Hospital Pricing Following Integration with Physician Practices

B-Tier
Journal: Journal of Health Economics
Year: 2021
Volume: 77
Issue: C

Authors (3)

Lin, Haizhen (not in RePEc) McCarthy, Ian M. (Emory University) Richards, Michael (not in RePEc)

Score contribution per author:

0.670 = (α=2.01 / 3 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

The past decade has witnessed a new wave of hospital-physician integration, with the fraction of hospitals owning any office-based physician practice increasing from 28% in 2009 to 53% in 2015 nationwide. We offer one of the first hospital-level longitudinal analyses in examining how hospital-physician integration affects hospital prices in the modern healthcare environment. We find a robust 3–5% increase in hospital prices following integration. There is little indication that hospital quality is commensurately higher or that patient mix has changed following integration. Our supplementary analyses point to stronger bargaining leverage and foreclosure of rival hospitals as potential mechanisms for the estimated price effects.

Technical Details

RePEc Handle
repec:eee:jhecon:v:77:y:2021:i:c:s0167629621000291
Journal Field
Health
Author Count
3
Added to Database
2026-01-26