The Price Effects of Cross-Market Hospital Mergers

Leemore S. Dafny, Leemore S. Dafny, Katherine Ho, Katherine Ho, Robin S. Lee, Robin S. Lee
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引用次数: 52

Abstract

We consider the effect of mergers between firms whose products are not viewed as direct substitutes for the same good or service, but are bundled by a common intermediary. Focusing on hospital mergers across distinct geographic markets, we show that such combinations can reduce competition among merging hospitals for inclusion in insurers' networks, leading to higher prices (or lower-quality care). Using data on hospital mergers from 1996-2012, we find support that this mechanism operates within state boundaries: cross-market, within-state hospital mergers yield price increases of 7-9 percent for acquiring hospitals, whereas out of state acquisitions do not yield significant increases.
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医院跨市场并购的价格效应
我们考虑公司之间合并的影响,这些公司的产品不被视为同一商品或服务的直接替代品,而是由共同的中介捆绑在一起。聚焦于不同地域市场的医院合并,我们表明这种合并可以减少合并医院之间为纳入保险公司网络而进行的竞争,从而导致更高的价格(或更低的护理质量)。利用1996年至2012年的医院合并数据,我们发现这种机制在州内运作的支持:跨市场、州内医院合并使收购医院的价格上涨7- 9%,而州外收购则没有显著上涨。
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