Tag Archives: consolidation

Federal judge sides with DOJ, blocking Aetna-Humana merger

Medicare Advantage 2016 Spotlight: Enrollment Market Update, by Gretchen Jacobson, Giselle Casillas, Anthony Damico, Tricia Neuman and Marsha Gold for the Kaiser Family Foundation, May 11, 2016.

Medicare Advantage 2016 Spotlight: Enrollment Market Update, by Gretchen Jacobson, Giselle Casillas, Anthony Damico, Tricia Neuman and Marsha Gold for the Kaiser Family Foundation, May 11, 2016.

U.S. District Judge John D. Bates on Monday sided with the Department of Justice to block the merger of Aetna and Humana. The ruling is being called a victory for members of Medicare Advantage (MA) plans, since Aetna and Humana — two of the nation’s largest health insurers would, as a combined company, have owned the biggest share of the Medicare Advantage market, The Wall Street Journal reported.

For journalists covering health insurance in their cities and states, there’s a story on how the merger would have affected competition in states where the two companies compete. Continue reading

#AHCJ16 session to tackle how consumers might benefit if they shop for care based on price

Source: Health Care Pricing ProjectResearch from the Health Care Pricing Project shows that among 15 hospitals in Philadelphia, the price of a lower-limb MRI varied so much that a consumer going to the highest-priced hospital would pay six times more than that same consumer would pay at the lowest-priced hospital.

Source: Health Care Pricing ProjectResearch from the Health Care Pricing Project shows that among 15 hospitals in Philadelphia, the price of a lower-limb MRI varied so much that a consumer going to the highest-priced hospital would pay six times more than that same consumer would pay at the lowest-priced hospital.

It’s no secret that health care prices nationwide vary widely from one market to the next, and even within individual markets. A panel on hospital mergers during AHCJ’s Health Journalism 2016 conference in Cleveland will examine the many factors driving these variations in hospital prices. We’ll also discuss how consumers can shop more effectively for the lowest-priced care.

The session, “Merger mania of health providers and the rise of dominant and potential monopolies,” will be 4:40-6 p.m. on Saturday, April 9. Continue reading

Conference session will explore the hidden costs of hospital consolidation #AHCJ16

Zack Cooper

Zack Cooper

Research from the Health Care Pricing Project shows that when hospitals have a monopoly in a market, prices are 15.3 percent higher than prices in hospitals where there are four or more hospitals, even after controlling for costs in those markets.

No doubt there’ll be lots of talk about hospital consolidations at AHCJ’s upcoming Health Journalism 16 conference in Cleveland. At one session in particular, Zack Cooper, Ph.D., an assistant professor of health policy and of economics at Yale University, will talk about the research he and his colleagues published last year on how hospital consolidations affect what hospitals charge consumers and insurers. Continue reading

Here’s some guidance on understanding the hospital consolidation trend

Photo: Mark via Flickr

Photo: Mark via Flickr

Hospitals have been merging and acquiring physician practices at a breakneck pace. They say it’s what they have to do to save money on big-ticket items like health care information technology, and to move toward the coordinated care models encouraged by the Affordable Care Act.

But insurers, state attorneys general and federal antitrust enforcers have a different take. They say consolidation can give hospitals monopoly power to drive up prices and hurt consumers. Continue reading

Many angles to consider when covering insurance company mergers

One big story health care journalists can pursue this year is whether federal and state regulators will approve the three pending health insurance company mergers. If they approve the proposals by Anthem to acquire Cigna, Aetna to buy Humana and Centene to purchase Health Net, we’ll cover what concessions regulators will require and how the mergers will affect health insurance markets. Continue reading