Health Affairs September 6, 2017
Les Masterson

Dive Brief:

  • Hospital, provider and insurer market mergers have resulted in payers having more bargaining power to reduce provider prices in highly concentrated markets, according to a new Health Affairs report.
  • The report found hospital admission prices were 5% lower in highly consolidated provider and insurer markets compared to those that are not as dense.
  • The researchers also found savings for cardiologist visits (4%), radiologists (7%) and hematologist/oncologist visits (19%) in highly concentrated markets.

Dive Insight:

The University of California, Berkeley study authors said the increasing number of consolidated markets means “the standard competitive model now has little relevance” in a significant part of the healthcare system.

They found highly concentrated markets led to lower prices for most...

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Topics: ACA (Affordable Care Act), CMS, Health System / Hospital, HHS, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Pricing / Spending, Primary care, Provider, Public Exchange, Self-insured
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