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Hospital Merger Benefits: An Econometric Analysis Revisited Executive Summary

This is the third analysis by Charles River Associates (CRA) showing that recent hospital acquisitions reduce costs and lead to improved performance on important quality indicators without an increase in revenue that may signal enhanced market power. All three analyses found that hospital acquisitions can generate substantial benefits.
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Proposals to Reduce Medicare Payments Would Jeopardize Access to Essential Care and Services for Patients

This report provides key evidence as to why site-neutral payment policies are misguided, highlighting the substantial negative impact these policies and new legislative proposals would have on access to the care that the nation’s hospitals and health systems provide.
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Hospital Merger Benefits: An Econometric Analysis Revisited

In this report we revisit our econometric analysis and include two additional years of data for 2018 and 2019 on cost, quality, and revenue outcomes from hospital transactions. The addition of these data allows us to measure the effects of 144 additional hospital acquisitions and also allows us to measure the effects of the hospital acquisitions we had previously included in our studies over a longer period of time.
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Anticompetitive Conduct by Commercial Health Insurance Companies

Passage of the Affordable Care Act (ACA) and, most recently, the repeal of the industry’s McCarran-Ferguson antitrust protection should be a catalyst for a more scrutiny by the federal antitrust and other federal agencies. And, as strongly suggested by the American Medical Association’s report that more than 74% of commercial health insurance markets are concentrated, scrutiny should include a retrospective investigation into the industry’s consolidation.