incorporating Health Care Quality into Health Antitrust Law
| dc.contributor.utaustinauthor | Schneider, Helen | en_US |
| dc.creator | Schneider, Helen | en_US |
| dc.date.accessioned | 2016-10-28T19:53:50Z | |
| dc.date.available | 2016-10-28T19:53:50Z | |
| dc.date.issued | 2008-04 | en_US |
| dc.description.abstract | Antitrust authorities treat price as a proxy for hospital quality since health care quality is difficult to observe. As the ability to measure quality improved, more research became necessary to investigate the relationship between hospital market power and patient outcomes. This paper examines the impact of hospital competition on the quality of care as measured by the risk-adjusted mortality rates with the hospital as the unit of analysis. The study separately examines the effect of competition on non-profit hospitals. Methods: We use California Office of Statewide Health Planning and Development (OSHPD) data from 1997 through 2002. Empirical model is a cross-sectional study of 373 hospitals. Regression analysis is used to estimate the relationship between Coronary Artery Bypass Graft (CABG) risk-adjusted mortality rates and hospital competition. Results: Regression results show lower risk-adjusted mortality rates in the presence of a more competitive environment. This result holds for all alternative hospital market definitions. Nonprofit hospitals do not have better patient outcomes than investor-owned hospitals. However, they tend to provide better quality in less competitive environments. CABG volume did not have a significant effect on patient outcomes. Conclusion: Quality should be incorporated into the antitrust analysis. When mergers lead to higher prices and lower quality, thus lower social welfare, the antitrust challenge of hospital mergers is warranted. The impact of lower hospital competition on quality of care delivered by non-profit hospitals is ambiguous. | en_US |
| dc.description.department | Economics | en_US |
| dc.description.sponsorship | en_US | |
| dc.identifier | doi:10.15781/T2QV3C64H | |
| dc.identifier.citation | Schneider, Helen. "Incorporating health care quality into health antitrust law." BMC health services research, Vol. 8, No. 1 (Apr., 2008): 1. | en_US |
| dc.identifier.doi | 10.1186/1472-6963-8-89 | en_US |
| dc.identifier.issn | 1472-6963 | en_US |
| dc.identifier.uri | http://hdl.handle.net/2152/43364 | |
| dc.language.iso | English | en_US |
| dc.relation.ispartof | en_US | |
| dc.relation.ispartofserial | BMC Health Services Research | en_US |
| dc.rights | Administrative deposit of works to Texas ScholarWorks: This works author(s) is or was a University faculty member, student or staff member; this article is already available through open access or the publisher allows a PDF version of the article to be freely posted online. The library makes the deposit as a matter of fair use (for scholarly, educational, and research purposes), and to preserve the work and further secure public access to the works of the University. | en_US |
| dc.rights.restriction | Open | en_US |
| dc.subject | adjusted hospital mortality | en_US |
| dc.subject | bypass graft-surgery | en_US |
| dc.subject | market share | en_US |
| dc.subject | of-care | en_US |
| dc.subject | competition | en_US |
| dc.subject | volume | en_US |
| dc.subject | consolidation | en_US |
| dc.subject | nonprofit | en_US |
| dc.subject | association | en_US |
| dc.subject | behavior | en_US |
| dc.subject | health care sciences & services | en_US |
| dc.title | incorporating Health Care Quality into Health Antitrust Law | en_US |
| dc.type | Article | en_US |