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Retrospective Analysis of Hospital Mergers

Author

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  • Orley Ashenfelter
  • Daniel Hosken
  • Michael Vita
  • Matthew Weinberg

Abstract

Retrospective analyses of hospital mergers may be uniquely valuable because they speak directly to two important issues - the methods used for delineating relevant geographic markets in hospital merger analysis, and the implications of not-for-profit status on post-merger hospital pricing - that have been systematically misunderstood by the courts and other policy analysts, and which likely have led to systematically biased judicial decisions. By identifying these systematic analytical errors and their implications for judicial decision making, retrospective studies of consummated hospital mergers have the capacity to greatly improve the quality of future antitrust policy making.

Suggested Citation

  • Orley Ashenfelter & Daniel Hosken & Michael Vita & Matthew Weinberg, 2011. "Retrospective Analysis of Hospital Mergers," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 18(1), pages 5-16.
  • Handle: RePEc:taf:ijecbs:v:18:y:2011:i:1:p:5-16
    DOI: 10.1080/13571516.2011.542951
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    References listed on IDEAS

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    1. Joshua D. Angrist & Jörn-Steffen Pischke, 2010. "The Credibility Revolution in Empirical Economics: How Better Research Design Is Taking the Con out of Econometrics," Journal of Economic Perspectives, American Economic Association, vol. 24(2), pages 3-30, Spring.
    2. Werden, Gregory J., 1990. "The limited relevance of patient migration data in market delineation for hospital merger cases," Journal of Health Economics, Elsevier, vol. 8(4), pages 363-376, February.
    3. John Simpson, 2003. "Geographic markets in hospital mergers: a case study," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 10(3), pages 291-303.
    4. Aviv Nevo, 2000. "Mergers with Differentiated Products: The Case of the Ready-to-Eat Cereal Industry," RAND Journal of Economics, The RAND Corporation, vol. 31(3), pages 395-421, Autumn.
    5. Cory S. Capps & David Dranove & Shane Greenstein & Mark Satterthwaite, 2001. "The Silent Majority Fallacy of the Elzinga-Hogarty Criteria: A Critique and New Approach to Analyzing Hospital Mergers," NBER Working Papers 8216, National Bureau of Economic Research, Inc.
    6. Aileen Thompson, 2011. "The Effect of Hospital Mergers on Inpatient Prices: A Case Study of the New Hanover-Cape Fear Transaction," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 18(1), pages 91-101.
    7. Aviv Nevo & Michael D. Whinston, 2010. "Taking the Dogma out of Econometrics: Structural Modeling and Credible Inference," Journal of Economic Perspectives, American Economic Association, vol. 24(2), pages 69-82, Spring.
    8. Capps, Cory & Dranove, David & Satterthwaite, Mark, 2003. "Competition and Market Power in Option Demand Markets," RAND Journal of Economics, The RAND Corporation, vol. 34(4), pages 737-763, Winter.
    9. Michael G. Vita & Seth Sacher, 2001. "The Competitive Effects of Not‐for‐Profit Hospital Mergers: A Case Study," Journal of Industrial Economics, Wiley Blackwell, vol. 49(1), pages 63-84, March.
    10. Peters, Craig, 2006. "Evaluating the Performance of Merger Simulation: Evidence from the U.S. Airline Industry," Journal of Law and Economics, University of Chicago Press, vol. 49(2), pages 627-649, October.
    11. Kenneth Elzinga & Anthony Swisher, 2011. "Limits of the Elzinga-Hogarty Test in Hospital Mergers: The Evanston Case," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 18(1), pages 133-146.
    12. Lynk, William J, 1995. "Nonprofit Hospital Mergers and the Exercise of Market Power," Journal of Law and Economics, University of Chicago Press, vol. 38(2), pages 437-461, October.
    13. Steven Tenn, 2011. "The Price Effects of Hospital Mergers: A Case Study of the Sutter-Summit Transaction," International Journal of the Economics of Business, Taylor & Francis Journals, vol. 18(1), pages 65-82.
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    Cited by:

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    2. Schmid, Andreas & Varkevisser, Marco, 2016. "Hospital merger control in Germany, the Netherlands and England: Experiences and challenges," Health Policy, Elsevier, vol. 120(1), pages 16-25.
    3. Francine Lafontaine & Margaret E. Slade, 2021. "Presumptions in Vertical Mergers: The Role of Evidence," Review of Industrial Organization, Springer;The Industrial Organization Society, vol. 59(2), pages 255-272, September.
    4. Carlton, Dennis & Israel, Mark & MacSwain, Ian & Orlov, Eugene, 2019. "Are legacy airline mergers pro- or anti-competitive? Evidence from recent U.S. airline mergers," International Journal of Industrial Organization, Elsevier, vol. 62(C), pages 58-95.
    5. Le Huubinh B. & Yimga Jules, 2019. "Market Power and Marginal Cost Effects in Competing Markets: Evidence from Airline Mergers," Review of Network Economics, De Gruyter, vol. 18(2), pages 63-108, June.
    6. Franco Mariuzzo & Peter Ormosi & Richard Havell, 2016. "What can merger retrospectives tell us?An assessment of European mergers," Working Paper series, University of East Anglia, Centre for Competition Policy (CCP) 2016-04, Centre for Competition Policy, University of East Anglia, Norwich, UK..

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