analysis of Mergers Efficiency Gains and Impact on Consumer Prices written by Céline Bonnet and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Mergers  Merger Control  and Remedies

Download or read book Mergers Merger Control and Remedies written by John Kwoka and published by MIT Press. This book was released on 2015 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive analysis of merger outcomes based on all empirical studies, with an assessment of the effectiveness of antitrust policy toward mergers. In recent decades, antitrust investigations and cases targeting mergers—including those involving Google, Ticketmaster, and much of the domestic airline industry—have reshaped industries and changed business practices profoundly. And yet there has been a relative dearth of detailed evaluations of the effects of mergers and the effectiveness of merger policy. In this book, John Kwoka, a noted authority on industrial organization, examines all reliable empirical studies of the effect of specific mergers and develops entirely new information about the policies and remedies of antitrust agencies regarding these mergers. Combined with data on outcomes, this policy information enables analysis of, and creates new insights into, mergers, merger policies, and the effectiveness of remedies in preventing anticompetitive outcomes. After an overview of mergers, merger policy, and a common approach to merger analysis, Kwoka offers a detailed analysis of the studied mergers, relevant policies, and chosen remedies. Kwoka finds, first and foremost, that most of the studied mergers resulted in competitive harm, usually in the form of higher product prices but also with respect to various non-price outcomes. Other important findings include the fact that joint ventures and code sharing arrangements do not result in such harm and that policies intended to remedy mergers—especially conduct remedies—are not generally effective in restraining price increases. The book's uniquely comprehensive analysis advances our understanding of merger decisions and policies, suggests policy improvements for competition agencies and remedies, and points the way to future research.