HMO mergers and medicare: the antitrust issues
โ Scribed by Roger Feldman; Ruth S. Given
- Publisher
- John Wiley and Sons
- Year
- 1998
- Tongue
- English
- Weight
- 44 KB
- Volume
- 7
- Category
- Article
- ISSN
- 1057-9230
No coin nor oath required. For personal study only.
โฆ Synopsis
This paper presents a theoretical framework to predict the effects that may arise from mergers in the rapidly-growing Medicare HMO market. We argue that mergers of large Medicare HMOs should be targeted for antitrust investigation because there are significant barriers into this market. The recent merger of PacifiCare and FHP is used to illustrate the potential antitrust issues raised by Medicare HMO mergers.
๐ SIMILAR VOLUMES
Exclusive contracts between hospitals and physicians are common. In most instances they raise no anticompetitive concerns. However, especially in rural markets, exclusive contracts may be used to foreclose actual and potential competitors and thereby decrease competition. The courts should weigh the
Managed care has shifted purchasing decisions from patients towards payers. While this shift has been associated with increased price competition in provider markets, we believe that it may enhance the potential for consumer injury from mergers in geographic markets previously considered immune to a