2,374 results match your criteria Antitrust Law Journal[Journal]


The Association Between Hospital Concentration And Insurance Premiums In ACA Marketplaces.

Health Aff (Millwood) 2019 Apr;38(4):668-674

Ashish K. Jha ( ) is dean of global strategy, K.T. Li Professor of Global Health, and director of the Harvard Global Health Institute at the Harvard T. H. Chan School of Public Health.

Keeping the Affordable Care Act's health insurance Marketplaces financially accessible is critically important to their viability. While the relationship between the number of insurers and Marketplace premiums has received widespread attention, the role of hospital market concentration on premiums has been understudied. We examined the relationship between hospital market concentration and Marketplace insurance premiums in the period 2014-17, the extent to which the number of insurers modified this relationship, and whether community-level characteristics were associated with varying levels of concentration. Read More

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http://dx.doi.org/10.1377/hlthaff.2018.05491DOI Listing
April 2019
1 Read

Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007-14.

Health Aff (Millwood) 2019 Feb;38(2):184-189

John Van Reenen is the Gordon Y. Billard Professor in Management and Economics, Sloan School of Management, Massachusetts Institute of Technology, in Cambridge.

Evidence suggests that growth in providers' prices drives growth in health care spending on the privately insured. However, existing work has not systematically differentiated between the growth rate of hospital prices and that of physician prices. We analyzed growth in both types of prices for inpatient and hospital-based outpatient services using actual negotiated prices paid by insurers. Read More

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http://dx.doi.org/10.1377/hlthaff.2018.05424DOI Listing
February 2019

Pharmaceuticals and Medical Devices: Business Practices.

Issue Brief Health Policy Track Serv 2018 Dec 24;2018:1-38. Epub 2018 Dec 24.

Thomson Reuters Accelus.

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December 2018
1 Read

Business of Health. Business of Health Insurance.

Issue Brief Health Policy Track Serv 2018 Dec 24;2018:1-42. Epub 2018 Dec 24.

Thomson Reuters Accelus.

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December 2018
8 Reads

Recent Developments at DG Competition: 2017/2018.

Rev Ind Organ 2018 1;53(4):653-679. Epub 2018 Nov 1.

9Directorate-General for Competition, European Commission, MADO 17/014, 1049 Brussels, Belgium.

The Directorate General for Competition at the European Commission enforces competition law in the areas of antitrust, merger control, and state aids. This year's article provides first a general presentation of the role of the Chief Competition Economist's team and surveys some of the main achievements of the Directorate General for Competition over 2017/2018. The article then reviews: the Google Search (Shopping) case, the role of price discrimination in state aid cases; and the use of counterfactuals in merger cases where alternative transactions might have occurred absent the merger. Read More

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http://dx.doi.org/10.1007/s11151-018-9671-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267239PMC
November 2018

Geographic Market Definition in the Merger Guidelines: A Retrospective Analysis.

Rev Ind Organ 2018 15;53(3):453-475. Epub 2018 Sep 15.

Cornerstone Research, San Francisco, USA.

Since the initial Merger Guidelines in 1968, the Department of Justice and Federal Trade Commission have revised their merger enforcement screen over the course of six versions. This article examines the evolution of the geographic market component of the Guidelines and the economic implications of changing standards of market delineation on merger enforcement. Using an illustration from the beer industry, we chronicle the development of geographic market definition and its varying effects on merger enforcement over the past 50 years. Read More

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http://dx.doi.org/10.1007/s11151-018-9658-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208606PMC
September 2018

The California Competitive Model: How Has It Fared, And What's Next?

Health Aff (Millwood) 2018 09;37(9):1417-1424

Jack Zwanziger is a professor of health policy and administration at the University of Illinois at Chicago.

