in Health Care Delivery Sherry Glied May 13, 2015 Integration vs. - - PowerPoint PPT Presentation

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in Health Care Delivery Sherry Glied May 13, 2015 Integration vs. - - PowerPoint PPT Presentation

Dec 27, 2023 46 likes •141 views

Policies to Address the Impact of Consolidation in Health Care Delivery Sherry Glied May 13, 2015 Integration vs. Competition Balancing Offsetting Considerations Pro-consolidation Private Medicare Integrated delivery benefits ?

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Policies to Address the Impact of Consolidation in Health Care Delivery

Sherry Glied May 13, 2015

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Integration vs. Competition

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Balancing Offsetting Considerations

  • Pro-consolidation

– Integrated delivery benefits – Limits medical arms race

  • Anti-consolidation

– Market efficiency (quality) – Pricing power

Private Medicare ?      

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What do we know?

  • Medical care arms race

– More robots = more robots = more procedures

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Competition, Management, Quality

What do we know?

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Policy Options

  • Reinforce Competition

– Antitrust enforcement – Transparency – Narrowing anti-competitive rules

  • More Regulatory options

– Upper limits on negotiated rates – All-payer rate setting

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Balancing Offsetting Considerations

  • Pro-competition

– Theory is strong – Success depends on acceptance of narrow networks – Not suitable everywhere

  • More regulatory

– Theory?? – Methods? but evidence is weak

Marketplaces Employers ?

39% → 1 hospital in HSA evidence?

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Balancing Offsetting Considerations

  • Rate-setting and cost-shifting??
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sherry.glied@nyu.edu

Thank you!