Download or read book Hospital Mergers why They Work why They Don t written by Larry Scanlan and published by Health Forum Publishing Company. This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital Mergers identifies the core lessons and practical ideas learned from dozens of real-world merger experiences and applies them to the strategic and operational challenges facing senior exectives and governing board members today. It is packed with case studies that provide empirical and instructive insights on the factors and final outcomes of hospital mergers within the past 15 years.

Download or read book Health Care Mergers and Acquisitions Handbook written by and published by American Bar Association. This book was released on 2003 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health care industry continues to undergo unprecedented consolidation. Health care providers and payors alike have pursued a wide variety of integrative strategies to achieve efficiencies or other business advantages. The Health Care Mergers and Acquisitions Handbook is designed to educate the practitioner about the antitrust analysis of mergers and acquisitions within the health care industry. Over the past two decades there has been an extraordinary amount of litigation related to challenges of hospital mergers. Each chapter identifies and analyzes important antitrust issues governing such consolidations. Accordingly, the first several chapters are devoted to a detailed treatment of substantive issues peculiar to such mergers: an introduction to hospital merger litigation, describing trends in litigation and the way in which such mergers are analyzed; issues unique to market definition, including product market definition and geographic market definition; the competitive effects of hospital mergers, assessing the evidence necessary to establish a prima facie case in a merger challenge and the rebuttal arguments offered by merging parties; a unique rebuttal argument offered by merging hospitals that is treated separately due to its prominent role in hospital merger litigation - the role and significance of efficiencies in determining the competitive merits of such mergers; the potential applicability of the state action doctrine to hospital mergers. In addition to a substantive treatment of hospital mergers, the Handbook also addresses; combinations of health care management organizations (HMOs) and physician practice groups; the analysis used by the enforcement agencies when reviewing mergers of HMOs; antitrust issues posed by physician practice consolidations. The appendix contains a chart summarizing litigated hospital mergers.--

Download or read book The Quality Effects of Hospital Mergers written by Cory Stephen Capps and published by . This book was released on 2005 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:

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:

Download or read book An American Sickness written by Elisabeth Rosenthal and published by Penguin. This book was released on 2017-04-11 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

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/

Download or read book Big Med written by David Dranove and published by University of Chicago Press. This book was released on 2022-11-18 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is little debate that health care in the United States is in need of reform. But where should those improvements begin? With insurers? Drug makers? The doctors themselves? In Big Med, David Dranove and Lawton Robert Burns argue that we’re overlooking the most ubiquitous cause of our costly and underperforming system: megaproviders, the expansive health care organizations that have become the face of American medicine. Your local hospital is likely part of one. Your doctors, too. And the megaproviders are bad news for your health and your wallet. Drawing on decades of combined expertise in health care consolidation, Dranove and Burns trace Big Med’s emergence in the 1990s, followed by its swift rise amid false promises of scale economies and organizational collaboration. In the decades since, megaproviders have gobbled up market share and turned independent physicians into salaried employees of big bureaucracies, while delivering on none of their early promises. For patients this means higher costs and lesser care. Meanwhile, physicians report increasingly low morale, making it all but impossible for most systems to implement meaningful reforms. In Big Med, Dranove and Burns combine their respective skills in economics and management to provide a nuanced explanation of how the provision of health care has been corrupted and submerged under consolidation. They offer practical recommendations for improving competition policies that would reform megaproviders to actually achieve the efficiencies and quality improvements they have long promised. This is an essential read for understanding the current state of the health care system in America—and the steps urgently needed to create an environment of better care for all of us.