California became very successful in controlling rising health care costs by promoting price competition through market-based, managed care policies. However, recent data reveal that the state has not been able sustain its initial success in controlling growth in hospital prices. Two powerful trends emerged in California that eroded the conditions needed to sustain price competition. Read More

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http://dx.doi.org/10.1377/hlthaff.2018.0418DOI Listing
September 2018
9 Reads

The Protection of Patients Under the Clayton Act.

Fordham Law Rev 2018 Apr;86(5):2473-509

The vast consolidation among health-care providers in the aftermath of the Affordable Care Act's enactment has led to much debate over the benefits of mergers in the health-care industry. In 2016, the Federal Trade Commission filed motions in federal court to enjoin three hospital mergers in various parts of the country. This amounted to more challenges to hospital mergers in a single year than any year in recent history. Read More

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Antitrust, Market Exclusivity, and Transparency in the Pharmaceutical Industry.

JAMA 2018 06;319(22):2271-2272

Rutgers Law School, Rutgers University, Camden, New Jersey.

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http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.20
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http://dx.doi.org/10.1001/jama.2018.3478DOI Listing
June 2018
3 Reads

Effect of Practice Ownership on Work Environment, Learning Culture, Psychological Safety, and Burnout.

Ann Fam Med 2018 Apr;16(Suppl 1):S44-S51

Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, Virginia.

Purpose: Physicians have joined larger groups and hospital systems in the face of multiple environmental challenges. We examine whether there are differences across practice ownership in self-reported work environment, a practice culture of learning, psychological safety, and burnout.

Methods: Using cross-sectional data from staff surveys of small and medium-size practices that participated in EvidenceNOW in Virginia, we tested for differences in work environment, culture of learning, psychological safety, and burnout by practice type. Read More

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http://dx.doi.org/10.1370/afm.2198DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891313PMC
April 2018
22 Reads

Lost World: Discovering Medical Antitrust Law's Uses and Abuses.

Authors:
Donald McClarey

J Leg Med 2017 Jul-Dec;37(3-4):541-558

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http://dx.doi.org/10.1080/01947648.2017.1385042DOI Listing
February 2018

Health Care Efficiencies: Consolidation and Alternative Models vs. Health Care and Antitrust Regulation - Irreconcilable Differences?

Authors:
Michael W King

Am J Law Med 2017 Nov;43(4):426-467

Michael King, Shareholder, Brownstein Hyatt Farber Schreck, specializing in complex health care transactional and finance matters, including structuring joint ventures and management arrangements, mergers and acquisitions, and financing transactions. The author would like to thank Brownstein Shareholder Rich Benenson for his contributions on antitrust litigation, and Associate Kathleen Snow for her contributions on health care regulatory matters. The viewpoints and opinions expressed in this article do not necessarily reflect those of Brownstein or its clients.

Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, the U. Read More

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http://dx.doi.org/10.1177/0098858817753407DOI Listing
November 2017
6 Reads

Non-profit Drug Research and Development at a Crossroads.

Pharm Res 2018 Feb 7;35(3):52. Epub 2018 Feb 7.

Claude Bernard University, Laboratoire Parcours Santé Systémique EA 4129, Lyon, France.

In wealthy nations, non-profit drug R&D has been proposed to reduce the prices of medicines. We sought to review the ethical and economic issues concerning non-profit drug R&D companies, and the possible impact that their pricing strategy may have on the innovation efforts from for-profit companies targeting the same segment of the pharmaceutical market. There are two possible approaches to pricing drugs developed by non-profit R&D programs: pricing that maximises profits and "affordable" pricing that reflects the cost of manufacturing and distribution, plus a margin that ensures sustainability of the drug supply. Read More

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http://dx.doi.org/10.1007/s11095-018-2351-3DOI Listing
February 2018
9 Reads

Pharmaceuticals and Medical Devices: Business Practices.

Issue Brief Health Policy Track Serv 2017 Dec 26;2017:1-38. Epub 2017 Dec 26.

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December 2017
1 Read

Hospital Consolidation: FTC May be a Stick in the Spokes of Hospital Mergers.

