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Cost, Quality, and Utilization After Hospital-Physician and Hospital-Post Acute Care Vertical Integration: A Systematic Review. | LitMetric

AI Article Synopsis

  • Vertical integration in health systems, where different healthcare sectors are owned together, is on the rise in the U.S., focusing on hospital-physician and hospital-post-acute care (PAC) models.
  • Research shows that hospital-physician integration leads to higher healthcare costs, though its impact on quality and services used is still unclear.
  • The effects of hospital-PAC integration on costs, quality, and utilization are uncertain, particularly for hospital-skilled nursing facility (SNF) connections, indicating potential concerns for policymakers regarding affordable healthcare.

Article Abstract

Vertical integration of health systems-the common ownership of different aspects of the health care system-continues to occur at increasing rates in the United States. This systematic review synthesizes recent evidence examining the association between two types of vertical integration-hospital-physician ( = 43 studies) and hospital-post-acute care (PAC; = 10 studies)-and cost, quality, and health services utilization. Hospital-physician integration is associated with higher health care costs, but the effect on quality and health services utilization remains unclear. The effect of hospital-PAC integration on these three outcomes is ambiguous, particularly when focusing on hospital-SNF integration. These findings should raise some concern among policymakers about the trajectory of affordable, high-quality health care in the presence of increasing hospital-physician vertical integration but perhaps not hospital-PAC integration.

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Source
http://dx.doi.org/10.1177/10775587241247682DOI Listing

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