Download or read book Predicting Successful Hospital Mergers and Acquisitions written by William Winston and published by Routledge. This book was released on 2012-11-12 with total page 142 pages. Available in PDF, EPUB and Kindle. Book excerpt: As managed care continues to increase in the United States, hospital and system executives consider mergers and acquisitions more frequently for both aggressive and defensive reasons. Predicting Successful Hospital Mergers and Acquisitions can help you learn to analyze data to determine which hospitals are potential candidates for merger and which are risky business ventures. You will learn to take into account not only the marketing and financial elements of mergers and acquisitions, but also the operational factors crucial for success. You will also acquire a set of guidelines and financial analytical approaches that prepare you for forecasting the results of proposed mergers or acquisitions between acute units.Because few new markets are available for hospitals and competition is increasing, performing mergers and acquisitions may be the only route available for organizations wishing to grow. Predicting Successful Hospital Mergers and Acquisitions teaches hospital, system, and other health service industry executives how to keep abreast of their market positions to remain competitive and efficient in the current, intense managed care environment.As you read Predicting Successful Hospital Mergers and Acquisitions, you learn to identify significant financial variables in the market that will differentiate between merger candidates and non-targeted hospitals. The book’s coverage of the following topics is important to your understanding of the health care market and the options available: market penetration product development market development diversification significant variables one year prior to merger use of accounting numbers to predict takeovers managed care staffing issuesPredicting Successful Hospital Mergers and Acquisitions gives you a practical, proven model for predicting the outcome of merger and acquisition maneuvers. This model is developed from accurate, consistent, and complete data from California, a trendsetting market in health care delivery, during the years 1984 to 1992. It can be applied not only to hospital mergers and acquisitions, but also to skilled nursing facilities, psychiatric care centers, and rehabilitation facilities seeking growth. Educators and program directors in health care administration programs and executives and boards of imaging centers, surgi-centers, and home health agencies can also employ this model to stimulate growth and expansion.

Download or read book The Competitive Effects of Not for profit Hospital Mergers written by and published by . This book was released on 1999 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Competitive Effects of Not For Profit Hospital Mergers written by Federal Trade Commission and published by CreateSpace. This book was released on 2014-09-14 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt: Applying conventional horizontal merger enforcement rules to mergers of nonprofit hospitals is controversial. Critics contend that the different objective function of not-for-profits entities should mitigate, and possibly eliminate, competitive concerns about mergers involving nonprofit hospitals. We provide evidence relevant to this debate by analyzing ex post a horizontal merger in a concentrated hospital market. Here, the transaction reduced the number of competitors (both nonprofit) in the alleged relevant market from three to two. We find that the transaction resulted in significant price increases; we reject the hypothesis that these price increases reflect higher post-merger quality. This study should help policymakers assess the validity of current merger enforcement rules, especially as they apply to not-for-profit enterprises.

Download or read book Mergers of Teaching Hospitals in Boston New York and Northern California written by John A. Kastor and published by University of Michigan Press. This book was released on 2009-12-22 with total page 510 pages. Available in PDF, EPUB and Kindle. Book excerpt: Investigates the conditions that have led some of the nation2s top teaching hospitals to merge with each other. The three case studies in this book describe mergers among some of the nation's best known hospitals. In addition to citing published articles and books, the author also includes information obtained from numerous personal interviews with more than two hundred faculty members, administrators, trustees, and invested observers who shared their experiences with and knowledge of the mergers. Throughout the book, the author not only presents a picture of the events and conditions that have led to the recent drop in funding for teaching hospitals and why these mergers came about, but he also investigates how the organizations have fared since joining together. The mergers are analyzed and compared in order to identify various methods of merger formation as well as ways in which other newly formed hospitals might accomplish a variety of important goals.

