Seeking Lower Prices Where Providers Are Consolidated: An Examination of Market and Policy Strategies

Bookmark and Share

Consolidation between and among hospitals and physicians can lead to improvements in efficiency and quality of care, but it also tends to raise prices for health care services. Health care purchasers and payers can counteract providers’ pricing power through various strategies, including limiting provider networks, providing tiered benefits and other point-of-service incentives to patients, and supporting the formation of physician organizations. In some cases, government regulation—like antitrust enforcement—may be necessary.

Resource Details

Date: May 2014
Author: The Commonwealth Fund