Diagnosing Hospital System Bargaining Power in Managed Care Networks
研究了医院系统成员身份如何影响医院与管理式医疗组织之间的谈判，发现系统医院通过议价能力而非市场集中度获取更高价格，对理解谈判定价市场有重要意义。
We investigate the impact of hospital system membership on negotiations between hospitals and managed care organizations (MCOs). Previous research finds that system hospitals secure higher reimbursements by exploiting local market concentration. By leveraging system membership in the bargaining game, however, system hospitals may also extract a higher percentage of their value to an MCO. Our findings reveal that more of the observed price gap between system and nonsystem hospitals can be attributed to bargaining power differences than to differences linked to relative concentration. These results highlight the importance of explicitly modeling the bargaining process when evaluating negotiated-price markets more generally.