المؤلفون: Furukawa, Michael F, Machta, Rachel M, Barrett, Kirsten A, Jones, David J, Shortell, Stephen M, Scanlon, Dennis P, Lewis, Valerie A, O’Malley, A James, Meara, Ellen R, Rich, Eugene C

المصدر: Medical Care Research and Review. 77(4)

مصطلحات موضوعية: Health Services and Systems, Health Sciences, Health Services, Clinical Research, Generic health relevance, Good Health and Well Being, Delivery of Health Care, Integrated, Hospitals, Humans, Organizational Affiliation, Ownership, United States, health systems, vertical integration, hospital-physician affiliations, delivery system organization, hospital–physician affiliations, Public Health and Health Services, Business and Management, Health Policy & Services, Health services and systems

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/55f7h4x0

المؤلفون: Post, Brady, Nallamothu, Brahmajee K., Hollenbeck, Brent

مصطلحات موضوعية: outpatient care delivery, physician practice organization, vertical integration, physician employment, delivery system organization, hospital workforce, hospital‐physician integration, Public Health, Health Sciences

وصف الملف: application/pdf

Relation: Post, Brady; Nallamothu, Brahmajee K.; Hollenbeck, Brent (2022). "Hospital‐cardiologist integration often occurs without a practice acquisition." Health Services Research 57(2): 333-339.; https://hdl.handle.net/2027.42/172098; Health Services Research; Haas‐Wilson D, Gaynor M. Physician networks and their implications for competition in health care markets. Health Econ. 1998; 7 ( 2 ): 179 ‐ 182. doi:10.1002/(sici)1099‐1050(199803)7:2%3C179::aid‐hec339%3E3.0.co;2‐k; Baker LC, Bundorf MK, Kessler DP. Vertical integration: hospital ownership of physician practices is associated with higher prices and spending. Health Aff. 2014; 33 ( 5 ): 756 ‐ 763. doi:10.1377/hlthaff.2013.1279; Richards M, Seward J, Whaley C. Treatment consolidation after vertical integration: evidence from outpatient procedure markets. RAND Corporation. 2020. 10.7249/WRA621‐1; Post B, Buchmueller T, Ryan AM. Vertical integration of hospitals and physicians: economic theory and empirical evidence on spending and quality. Med Care Res Rev. 2018; 75 ( 4 ): 399 ‐ 433. doi:10.1177/1077558717727834; Christianson JB, Carlin CS, Warrick LH. The dynamics of community health care consolidation: acquisition of physician practices. Milbank Q. 2014; 92 ( 3 ): 542 ‐ 567. doi:10.1111/1468‐0009.12077; Ho V, Metcalfe L, Vu L, Short M, Morrow R. Annual spending per patient and quality in hospital‐owned versus physician‐owned organizations: an observational study. J Gen Intern Med. 2020; 35 ( 3 ): 649 ‐ 655. doi:10.1007/s11606‐019‐05312‐z; Kranz AM, DeYoreo M, Eshete‐Roesler B, et al. Health system affiliation of physician organizations and quality of care for Medicare beneficiaries who have high needs. Health Serv Res. 2020; 55: 1118 ‐ 1128. doi:10.1111/1475‐6773.13570; Madison K. Hospital‐physician affiliations and patient treatments, expenditures, and outcomes. Health Serv Res. 2004; 39 ( 2 ): 257 ‐ 278. doi:10.1111/j.1475‐6773.2004.00227.x; Young GJ, Zepeda ED, Flaherty S, Thai N. Hospital employment of physicians in Massachusetts is associated with inappropriate diagnostic imaging. Health Aff. 2021; 40 ( 5 ): 710 ‐ 718. doi:10.1377/hlthaff.2020.01183; The White House Briefing Room. FACT SHEET: Executive Order on Promoting Competition in the American Economy. 2021. https://www.whitehouse.gov/briefing‐room/statements‐releases/2021/07/09/fact‐sheet‐executive‐order‐on‐promoting‐competition‐in‐the‐american‐economy/. Accessed August 27, 2021.; Federal Trade Commission. FTC authorizes investigations into key enforcement priorities. 