ArticleHealth services research2010
Predictors of chain acquisition among independent dialysis facilities.
Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Medicare Advantage Enrollment Increased Disproportionately In Chain-Owned Dialysis Facilities After The Cures Act.Health affairs (Project Hope) · 2025Article
- Commercial Health Insurance and Quality of Care in US Dialysis Facilities.Kidney medicine · 2025Article
- Medicare Enrollment and Spending Among Patients Initiating Dialysis After the Affordable Care Act.JAMA health forum · 2024Article
- Rates of Medicare Enrollment Among Dialysis Patients After Implementation of Medicare Payment Reform and the Affordable Care Act Marketplace.JAMA network open · 2022Article
- Trends in Dialysis Industry Consolidation After Medicare Payment Reform, 2006-2016.JAMA health forum · 2021Article
- Association of Hospitalization and Mortality Among Patients Initiating Dialysis With Hemodialysis Facility Ownership and Acquisitions.JAMA network open · 2019Observational
- Market Consolidation and Mortality in Patients Initiating Hemodialysis.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2019Article
- The Impact of Chain Standardization on Nursing Home Staffing.Medical care · 2018Article
- For-profit status and industry evolution in health care markets: evidence from the dialysis industry.International journal of health economics and management · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the predictors of chain acquisition among independent dialysis providers. DATA SOURCES: Retrospective facility-level data combined from CMS Cost Reports, Medical Evidence Forms, Annual Facility Surveys, and claims for 1996-2003. STUDY
designIndependent dialysis facilities' probability of acquisition by a dialysis chain (overall and by chain size) was estimated using a discrete time hazard rate model, controlling for financial and clinical performance, practice patterns, market factors, and other facility characteristics. DATA COLLECTION: The sample includes all U.S. freestanding dialysis facilities that report not being chain affiliated for at least 1 year between 1997 and 2003. PRINCIPAL
findingsAbove-average costs and better quality outcomes are significant determinants of dialysis chain acquisition. Facilities in larger markets were more likely to be acquired by a chain. Furthermore, small dialysis chains have different acquisition strategies than large chains.
conclusionsDialysis chains appear to employ a mix of turn-around and cream-skimming strategies. Poor financial health is a predictor of chain acquisition as in other health care sectors, but the increased likelihood of chain acquisition among higher quality facilities is unique to the dialysis industry. Significant differences among predictors of acquisition by small and large chains reinforce the importance of using a richer classification for chain status.
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