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The Competitive Effects of Not-For-Profit Hospital Mergers

The Competitive Effects of Not-For-Profit Hospital Mergers
Author: Federal Trade Commission
Publisher: CreateSpace
Total Pages: 48
Release: 2014-09-14
Genre: Business & Economics
ISBN: 9781502365576

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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.


Health Care Mergers and Acquisitions Handbook

Health Care Mergers and Acquisitions Handbook
Author:
Publisher: American Bar Association
Total Pages: 222
Release: 2003
Genre: Antitrust law
ISBN: 9781590312230

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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.--


The Price Effects of Hospital Mergers

The Price Effects of Hospital Mergers
Author: Steven Tenn
Publisher:
Total Pages: 28
Release: 2008
Genre: Consolidation and merger of corporations
ISBN:

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The Price Effects of Hospital Mergers

The Price Effects of Hospital Mergers
Author: Federal Trade Commission
Publisher:
Total Pages: 30
Release: 2014-09-25
Genre:
ISBN: 9781502493859

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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.


The Quality Effects of Hospital Mergers

The Quality Effects of Hospital Mergers
Author: Cory Stephen Capps
Publisher:
Total Pages: 54
Release: 2005
Genre: Consolidation and merger of corporations
ISBN:

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Antitrust & Hospital Mergers

Antitrust & Hospital Mergers
Author: Thomas L. Greaney
Publisher:
Total Pages: 19
Release: 2014
Genre:
ISBN:

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Following a string of government losses in cases challenging hospital mergers in federal court, the Federal Trade Commission and the Department of Justice issued their report on competition in health care seeking to set the record straight on a number of issues that underlie the judiciary's resolution of these cases. One such issue is the import of nonprofit status for applying antitrust law. This essay describes antitrust's role in addressing the consolidation in the hospital sector and the subtle influence that the social function of the nonprofit hospital has had in merger litigation. Noting that the political and social context in which these institutions operate is never far from the surface, it takes issue with the proposal to cabin merger doctrine so as to deny the significance of nonprofit status in merger analysis. Given the dynamic change in the regulatory climate and heterogeneity of local health care markets, it advises courts not to accept the FTC's preemptive standard regarding the significance of hospitals' nonprofit status and keep open the possibility of fashioning new presumptive rules tailored to more complete economic accounts of nonprofit firm behavior.


Healthcare Antitrust, Settlements, and the Federal Trade Commission

Healthcare Antitrust, Settlements, and the Federal Trade Commission
Author: James Langenfeld
Publisher: Emerald Group Publishing
Total Pages: 483
Release: 2018-08-30
Genre: Business & Economics
ISBN: 1787566013

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This volume of Research in Law and Economics contains articles that address important legal and economic developments in the areas of healthcare, intellectual property and labor settlements, competitive effects, cartel overcharges, and the U.S. Federal Trade Commission (FTC)


Handbook of Law and Economics

Handbook of Law and Economics
Author: A. Mitchell Polinsky
Publisher: Elsevier
Total Pages: 981
Release: 2007-11-07
Genre: Law
ISBN: 0080554237

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Law can be viewed as a body of rules and legal sanctions that channel behavior in socially desirable directions — for example, by encouraging individuals to take proper precautions to prevent accidents or by discouraging competitors from colluding to raise prices. The incentives created by the legal system are thus a natural subject of study by economists. Moreover, given the importance of law to the welfare of societies, the economic analysis of law merits prominent treatment as a subdiscipline of economics. This two volume Handbook is intended to foster the study of the legal system by economists. *The two volumes form a comprehensive and accessible survey of the current state of the field. *Chapters prepared by leading specialists of the area. *Summarizes received results as well as new developments.