2021. https://www.ftc.gov/news‐events/press‐releases/2021/07/ftc‐authorizes‐investigations‐key‐enforcement‐priorities. Accessed August 27, 2021.; Rozga K. Antitrust State of Play for Healthcare Providers Under a New Administration ‐ Part I: Mergers and Acquisitions. Davis Wright Tremaine Insights. 2021. https://www.dwt.com/insights/2021/08/biden-administration-healthcare-antitrust. Accessed August 27, 2021.; Federal Trade Commission. Federal Trade Commission and State of Idaho v. St. Luke’s Health System and Saltzer Medical Group. 2015. https://www.ftc.gov/enforcement/cases-proceedings/121-0069/st-lukes-health-system-ltd-saltzer-medical-group-pa. Accessed May 31, 2016.; Capps C, Dranove D, Ody C. Physician practice consolidation driven by small acquisitions, so antitrust agencies have few tools to intervene. Health Aff. 2017; 36 ( 9 ): 1556 ‐ 1563. doi:10.1377/hlthaff.2017.0054; Department of Justice. Competitive Impact Statement. U.S. v. Healthcare Partners, Inc., et al. 1995. https://www.justice.gov/atr/case-document/competitive-impact-statement-121. Accessed November 16, 2021.; American Medical Association. 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Health care market concentration trends in the United States: evidence and policy responses. Health Aff. 2017; 36 ( 9 ): 1530 ‐ 1538. doi:10.1377/hlthaff.2017.0556; Mehta LS, Fisher K, Rzeszut AK, et al. Current demographic status of cardiologists in the United States. JAMA Cardiol. 2019; 4 ( 10 ): 1029 ‐ 1033. doi:10.1001/jamacardio.2019.3247; American Association of Medical Colleges. Physician education debt and the cost to attend medical school: 2020 Update. 2020. https://store.aamc.org/physician-education-debt-and-the-cost-to-attend-medical-school-2020-update.html. Accessed August 30, 2021.; Waugh L, McCarthy D. How the Massachusetts HPC contains health care spending growth. 2020. https://www.commonwealthfund.org/publications/case‐study/2020/mar/massachusetts‐health‐policy‐commission‐spending‐growth. Accessed August 31, 2021.; Staiger DO, Spetz J, Phibbs CS. Is there monopsony in the labor market? Evidence from a natural experiment. J Labor Econ. 2010; 28 ( 2 ): 211 ‐ 236.; Ungar L. Thousands of Doctors’ offices buckle under financial stress of COVID. Kaiser Heal News. 2020. https://khn.org/news/thousands-of-primary-care-practices-close-financial-stress-of-covid/. Accessed March 12, 2021.; Kimmey L, Furukawa MF, Jones DJ, Machta RM, Guo J, Rich EC. Geographic variation in the consolidation of physicians into health systems, 2016–18. Health Aff. 2021; 40 ( 1 ): 165 ‐ 169. doi:10.1377/hlthaff.2020.00812; Kocher R, Sahni NR. Hospitals’ race to employ physicians — the logic behind a money‐losing proposition. N Engl J Med. 2011; 364 ( 19 ): 1790 ‐ 1793. doi:10.1056/NEJMp1101959; Physicians Advocacy Institute. Updated Physician Practice Acquisition Study: National and Regional Employment Changes in Physician Employment 2012–2018. 2019. http://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/021919‐Avalere‐PAI‐Physician‐Employment‐Trends‐Study‐2018‐Update.pdf?ver=2019‐02‐19‐162735‐117; Nikpay SS, Richards MR, Penson D. Hospital‐physician consolidation accelerated in the past decade in cardiology, oncology. Health Aff. 2018; 37 ( 7 ): 1123 ‐ 1127. doi:10.1377/hlthaff.2017.1520; Baker LC, Bundorf MK, Kessler DP. The effect of hospital/physician integration on hospital choice. J Health Econ. 2016; 50: 1 ‐ 8. doi:10.1016/j.jhealeco.2016.08.006; Koch TG, Wendling BW, Wilson NE. How vertical integration affects the quantity and cost of care for Medicare beneficiaries. J Health Econ. 2017; 52: 19 ‐ 32. doi:10.1016/j.jhealeco.2016.12.007

الاتاحة: https://hdl.handle.net/2027.42/172098
https://doi.org/10.1111/1475-6773.13929

المؤلفون: Post, Brady, Norton, Edward C., Hollenbeck, Brent, Buchmueller, Thomas, Ryan, Andrew M.

