http://www.beckershospitalreview.com/lists/15-largest-health-systems-in-the-u-s-june15.html
Tag Archives: Market Consolidation
Appeals court blocks Penn State Hershey Medical Center-PinnacleHealth merger
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.
California Health Care Foundation – Regional Markets Issue Brief (June 2016)
Click to access PDF%20AlmanacRegMktBriefOrange2016.pdf
Orange County: Changing Market Fuels New Models of Provider Collaboration
http://www.chcf.org/publications/2016/06/regional-market-orange
Empire Building by the Bay: Consolidating Control of Hospitals and Physician Organizations in the Bay Area
California Health Care Foundation – Regional Markets Issue Brief (January 2016)
Click to access PDF%20AlmanacRegMktBriefSanFran16.pdf
SAN FRANCISCO BAY AREA: MAJOR PLAYERS DRIVE REGIONAL NETWORK DEVELOPMENT
http://www.chcf.org/publications/2016/01/regional-market-san-francisco
AMA: Insurance megamergers ‘threaten healthcare access, quality and affordability’
- The merger of health insurance giants “would significantly compromise market competition in the health insurance industry and threaten health care access, quality and affordability,” the president of the AMA said as the group released new analyses of the mergers.
- In the analysis, the AMA claims the Anthem-Cigna merger would diminish competition in 121 metro areas across 14 states, and that the Aetna-Humana merger would diminish it in 51 metro areas across 15 states.
- The studies also note an “unprecedented lack of competition” that already exists in many states, the AMA says.
http://www.ama-assn.org/ama/pub/news/news/2016/2016-09-21-ama-analyses-support-blocking-mergers.page
The Missing Debate Over Rising Health-Care Deductibles
Progressives push for ‘public option’ health plan
http://www.usatoday.com/story/news/2016/09/15/progressives-push-public-option-health-plan/90375964/
Progressive senators and activists are launching a campaign Thursday calling for every American to have the choice of a public health insurance option.
Four Delaware health systems form new alliance
The new eBrightHealth is a partnership of Christiana Care Health System, Bayhealth Medical Center, Beebe Healthcare and Nanticoke Health Services
EBrightHealth dovetails with the health care reform the state is undertaking with the Delaware Center for Health Innovation, officials say. It also builds on the relationships the systems have established over the last year as they participate in the statewide Quality Partners Accountable Care Organization.
The ACO focuses on creating more comprehensive care and cost-savings for Medicare patients. As Nevin said, it’s designed to reward hospitals for disrupting their business model by encouraging them to find ways to keep people healthier so they don’t need emergency rooms or hospital admission.
Christiana Care’s Care Link program is an example of what has come out of the ACO. Carelink identifies complex patients who are high-risk, for example those who do not have access to primary care, and connects them to physicians who will reach out and find out what their needs are.
Social workers, pharmacists, behavioral health therapists and nurses are all involved.
EBrightHealth is modeled after initiatives such as AllSpire Health Partners, which is a consortium of seven New Jersey and Pennsylvania hospital systems. That organization is three years old.
Aetna faces probe over ‘politically motivated’ Obamacare exit
- A group of senators is seeking answers from Aetna about its abrupt decision to leave the ACA marketplaces following the DOJ’s challenge to the company’s proposed $37 billion merger with Humana.
- The letter came Thursday from Senators Elizabeth Warren (D-Mass.), Bernie Sanders (I-Vt.), Edward J. Markey (D-Mass.), Sherrod Brown (D-Ohio), and Bill Nelson (D-Fla.).
- While other insurers have also scaled back their ACA participation, the probe into Aetna comes in response to a letter from Aetna CEO Mark Bertolini in which the company is perceived to have directly threatened the government that it would leave the exchanges if the merger was not approved.
HENRY KOTULA 