Is antitrust the answer to hospital consolidation?

Is antitrust the answer to hospital consolidation?

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robust literature on the benefits of competition in the health care marketplace shows that when health care markets are competitive, prices tend to be lower, quality tends to be higher, and people have more choices for care. Competition is a remarkably powerful tool that needs to be wielded more effectively. The good news is that ensuring competition is already the law of the land. The problem is that with the pace of consolidation, monitoring potential anticompetitive effects will be increasingly difficult as the FTC is tasked with examining a rapidly increasing number of mergers. The FTC needs renewed focus from policy makers to ensure that it can do its job effectively.

Catholic Health Initiatives, Dignity Health in Merger Talks

http://www.wsj.com/articles/catholic-health-initiatives-dignity-health-in-merger-talks-1477335251

Catholic Health Initiatives operates in 18 states, but not in Arizona, California and Nevada, where Dignity Health operates its hospitals. Above, Dignity Health California Hospital Medical Center in downtown Los Angeles.

Hospital operator Catholic Health Initiatives, which has struggled after rapid expansion and a foray into health insurance, is in merger talks with Dignity Health to create one of the nation’s largest nonprofit hospital systems by revenue.

Catholic Health Initiatives and Dignity Health said in a statement they are in talks regarding “aligning their organizations.” A person familiar with the matter said the talks involve a merger.

The deal would combine 103 hospitals owned by Catholic Health Initiatives, based in Englewood, Colo., with 39 hospitals operated by San Francisco-based Dignity Health. Combined revenue for the new organization would reach $27.8 billion annually, based on the most recent financial statements.

Healthcare mergers and acquisitions in 2016: Running list

http://www.healthcarefinancenews.com/slideshow/healthcare-mergers-and-acquisitions-2016-running-list?mkt_tok=eyJpIjoiWlRkaE16VTBPRGhrTmpWbSIsInQiOiIxRk44S3JKdEd3Mzl5czNscEJZNjI1N210RWE0b0RxNWd3RHhoZUg2TXJCM3U2QnZJWm1VcFhMS2daQ1pmRzEyTG5DU2E0cWFCdGtWQlJKS0N0NE51Y2FubWdZbWptcTRhVHRZaTZJNDM1VT0ifQ%3D%3D

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Dignity Health, CHI Explore ‘Alignment’

http://www.healthleadersmedia.com/leadership/dignity-health-chi-explore-alignment?spMailingID=9754012&spUserID=MTMyMzQyMDQxMTkyS0&spJobID=1021982472&spReportId=MTAyMTk4MjQ3MgS2#

 

 

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Potential merger would create a one of the nation’s largest non-profit health systems, with more than 140 hospitals and hundreds of clinics and physicians’ offices in two dozen states.

DOJ says Aetna, Humana are trying to derail antitrust case

http://www.bizjournals.com/louisville/news/2016/10/11/doj-says-aetna-humana-are-trying-to-derail.html

Lawyers for the U.S. Department of Justice say Aetna Inc. and Humana Inc are trying to derail the government's antitrust challenge of Aetna's proposed $37 billion acquisition of Humana.

Lawyers for the U.S. Department of Justice say Aetna Inc. and Humana Inc are trying to derail the government’s antitrust challenge of Aetna’s proposed $37 billion acquisition of Louisville-based Humana.

This comes after lawyers for the companies accused the DOJ with “serious delay and misconduct” last week. The companies requested sanctions, claiming that the government withheld about 1 million documents and that this had “gravely undermined” the companies’ ability to mount a defense against claims that the acquisition would hurt competition.

The National Law Journal reports that the government’s response came Saturday in a court filing, in which it said the DOJ has tried to accommodate the “broad and extremely burdensome discovery demand” from Aetna (NYSE: AET) and Humana (NYSE: HUM) on the U.S. Department of Health and Human Services.

The government called the request for sanctions “a transparent attempt to derail the United States’ merger challenge before the district court ever hears from a single witness or reviews any evidence,” the law journal reported.

At issue is how much market share the combined company would control in Medicare Advantage, a type of Medicare plan offered by a private insurer. A court date is set for Dec. 5, 2016, and the judge says a decision isn’t likely until mid-January 2017 — past the companies’ end-of-year deadline to close the deal.

Appeals court blocks Penn State Hershey Medical Center-PinnacleHealth merger

http://www.healthcarefinancenews.com/news/appeals-court-blocks-penn-state-hershey-medical-center-pinnaclehealth-merger?mkt_tok=eyJpIjoiTmpFeVkyVmtOekV4T1RsaiIsInQiOiJ1OTFiZkM3OTFlK2J6OU02Umg1anFrQWRWWlAwOU9PUEtDZUNDbjJPVTl1U2xkemFSMVEwcWVPVm8yS0x6RnV6NDBJV2NndGZUU3lxZjdyRnllbEJZVXJYcE1TTDlZdzlrbEREK2RWNHNlbz0ifQ%3D%3D

A federal appeals court has reversed a lower court ruling and ordered a preliminary injunction against the proposed Penn State Hershey Medical Center-PinnacleHealth System system merger.