مصطلحات موضوعية: physician employment, Medicare Payment Advisory Commission, hospital‐physician vertical integration, outpatient care delivery, hospital workforce, delivery system organization, Public Health, Health Sciences

وصف الملف: application/pdf

Relation: Post, Brady; Norton, Edward C.; Hollenbeck, Brent; Buchmueller, Thomas; Ryan, Andrew M. (2021). "Hospital‐physician integration and Medicare’s site‐based outpatient payments." Health Services Research (1): 7-15.; https://hdl.handle.net/2027.42/166216; https://dx.doi.org/10.7302/139; Health Services Research; Burns LR, Goldsmith JC, Sen A. Horizontal and vertical integration of physicians: a tale of two tails. Adv Health Care Manag. 2013; 15: 39 ‐ 117. http://www.ncbi.nlm.nih.gov/pubmed/24749213. Accessed November 19, 2015; Research Data Assistance Center (ResDAC). Carrier (Fee‐for‐Service) Data Documentation. https://www.resdac.org/cms‐data/files/carrier‐ffs. Published 2019. Accessed March 8, 2019; Chunn VM, Sen B, O’Connor SJ, Jessee WF, Sasson J, Landry AY. Integration of cardiologists with hospitals. Health Care Manage Rev. 2018; 1: 342 – 352. https://doi.org/10.1097/hmr.0000000000000223; Song Z, Wallace J, Neprash HT, McKellar MR, Chernew ME, McWilliams JM. Medicare fee cuts and cardiologist‐hospital integration. JAMA Intern Med. 2015; 175 ( 7 ): 1229 ‐ 1231. https://doi.org/10.1001/jamainternmed.2015.2017; Selden TM. Differences between public and private hospital payment rates narrowed, 2012–16. Health Aff. 2020; 39 ( 1 ): 94 ‐ 99. https://doi.org/10.1377/hlthaff.2019.00415; White C, Whaley C. Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer‐Led Transparency Initiative. Santa Monica, CA: RAND Corporation; 2019. https://doi.org/10.7249/rr3033; Lopez E, Neuman T, Jacobson G, Levitt L. How Much More Than Medicare Do Private Insurers Pay? A Review of the Literature. Kaiser Family Foundation: Medicare. https://www.kff.org/medicare/issue‐brief/how‐much‐more‐than‐medicare‐do‐private‐insurers‐pay‐a‐review‐of‐the‐literature/. Published 2020. Accessed July 9, 2020; Dieleman JL, Squires E, Bui AL, et al. Factors associated with increases in US health care spending, 1996–2013. JAMA. 2017; 318 ( 17 ): 1668 ‐ 1678. https://doi.org/10.1001/jama.2017.15927; Desai S, McWilliams JM. Consequences of the 340B drug pricing program. N Engl J Med. 2018; 378 ( 6 ): 539 ‐ 548. https://doi.org/10.1056/NEJMsa1706475; Holmes GM, Pink GH, Friedman SA, Howard HA. A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment. 2010. http://www.shepscenter.unc.edu/rural/pubs/report/FR98.pdf. Accessed August 10, 2018; Centers for Medicare and Medicaid Services. Medicare program: changes to hospital outpatient prospective payment and ambulatory surgical center payment systems and quality reporting programs, Document 83 FR 58818, CMS‐1695‐FC. Fed Regist. 2018; 83 ( 225 ): 59009. https://www.govinfo.gov/content/pkg/FR‐2018‐11‐21/pdf/2018‐24243.pdf; Baker LC, Bundorf MK, Kessler DP. Vertical integration: hospital ownership of physician practices is associated with higher prices and spending. Health Aff (Millwood). 2014; 33 ( 5 ): 756 ‐ 763. https://doi.org/10.1377/hlthaff.2013.1279; Capps C, Dranove D, Ody C. The effect of hospital acquisitions of physician practices on prices and spending. J Health Econ. 2018; 59: 139 ‐ 152. https://doi.org/10.1016/J.JHEALECO.2018.04.001; Burns LR, Muller RW. Hospital‐physician collaboration: landscape of economic integration and impact on clinical integration. Milbank Q. 2008; 86 ( 3 ): 375 ‐ 434. https://doi.org/10.1111/j.1468‐0009.2008.00527.x; Ho V, Baker JA. The Integration and De‐Integration of Physicians and Hospitals over Time. 2017. http://www.bakerinstitute.org/media/files/files/a89f9c05/CHB‐pub‐PHITrends‐012417.pdf. Accessed February 4, 2017; Cuellar A, Krist AH, Nichols LM, Kuzel AJ. Effect of practice ownership on work environment, learning culture, psychological safety, and burnout. Ann Fam Med. 2018; 16 ( Suppl 1 ): S44 ‐ S51. https://doi.org/10.1370/afm.2198; Carlin CS, Dowd B, Feldman R. Changes in quality of health care delivery after vertical integration. Health Serv Res. 2015; 50 ( 4 ): 1043 ‐ 1068. https://doi.org/10.1111/1475‐6773.12274; Scott KW, Orav EJ, Cutler DM, Jha AK. Changes in hospital‐physician affiliations in U.S. hospitals and their effect on quality of care. Ann Intern Med. 2017; 166 ( 1 ): 1. https://doi.org/10.7326/M16‐0125; Afendulis CC, Kessler DP. Tradeoffs from integrating diagnosis and treatment in markets for health care. Am Econ Rev. 2007; 97 ( 3 ): 1013 ‐ 1020. https://doi.org/10.1257/aer.97.3.1013; Cuellar AE, Gertler PJ. Strategic integration of hospitals and physicians. J Health Econ. 2006; 25 ( 1 ): 1 ‐ 28. https://doi.org/10.1016/j.jhealeco.2005.04.009; Madison K. Hospital‐physician affiliations and patient treatments, expenditures, and outcomes. Health Serv Res. 2004; 39 ( 2 ): 257 ‐ 278. https://doi.org/10.1111/j.1475‐6773.2004.00227.x; Short MN, Ho V. Weighing the effects of vertical integration versus market concentration on hospital quality. Med Care Res Rev. 2020; 77 ( 6 ): 538 ‐ 548. https://doi.org/10.1177/1077558719828938; Post B, Buchmueller T, Ryan AM. Vertical integration of hospitals and physicians: economic theory and empirical evidence on spending and quality. Med Care Res Rev. 2018; 75 ( 4 ): 399 ‐ 433. https://doi.org/10.1177/1077558717727834; Berenson RA. Addressing pricing power in integrated delivery: the limits of antitrust. J Health Polit Policy Law. 2015; 40 ( 4 ): 711 ‐ 744. https://doi.org/10.1215/03616878‐3150026; Capps C, Dranove D, Ody C. Physician practice consolidation driven by small acquisitions, so antitrust agencies have few tools to intervene. Health Aff. 2017; 36 ( 9 ): 1556 ‐ 1563. https://doi.org/10.1377/hlthaff.2017.0054; Department of Justice. Herfindahl‐Hirschman Index. https://www.justice.gov/atr/herfindahl‐hirschman‐index. Published 2018. Accessed June 10, 2019; Kocher R, Sahni NR. Hospitals’ race to employ physicians — The logic behind a money‐losing proposition. N Engl J Med. 2011; 364 ( 19 ): 1790 ‐ 1793. https://doi.org/10.1056/NEJMp1101959; Physicians Advocacy Institute. Updated Physician Practice Acquisition Study: National and Regional Employment Changes in Physician Employment 2012–2018; 2019. http://www.physiciansadvocacyinstitute.org/Portals/0/assets/docs/021919‐Avalere‐PAI‐Physician‐Employment‐Trends‐Study‐2018‐Update.pdf?ver=2019‐02‐19‐162735‐117. Accessed March 16, 2018.; Baker LC, Bundorf MK, Devlin AM, Kessler DP. Hospital ownership of physicians: hospital versus physician perspectives. Med Care Res Rev. 2018; 75 ( 1 ): 88 ‐ 99. https://doi.org/10.1177/1077558716676018; Neprash HT, Chernew ME, Hicks AL, Gibson T, McWilliams JM. Association of financial integration between physicians and hospitals with commercial health care prices. JAMA Intern Med. 2015; 175 ( 12 ): 1 ‐ 8. https://doi.org/10.1001/jamainternmed.2015.4610; Dranove D, Ody C. Employed for higher pay? How Medicare payment rules affect hospital employment of physicians. Am Econ J Econ Policy. 2019; 11 ( 4 ): 249 ‐ 271. https://doi.org/10.1257/pol.20170020; Centers for Medicare and Medicaid Services. Payment policies under physician fee schedule and other revisions to part B for CY 2011 CMS‐1503‐CN2. Fed Regist. 2011; 76 ( 7 ). https://www.govinfo.gov/content/pkg/FR‐2011‐01‐11/pdf/2010‐33264.pdf. Accessed April 15, 2019; Medicare Payment Advisory Commission. March 2012 Report to the Congress: Medicare Payment Policy. Washington, D.C.; 2012. http://www.medpac.gov/docs/default‐source/reports/march‐2012‐report‐to‐the‐congress‐medicare‐payment‐policy.pdf. Accessed March 8, 2019.; Centers for Medicare and Medicaid Services. CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System changes for 2019 (CMS‐1695‐FC). https://www.cms.gov/newsroom/fact‐sheets/cms‐finalizes‐medicare‐hospital‐outpatient‐prospective‐payment‐system‐and‐ambulatory‐surgical‐center. Published 2019. Accessed March 8, 2019; Gal‐Or E. The profitability of vertical mergers between hospitals and physician practices. J Health Econ. 1999; 18 ( 5 ): 623 ‐ 654. http://www.ncbi.nlm.nih.gov/pubmed/10621368. Accessed December 8, 2015; Baker LC, Bundorf MK, Kessler DP. The effect of hospital/physician integration on hospital choice. J Health Econ. 2016; 50: 1 ‐ 8. https://doi.org/10.1016/j.jhealeco.2016.08.006; Walden E. Can Hospitals Buy Referrals? The Impact of Physician Group Acquisitions on Market‐Wide Referral Patterns. Working Paper; 2016. https://www.ssc.wisc.edu/~ewalden/JMP_Walden.pdf. Accessed July 17, 2017; Centers for Medicare and Medicaid Services. Hospital Outpatient Regulations and Notices. https://www.cms.gov/Medicare/Medicare‐Fee‐for‐Service‐Payment/HospitalOutpatientPPS/Hospital‐Outpatient‐Regulations‐and‐Notices. Published 2020. Accessed January 1, 2018.; Centers for Medicare and Medicaid Services. Physician Fee Schedule Federal Regulation Notices. https://www.cms.gov/Medicare/Medicare‐Fee‐for‐Service‐Payment/PhysicianFeeSched/PFS‐Federal‐Regulation‐Notices. Published 2020. Accessed January 1, 2018.

