Evidence map›Paper›PMID 34911008›Full record

ArticleJournal of health economics2022

Treatment consolidation after vertical integration: Evidence from outpatient procedure markets.

Michael R Richards, Jonathan A Seward, Christopher M Whaley

Abstract read
In one paragraph

Article in Journal of health economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Michael R RichardsDepartment of Economics, Hankamer School of Business, Baylor University, One Bear Place, Waco TX 76798, United States. Electronic address: Michael_Richards@baylor.edu.
Jonathan A SewardDepartment of Economics, Hankamer School of Business, Baylor University, One Bear Place, Waco TX 76798, United States. Electronic address: Jonathan_Seward@baylor.edu.
Christopher M WhaleyRAND Corporation, 1776 Main Street, Santa Monica CA 90401 United States. Electronic address: cwhaley@rand.org.

Funding

The Effects of Insurance Benefit Design Innovation on Patient HealthK01AG061274 · NIA · RAND CORPORATION · PI WHALEY, CHRISTOPHER · 2019 to 2023
$649k
NIA NIH HHS K01 AG061274
6 · The paper itself

Abstract

Hospital ownership of physician practices has grown across the US, and these strategic decisions seem to drive higher prices and spending. Using detailed physician ownership information and a universe of Florida discharge records, we show novel evidence of hospital-physician integration foreclosure effects within outpatient procedure markets. Following hospital acquisition, physicians shift nearly 10% of their Medicare and commercially insured cases away from ambulatory surgery centers (ASCs) to hospitals and are up to 18% less likely to use an ASC at all. Altering physician choices over treatment setting can be in conflict with patient and payer cost, convenience, and quality preferences.

Indexed as

MedicareOutpatientsAgedAmbulatory Surgical ProceduresHospitalsHumansOwnershipUnited StatesAmbulatory surgery centerHealth care competitionHospital outpatient departmentPhysicianPhysician-hospital consolidationVertical integration

Identifiers

PMID34911008
PMCPMC8810743

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.