Manag Care 2017 12;26(12):29-30

For instance, in the case of Sanford Health's acquisition of Mid Dakota Clinic in North Dakota, the agency challenged the deal, claiming that the merged entity would control 75% or more of primary care and other health services in the Bismarck-Mandan metropolitan area. Read More

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December 2017

Sharing, samples, and generics: an antitrust framework.

Cornell Law Rev 2017;103(1):1-64

Rutgers Law School.

Rising drug prices are in the news. By increasing price, drug companies have placed vital, even life-saving, medicines out of the reach of consumers. In a recent development, brand firms have prevented generics even from entering the market. Read More

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January 2018
1 Read

Recent Developments at DG Competition: 2016/2017.

Rev Ind Organ 2017 9;51(4):397-422. Epub 2017 Nov 9.

Directorate-General for Competition, European Commission, MADO 17/026, 1049 Brussels, Belgium.

The Directorate General for Competition at the European Commission enforces competition law in the areas of antitrust, merger control, and state aids. This year's article provides first a general presentation of the role of the Chief Competition Economist's team and surveys the main achievements of the Directorate General for Competition over 2016/2017. The article then reviews the economic work undertaken in one merger case between Dow/DuPont, which raised specific issues related to innovation, as well as in an antitrust case on parity clauses related to Amazon e-books. Read More

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http://dx.doi.org/10.1007/s11151-017-9592-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684248PMC
November 2017
5 Reads

Vertical Integration of Hospitals and Physicians: Economic Theory and Empirical Evidence on Spending and Quality.

Med Care Res Rev 2018 08 29;75(4):399-433. Epub 2017 Aug 29.

1 University of Michigan, Ann Arbor, MI, USA.

Hospital-physician vertical integration is on the rise. While increased efficiencies may be possible, emerging research raises concerns about anticompetitive behavior, spending increases, and uncertain effects on quality. In this review, we bring together several of the key theories of vertical integration that exist in the neoclassical and institutional economics literatures and apply these theories to the hospital-physician relationship. Read More

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http://dx.doi.org/10.1177/1077558717727834DOI Listing
August 2018
5 Reads

Beyond Antitrust: Health Care And Health Insurance Market Trends And The Future Of Competition.

Health Aff (Millwood) 2017 09;36(9):1572-1577

Stuart H. Altman is a professor of national health policy at the Heller School for Social Policy and Management, Brandeis University, in Waltham, Massachusetts.

The United States relies on competition to balance costs and quality in the health care system. But concentration is increasing throughout the hospital, physician, and insurer markets. Midsize community hospitals face declining demand and growing competition from both larger hospitals and smaller freestanding diagnostic and surgical centers, leaving the midsize hospitals vulnerable to closure or merger with other facilities. Read More

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http://dx.doi.org/10.1377/hlthaff.2017.0555DOI Listing
September 2017

Coping With Concentration.

Authors:
Thomas L Greaney

Health Aff (Millwood) 2017 09;36(9):1564-1571

Thomas L. Greaney is a professor at the University of California Hastings College of Law, in San Francisco. At the time of this work, he was the Chester A. Myers Professor of Law at Saint Louis University School of Law, in Missouri.

Provider market power is a powerful driver of high health care costs in the United States. Despite decades of antitrust litigation and regulatory interventions, the problem has worsened and threatens to undermine the benefits of market-based policies. A critical but neglected challenge for all health care reform proposals relying on market competition to address costs is finding effective tools to address the extant market power of dominant hospitals, hospital systems, and many specialty physician practices. Read More

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http://dx.doi.org/10.1377/hlthaff.2017.0558DOI Listing
September 2017
3 Reads

Physician Practice Consolidation Driven By Small Acquisitions, So Antitrust Agencies Have Few Tools To Intervene.

Health Aff (Millwood) 2017 09;36(9):1556-1563

Christopher Ody is a research assistant professor in the Kellogg School of Management, Northwestern University.