الاتاحة: https://hdl.handle.net/2027.42/166216
https://doi.org/10.1111/1475-6773.13613
https://doi.org/10.7302/139

المؤلفون: Eugene C. Rich, Rachel Machta, Michael F. Furukawa, Stephen M. Shortell, Valerie A. Lewis, Ellen Meara, Dennis P. Scanlon, A. James O'Malley, David Jones, Kirsten Barrett

المصدر: Medical care research and review : MCRR, vol 77, iss 4
Med Care Res Rev

مصطلحات موضوعية: hospital-physician affiliations, medicine.medical_specialty, Resource (biology), Knowledge management, media_common.quotation_subject, hospital–physician affiliations, Vertical integration, Article, vertical integration, Clinical Research, Integrated, Acute care, delivery system organization, Agency (sociology), Health care, medicine, Humans, Quality (business), media_common, Delivery of Health Care, Integrated, business.industry, Health Policy, Ownership, Business and Management, Health Services, Hospitals, United States, Compendium, Organizational Affiliation, Good Health and Well Being, Public Health and Health Services, Health Policy & Services, Key (cryptography), Generic health relevance, Business, Delivery of Health Care, health systems

وصف الملف: application/pdf

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::efa652a50708450d7e042b7d468a08b5
https://doi.org/10.1177/1077558718823130