Forefront: Opportunities For Equity In Research Grantmaking
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Monday, May 23, 2022 | The Latest Research, Commentary, And News From
Health Affairs
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Price Effects Of Consolidation
Joint contracting between physicians and hospitals has risen in
prominence. This vertical integration in health care has garnered
scrutiny by antitrust authorities and state regulators.
A Considering Health Spending paper, published in the May 2022 issue of
Health Affairs, discusses the implications of consolidation.
Vilsa Curto and colleagues determine that the percentage of primary care
physicians and specialists vertically integrated or joint contracting
with small and medium health systems in Massachusetts rose sharply
during the period 2013-17.
Vertical integration and joint contracting led to price increases for
primary care physicians and specialists, with the greatest increases
seen in large health systems.
"Our findings suggest that policy makers may need to consider taking
steps to mitigate price effects, with a particular focus on large health
systems," the authors conclude.
The authors go on to suggest that antitrust enforcement, increased
oversight or regulation of commercial insurance contracts, and laws that
promote competition can mitigate price effects.
Vilsa Curto also discusses the impact of vertical integrations
on an
episode of A Health Podyssey.
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Megan Collado and Mona Shah examine
how research grantmaking has been concentrated in largely White-led,
affluent research settings
.
Mark Friedberg and coauthors analyze Blue Cross Blue Shield
Massachusetts' nudge unit
,
which demonstrates how behavioral science can help to achieve health
system goals that rely on behavior change at a low cost.
Want to read more content like this? Bookmark Health Affairs Forefront
to never miss an article.
Daily Digest
Price Effects Of Vertical Integration And Joint Contracting Between
Physicians And Hospitals In Massachusetts
Vilsa Curto et al.
Opportunities For Equity In Research Grantmaking
Megan
Collado and Mona N. Shah
Every Health Plan Stands To Benefit From A Nudge Unit
Mark W. Friedberg et al.
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