The growing concentration of physician markets throughout the United States has been raising antitrust concerns, yet the Department of Justice and the Federal Trade Commission have challenged only a small number of mergers and acquisitions in this field. Using proprietary claims data from states collectively containing more than 12 percent of the US population, we found that 22 percent of physician markets were highly concentrated in 2013, according to federal merger guidelines. Most of the increases in physician practice size and market concentration resulted from numerous small transactions, rather than a few large transactions. Read More

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http://dx.doi.org/10.1377/hlthaff.2017.0054DOI Listing
September 2017
1 Read

Corporate Investors Increased Common Ownership In Hospitals And The Postacute Care And Hospice Sectors.

Health Aff (Millwood) 2017 09;36(9):1547-1555

David G. Stevenson is an associate professor in the Department of Health Policy, Vanderbilt University School of Medicine.

The sharing of investors across firms is a new antitrust focus because of its potential negative effects on competition. Historically, the ability to track common investors across the continuum of health care providers has been limited. Thus, little is known about common investor ownership structures that might exist across health care delivery systems and how these linkages have evolved over time. Read More

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http://dx.doi.org/10.1377/hlthaff.2017.0591DOI Listing
September 2017
36 Reads

Health Care Market Concentration Trends In The United States: Evidence And Policy Responses.

Authors:
Brent D Fulton

Health Aff (Millwood) 2017 09;36(9):1530-1538

Brent D. Fulton is an assistant adjunct professor in the School of Public Health at the University of California, Berkeley.

Policy makers and analysts have been voicing concerns about the increasing concentration of health care providers and health insurers in markets nationwide, including the potential adverse effect on the cost and quality of health care. The Council of Economic Advisers recently expressed its concern about the lack of estimates of market concentration in many sectors of the US economy. To address this gap in health care, this study analyzed market concentration trends in the United States from 2010 to 2016 for hospitals, physician organizations, and health insurers. Read More

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http://dx.doi.org/10.1377/hlthaff.2017.0556DOI Listing
September 2017

Hospital and Health Insurance Markets Concentration and Inpatient Hospital Transaction Prices in the U.S. Health Care Market.

Authors:
Seidu Dauda

Health Serv Res 2018 04 11;53(2):1203-1226. Epub 2017 May 11.

World Bank Group, MC3-401, 1818 H Street NW, Washington, DC.

Objective: To examine the effects of hospital and insurer markets concentration on transaction prices for inpatient hospital services.

Data Sources: Measures of hospital and insurer markets concentration derived from American Hospital Association and HealthLeaders-InterStudy data are linked to 2005-2008 inpatient administrative data from Truven Health MarketScan Databases.

Study Design: Uses a reduced-form price equation, controlling for cost and demand shifters and accounting for possible endogeneity of market concentration using instrumental variables (IV) technique. Read More

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http://dx.doi.org/10.1111/1475-6773.12706DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867178PMC
April 2018
29 Reads

Patient Inducements - High Graft or High Value?

N Engl J Med 2017 Mar;376(12):1107-1109

From the Robert Wood Johnson Foundation Clinical Scholars Program, University of Pennsylvania (K.H.C., D.A.A., D.T.G.), and the Cpl. Michael J. Crescent Veterans Affairs Medical Center (K.H.C., D.A.A.) - both in Philadelphia.

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http://dx.doi.org/10.1056/NEJMp1613274DOI Listing

Pharmaceuticals and Medical Devices: Business Practices.

Issue Brief Health Policy Track Serv 2016 Dec 27;2016:1-38. Epub 2016 Dec 27.

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December 2016
7 Reads

Business of Health: Business of Health Insurance.

Issue Brief Health Policy Track Serv 2016 Dec 27;2016:1-76. Epub 2016 Dec 27.

