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Gaynor M & Vogt W, (2003)
‘Competition Among Hospitals’
Rand Journal of Economics 34 (4), pp. 764-785
- Empirical investigation into the effect of ownership type (for-profit,
not-for-profit, government) on firm conduct in hospital markets.
- Uses
cross-section data from California to simulate the effects of mergers
between for-profit hospitals, and not-for-profit hospitals.
Key results:
- The merger simulation reveals no difference in the tendencies
of not-for-profits versus for-profits to exploit merger-created market
power.
- The simulated merger results in postmerger price increases
of up to 53%, and changing the firms profit/nonprofit status has
little impact on this figure.
- Several court decisions have allowed
not-for-profit hospital mergers to go ahead in the face of antitrust
concerns, on the grounds that
not-for-profit hospitals would not exploit any market power gained.
These results suggest that this assumption is mistaken.
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