Download or read book The Welfare Consequences of Hospital Mergers written by Robert J. Town and published by . This book was released on 2010 with total page 53 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 1990s the US hospital industry consolidated. This paper estimates the impact of the wave of hospital mergers on welfare focusing on the impact on consumer surplus for the under-65 population. For the purposes of quantifying the price impact of consolidations, hospitals are modeled as an input to the production of health insurance for the under-65 population. The estimates indicate that the aggregate magnitude of the impact of hospital mergers is modest but not trivial. In 2001, average HMO premiums are estimated to be 3.2% higher than they would have been absent any hospital merger activity during the 1990s. In 2003, we estimate that because of hospital mergers private insurance rolls declined by approximately .3 percentage points or approximately 695,000 lives with the vast majority of those who lost private insurance joining the ranks of the uninsured. Our estimates imply that hospital mergers resulted in a cumulative consumer surplus loss of over $42.2 billion between 1990 and 2001. It is estimated that all but a modest $95.4 million of the loss in consumer surplus is transferred from consumers to providers.

Download or read book Geographic Markets in Hospital Mergers a Case Study written by Federal Trade Federal Trade Commission and published by CreateSpace. This book was released on 2014-09-13 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: In three recent hospital merger cases, the courts concluded that the merged hospital would be unable to increase price profitably because of competition from distant hospitals. In reaching this conclusion, the courts found the following: hospitals earn high margins on the last patients that they serve; given these high margins, a small price increase would be unprofitable if even a relatively small percentage of patients switched to other hospitals; many of the merging hospitals' patients live in "contestable" zip codes, where a large percentage of patients already use other hospitals; a price increase at the merging hospitals would prompt a large number of these patients to switch to other hospitals; and this amount of switching would make the price increase unprofitable. This book argues that the courts in these cases erred in accepting the defendants' argument that switching by patients living in "contestable" zip codes would make a price increase at the merging hospitals unprofitable. Specifically, this book examines the behavior of patients following a merger similar to those analyzed by these courts and finds that a large price increase prompted little switching by patients living in "contestable" zip codes.

Download or read book Man s 4th Best Hospital written by Samuel Shem and published by Berkley. This book was released on 2019 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sequel to the highly acclaimed The House of God. Years later, the Fat Man has been given leadership over a new Future of Medicine Clinic at what is now only Man's 4th Best Hospital, and has persuaded Dr. Roy Basch and some of his intern cohorts to join him to teach a new generation of interns and residents.

Download or read book Analysis of Hospital Mergers written by David B. Starkweather and published by . This book was released on 1971 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Health Policy and Hospital Mergers written by Si Sigurgeirsdottir and published by University of Iceland Press. This book was released on 2006 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study focuses on the politics of hospital mergers. In the narratives from London and Reykjavik presented in this book an attempt has been made to identify individuals and the role they played in the evolution of merger issues. This is important in order to illustrate that structures and institutions such as 'bureaucracy', 'the government machinery', 'decision-making systems', 'political institutions' or 'policy subsystems', are made up of people. These people hold positions or have beliefs, views, motivations and interests which in one way or another made them or inspired them to become active in the policy process, and these factors have as many consequences on policy outcomes and as many implications for future change as the policy content itself.

Download or read book Radical Change Attempt in Healthcare Competing Logics in Hospital Mergers written by Soki Choi and published by Volante. This book was released on 2012 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today there is no doubt that radical change attempts such as mergers have permeated all sectors of society. However, the knowledge of mergers in healthcare is highly uncertain and scarce. This award-winning Ph.D. thesis explores one of the largest hospital mergers ever made: the flagship merger of two university hospitals in Stockholm, Sweden, which formed today?'s Karolinska University Hospital. The aim is to increase our understanding of the pitfalls and possibilities in change processes at large and complex organizations, especially in professionalized, public service settings.Soki Choi (Med. Dr) holds a Ph.D. from Karolinska Institutet and a Master of Science in Business and Economics from the Stockholm School of Economics, Sweden. She has also been guest researcher at Harvard University, USA. In 2011, Dr Choi was awarded the prestigious European Health Management Association Research Award: "In a fiercely contested competition for this year's award, Soki Choi's research on managing clinical integration stood out for the way in which it challenges some of the traditional wisdom on mergers in healthcare."- Professor Kieran Walshe, Chair of EHMA's Scientific Advisory Committee