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Strategic integration of hospitals and physicians
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| Venue: | Journal of Health Economics, January 2006 |
| Citations: | 13 - 0 self |
BibTeX
@ARTICLE{Cuellar_strategicintegration,
author = {Alison Evans Cuellar and Paul J. Gertler},
title = {Strategic integration of hospitals and physicians},
journal = {Journal of Health Economics, January 2006},
year = {},
volume = {25},
pages = {1--28}
}
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Abstract
Abstract: A striking development in the healthcare market place has been the formation of strategic relationships between hospitals and physicians. Hospital-physician integration appears to be a response to rapidly expanding managed care health insurance. We examine whether integration lead to efficiency gains from transaction cost economies thereby allowing providers to offer managed care insurance plans lower prices or whether integration is really a strategy to improve bargaining power and thereby increase prices. We find that integration has little effect on efficiency, but is associated with an increase in prices, especially when the integrated organization is exclusive and occurs in less competitive markets. JEL Classification: L22 L44 I11 I18
Keyphrases
strategic integration competitive market l22 l44 i11 i18 efficiency gain care health insurance healthcare market place thereby increase price transaction cost economy bargaining power little effect integration lead jel classification striking development hospital-physician integration strategic relationship care insurance plan
