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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Listen to "Earth Disease," a podcast series from Health Affairs Pathways examining the intersection of climate change and health policy.
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.

To read more articles like this, subscribe to Health Affairs.
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.
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

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