The 3rd U.S. Circuit Court of Appeals in Philadelphia voted in favor of the injunction, which reversed a May decision by a federal judge, saying the U.S. Federal Trade Commission and Pennsylvania officials would likely be successful in showing the merger could cause price hikes for patients and would harm competition, according to the decision.

The injunction will allow the FTC to further review the proposed merger, would mean the combined system would garner support 76 percent of the population around Harrisburg.

Geisinger to buy medical school, insiders say deal will close by 2017

http://www.beckershospitalreview.com/hospital-physician-relationships/geisinger-to-buy-medical-school-insiders-say-deal-will-close-by-2017.html

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http://citizensvoice.com/news/geisinger-agrees-to-purchase-the-commonwealth-medical-college-1.2096559

Danville, Pa.-based Geisinger Health System has plans to purchase Scranton, Pa.-based The Commonwealth Medical College, reports The Citizens’ Voice.

The new medical school will be dubbed the Geisinger Commonwealth College of Medicine.

Geisinger President and CEO David Feinberg, MD, and TCMC President and Dean Steven Scheinman, MD, will officially announce the deal during a conference at the medical school Sept. 28.

Though Geisinger’s board and TCMC’s board have approved the acquisition, it still awaits regulatory approval. The deal is expected to be complete by Jan. 1, 2017.

TCMC, which currently has 480 students, opened its doors in 2009. By 2011, the Liaison Committee on Medical Education put it on probation due to financial struggles. Though TCMC considered affiliating with the University of Scranton (Pa.), talks dissolved in 2012. The LCME lifted its probation a few months later.

 

Chinese billionaire ups stake in CHS for $31.9M

http://www.beckershospitalreview.com/finance/chinese-billionaire-ups-stake-in-chs-for-31-9m.html

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Chinese billionaire Tianqiao Chen has a more than 12.9 percent stake in Community Health Systems after recently buying nearly 3.5 million more shares of the Franklin, Tenn.-based for-profit hospital operator, according to a recent Securities and Exchange Commission filing.

Mr. Chen and his group of companies paid just over $9 on average per share, bringing the total price of the transaction to $31.94 million.

A pioneer in China’s online gaming industry, Mr. Chen’s net worth is estimated by Forbes to be at more than $1 billion.

Mr. Chen, who began buying CHS at the end of the second quarter, upped his stake in the company as it is exploring options with financial sponsors. Private equity firm Apollo Global Management is reportedly in discussions to acquire CHS’ assets. Some real estate investment trusts are also interested in the company’s assets, people familiar with the matter told Reuters.

Troubled hospital giant CHS looking to sell its business

http://www.modernhealthcare.com/article/20160916/NEWS/160919916/troubled-hospital-giant-chs-looking-to-sell-its-business

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Earlier this month, Modern Healthcare reported that CHS plans to sell more than the 12 hospitals it has for sale, quoting CFO Larry Cash speaking at the Wells Fargo Securities Healthcare Conference in Boston.

Cash said they are getting interest in additional hospitals. And after examining its portfolio of 159 hospitals, it likely will see “other transactions” before the end of the year, he said.

The hospitals previously up for sale will likely be sold as part of five transactions. Not-for-profit hospital systems are among the prospective buyers, he said.

CHS is not disclosing which hospitals it is negotiating to sell. But the company said that combined, they generate annual revenue of about $1.45 billion and expect to yield net proceeds of $850 million. The proceeds will be used to reduce overall indebtedness, Cash said.

In April, CHS completed the spinoff of 38 mostly small and rural hospitals into a new public company, Quorum Health Corp. That divestiture brought about $1.2 billion in net proceeds, money that also was used to reduce debt.

Plunging earnings complicated by continued low margins at Health Management Associates hospitals that CHS purchased for $3.9 billion in 2014 has caused CHS’ stock price to plummet.

The stock traded at $60 a share a year ago.

The Missing Debate Over Rising Health-Care Deductibles

http://blogs.wsj.com/washwire/2016/09/18/the-missing-debate-over-rising-health-care-deductibles/?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_source=hs_email&utm_medium=email&utm_content=34504530&_hsenc=p2ANqtz–cbQhbJAJ2j-K8I_jQv3kzC6RJuMdvGplQjAJSD–Kc6wYpIZ2CPkYbSLYxHgIpMaHkl9CnoCCH3BO8Sf-cUroX2PTig&_hsmi=34504530