Webinar Resources
Plan and Provider Consolidation:
Better Coordination or Price Gouging?
Better Coordination or Price Gouging?
Consolidations are increasing the market power of hospitals, physicians and insurers in ways that may ultimately act as a major cost driver in the U.S. healthcare system. The industry claims consolidation leads to better care coordination, health outcomes, innovation and cost savings through efficiencies, but does the research suggest the same?
This Hub webinar provided an in-depth discussion on plan and provider consolidation, the impact on consumers and resources available to advocates to prevent or mitigate the negative effects of consolidation.
Speakers
Leemore Dafny (Slides)
Kellogg School of Management, Northwestern University
Dena Mendelsohn (Slides)
Consumers Union
Lynn Quincy
Healthcare Value Hub (Moderator)
Chapin White (Slides) (Chapin's reading list on provider consolidation)
RAND
Webcast
A recording of this webinar is available here.
Resources
Background
- Hub Research Brief No. 10, Plan and Provider Consolidation: Better Coordination or Price Gouging?
- Hub glossary of terms related to consolidation.
- Hub Research Brief No. 4, A Primer: How Antitrust Law Affects Competition in the Healthcare Marketplace
- Healthcare Financial Management Association, Acquisition and Affiliation Strategies
- Commonwealth Fund, Implementing the Affordable Care Act: Promoting Competition in the Individual Marketplaces
- Coalition to Protect Patient Choice (Resources connected to the coalition's efforts to investigate health insurance mergers.)
Aetna-Humana, Anthem-Cigna Proposed Mergers
- Universal Healthcare Foundation of Connecticut - Resources on Anthem-Cigna Merger
- Proposed Health Plan Mergers: State-by-State Summary (January 2016)
- Consumers Union, statement to the California Department of Managed Healthcare on the proposed material modification concerning the acquisition of Humana by Aetna (Jan. 8, 2016)
Assessing Consolidation in Your State
- Health Marketplace Index, Healthcare Cost Institute and Robert Wood Johnson Foundation. This tool utilizes several metrics, including HHI scores, prices and utilization records to score the economic performance of a number of healthcare markets.
- Kaiser Family Foundation tool to view health plan concentration in your state
Other
- Consumers Union, statement to the California Department of Managed Healthcare on the proposed merger of Ventene Corporation and Health Net of California (Dec. 14, 2015)
- Consumers Union, testimony before U.S. Senate Judiciary subcommittee hearing on the consumer need for balanced, healthy competition in the health insurance market.
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