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December 2016
10 Reads

Bib Pharma Monopoly: Why Consumers Keep Landing on "Park Place" and How the Game is Rigged.

Authors:
Mark S Levy

Am Univ Law Rev 2016;66(1):247-303

Now, more than ever before, pharmacologists are contributing medical advances to confront ravaging disease. They are developing drugs to mitigate the effects of Alzheimer’s, HIV, multiple sclerosis, and various forms of cancer. To capitalize on the opportunity, brand-name pharmaceutical firms are patenting these drugs, consequently guarding formulas and, with it, profits. Read More

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March 2017
6 Reads

Anthem sees Trump's DOJ as its wingman.

Mod Healthc 2017 Feb;47(9):13

It reads like an ugly divorce. Court records show two former partners accusing each other of lies and sabotage. Read More

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February 2017

The engagements and eventual breakups of the insurance giants.

Mod Healthc 2017 Feb;47(8):12-13

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February 2017

Emboldened, the FTC Seems Ready to Fight More Mergers.

Manag Care 2016 11;25(11):13-14

A court ruling to block a merger in central Pennsylvania could mean more FTC sticks in the spokes of health care system mergers. Read More

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November 2016

A License to Labor.

Authors:
Suzanne Weiss

State Legis 2017 01;43(1):20-3

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January 2017
1 Read

Reply to: Need for improvements in reported cost-effectiveness of adalimumab in rheumatoid arthritis.

Z Rheumatol 2017 03;76(2):185

Department of Medicine, Justus Liebig University Giessen, Giessen, Germany.

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http://dx.doi.org/10.1007/s00393-016-0256-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344950PMC

Aetna's antitrust defeat may signal the end of health insurance mega-mergers.

Mod Healthc 2017 Jan;47(5):8-9

The Aetna-Humana antitrust ruling will complicate any deal involving health insurers with significant Medicare Advantage holdings. That combined with the uncertain future of the ACA mean the industry is likely to see a wave of smaller tie-ups. Read More

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January 2017
1 Read

States sue generic drug makers for alleged price fixing.

Authors:
Michael McCarthy

BMJ 2016 Dec 19;355:i6764. Epub 2016 Dec 19.

Seattle.

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http://dx.doi.org/10.1136/bmj.i6764DOI Listing
December 2016
3 Reads

Quantifying Geographic Variation in Health Care Outcomes in the United States before and after Risk-Adjustment.

PLoS One 2016 14;11(12):e0166762. Epub 2016 Dec 14.

The Alerion Institute and Alerion Advisors, LLC, North Garden, Virginia, United States of America.

Background: Despite numerous studies of geographic variation in healthcare cost and utilization at the local, regional, and state levels across the U.S., a comprehensive characterization of geographic variation in outcomes has not been published. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0166762PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5156342PMC
July 2017
54 Reads

Fighting Merger Mania in Health Insurance.

Authors:

Consum Rep 2016 Nov;81(11):10

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November 2016

The CareFirst Patient-Centered Medical Home Program: Cost and Utilization Effects in Its First Three Years.

J Gen Intern Med 2016 11 29;31(11):1382-1388. Epub 2016 Jul 29.

Center for Health Policy Research and Ethics, George Mason University, Fairfax, VA, USA.

Background: Enhanced primary care models have diffused slowly and shown uneven results. Because their structural features are costly and challenging for small practices to implement, they offer modest rewards for improved performance, and improvement takes time.

Objective: To test whether a patient-centered medical home (PCMH) model that significantly rewarded cost savings and accommodated small primary care practices was associated with lower spending, fewer hospital admissions, and fewer emergency room visits. Read More

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http://dx.doi.org/10.1007/s11606-016-3814-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5071295PMC
November 2016
6 Reads

The Radiation Oncology Job Market: The Economics and Policy of Workforce Regulation.

Int J Radiat Oncol Biol Phys 2016 11 8;96(3):501-10. Epub 2016 Jun 8.

