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医疗行业的反垄断执法:国家活动范围的扩大。

Antitrust enforcement in the healthcare industry: the expanding scope of state activity.

作者信息

Hellinger F J

机构信息

Center for Organization and Delivery Studies, Agency for Health Care Policy and Research, Rockville, MD 20852, USA.

出版信息

Health Serv Res. 1998 Dec;33(5 Pt 2):1477-94.

PMID:9865230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1070330/
Abstract

OBJECTIVE

To describe the landscape of state antitrust activity and review related research and policy issues. In particular, to examine state laws that attempt to immunize mergers among healthcare providers from state and federal antitrust prosecution and consent decrees issued by state attorneys general permitting healthcare providers to merge.

DATA SOURCES

State laws attempting to immunize collaborative activities from state and federal antitrust prosecution and consent decrees between state attorneys general and collaborating healthcare providers.

PRINCIPAL FINDINGS

State antitrust agencies have been more willing than federal antitrust agencies to approve mergers that are contingent on the fulfillment of specific conditions that require continued oversight.

CONCLUSIONS

Research is needed to inform policymakers about the consequences of state-approved mergers on market performance.

摘要

目的

描述州反垄断活动的概况,并回顾相关研究及政策问题。特别是,审视那些试图使医疗服务提供商之间的合并免受州和联邦反垄断起诉的州法律,以及州检察长发布的允许医疗服务提供商合并的同意令。

数据来源

试图使合作活动免受州和联邦反垄断起诉的州法律,以及州检察长与合作医疗服务提供商之间的同意令。

主要发现

与联邦反垄断机构相比,州反垄断机构更愿意批准那些取决于特定条件的满足且需要持续监督的合并。

结论

需要开展研究,以便让政策制定者了解州批准的合并对市场表现的影响。

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本文引用的文献

1
The effects of hospital competition and the Medicare PPS program on hospital cost behavior in California.医院竞争和医疗保险按病种付费计划对加利福尼亚州医院成本行为的影响。
J Health Econ. 1988 Dec;7(4):301-20. doi: 10.1016/0167-6296(88)90018-5.
2
Promises, promises. Hospitals are using price-control pledges to win antitrust clearance from states, but the feds are wary.承诺,不过是空口承诺罢了。医院利用价格控制承诺来赢得各州的反垄断批准,但联邦政府对此持谨慎态度。
Mod Healthc. 1996 Feb 19;26(8):26-8, 30, 32.
3
N.C. hospitals' antitrust victory looks hollow.北卡罗来纳州医院的反垄断胜利看似空洞。
Mod Healthc. 1996 Jan 1;26(1):6, 14.
4
The effects of market structure and bargaining position on hospital prices.市场结构与议价能力对医院价格的影响。
J Health Econ. 1992 Oct;11(3):217-33. doi: 10.1016/0167-6296(92)90001-h.
5
Development of provider networks for specific diseases.针对特定疾病的医疗服务提供网络的发展。
J Health Care Finance. 1995 Winter;22(2):27-41.
6
Hospital behavior under competition and cost-containment policies. The California experience, 1980 to 1985.竞争与成本控制政策下的医院行为。加利福尼亚州的经验,1980年至1985年。
JAMA. 1988 Nov 11;260(18):2669-75.
7
Competition and cost containment in California: 1980-1987.加利福尼亚州的竞争与成本控制:1980 - 1987年
Health Aff (Millwood). 1989 Summer;8(2):129-36. doi: 10.1377/hlthaff.8.2.129.