Journal
JOURNAL OF HEALTH ECONOMICS
Volume 25, Issue 1, Pages 58-80Publisher
ELSEVIER
DOI: 10.1016/j.jhealeco.2005.05.003
Keywords
hospital integration; consolidation; cardiac care; business stealing; welfare
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While prior studies tend to view hospital integration through the lens of horizontal consolidation, I provide an analysis of its vertical aspects. I examine the effect of hospital acquisitions in New York State on the distribution of market share for major cardiac procedures across providers in target markets. I find evidence of benefits to acquirers via business stealing, with the resulting redistribution of volume across providers having small effects, if any, on total welfare with respect to cardiac care. The results of this analysis - along with similar assessments for other services - can be incorporated into future studies of hospital consolidation. (c) 2005 Elsevier B.V. All rights reserved.
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