Massachusetts General Hospital, Boston, Massachusetts.

Examinations of the US radiation oncology workforce offer inconsistent conclusions, but recent data raise significant concerns about an oversupply of physicians. Despite these concerns, residency slots continue to expand at an unprecedented pace. Employed radiation oncologists and professional corporations with weak contracts or loose ties to hospital administrators would be expected to suffer the greatest harm from an oversupply. Read More

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http://dx.doi.org/10.1016/j.ijrobp.2016.05.029DOI Listing
November 2016
10 Reads

FTC loss may spur more hospital deals.

Authors:
Lisa Schencker

Mod Healthc 2016 Jun;46(25):12

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June 2016
2 Reads

Stakeholders' expectations and perceived effects of the pharmacy ownership liberalization reform in Sweden: a qualitative interview study.

BMC Health Serv Res 2016 08 12;16(1):379. Epub 2016 Aug 12.

Department of Pharmacy, University of Copenhagen, Universitetsparken 2, 2100, København Ø, Denmark.

Background: Reforms in the health-care sector, including the pharmacy sector, can have different rationales. The Swedish pharmacies were prior to 2009 organized in a state-owned monopoly. In 2009, a liberalization of the ownership took place, in which a majority of the pharmacies were sold to private owners. Read More

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http://dx.doi.org/10.1186/s12913-016-1637-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983002PMC
August 2016
1 Read

Understanding specialist sharing: A mixed-method exploration in an increasingly price-competitive hospital market.

Soc Sci Med 2016 08 14;162:133-42. Epub 2016 Jun 14.

Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, the Netherlands. Electronic address:

Introduction: Medical specialists seem to increasingly work in- and be affiliated to- multiple organizations. We define this phenomenon as specialist sharing. This form of inter-organizational cooperation has received scant scholarly attention. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02779536163030
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http://dx.doi.org/10.1016/j.socscimed.2016.06.019DOI Listing
August 2016
8 Reads
2.890 Impact Factor

It's Important to Be Aware of Antitrust Law; What You Must Know to Keep Out of Trouble.

Authors:

J Mich Dent Assoc 2016 Apr;98(4):10-1

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Managing risk in today's healthcare M&A transaction.

Authors:
Richard J Zall

Healthc Financ Manage 2016 Apr;70(4):56-64

Beyond customary business diligence, mergers in the healthcare arena must clear an array of federal and state regulatory hurdles and compliance risks that have grown more pronounced in recent years. Primary challenge are posed by: Antitrust issues. Licensing and compliance practices. Read More

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April 2016
1 Read

Pharmaceuticals and Medical Devices: Business Practices.

Issue Brief Health Policy Track Serv 2015 Dec:1-37

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December 2015
1 Read

Cost-effectiveness of adalimumab for rheumatoid arthritis in Germany.

Z Rheumatol 2016 Dec;75(10):1006-1015

General Medicine, Justus Liebig University Giessen, Giessen, Germany.

Background: In Germany, the clinical use of TNF-α inhibitors in the therapy of rheumatoid arthritis (RA) grew from 2 % of treated patients in 2000 to 20 % in 2008. In 2012, adalimumab was the bestselling drug in the statutory health insurance system with net expenditure of € 581 mio.

Objectives: We aim to analyze the cost-effectiveness of adalimumab for the treatment of RA in Germany. Read More

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http://dx.doi.org/10.1007/s00393-016-0071-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127857PMC
December 2016
2 Reads

The Economics of Medicare Accountable Care Organizations.

Am Health Drug Benefits 2016 Feb;9(1):11-9

Professor of Economics, Widener University, Chester, PA.

Background: Accountable care organizations (ACOs) have been created to improve patient care, enhance population health, and reduce costs. Medicare in particular has focused on ACOs as a primary device to improve quality and reduce costs.

Objective: To examine whether the current Medicare ACOs are likely to be successful. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822974PMC
February 2016
3 Reads