Strategic Intent of Hospital Mergers and Acquisitions: Then and Now
DOI:
https://doi.org/10.14738/abr.1401.19813Keywords:
US hospitals, mergers and acquisitions, healthcare ecosystem, system reform, population healthAbstract
The hospital mergers-and-acquisitions (M&A) trend is reviewed in terms of duration in and impact on US health care. This information supports an understanding of the strategic intent of M&As. Hospital mergers and acquisitions fostered the creation of integrated delivery networks to enhance competitive and volume-profit capacity. The value of this initial strategic intent is discussed in relation to today’s emerging population-community health and health status emphasis. Subsequent insights foster views about future expectations of and behaviors from the national system. M&As are projected to continue albeit with an expanded focus on population and community health services.
References
Gaynor, M., & Town, R. J. (2012). The impact of hospital consolidation - Update. The Robert Wood Johnson Foundation, Synthesis Project Report No. 16. https://www.rwjf.org
Kaufman Hall. (2021). 2021 M&A in review: A new landscape of opportunity. Kaufman Hall. https://www.kaufmanhall.com Scholar Publishing
Walter, G. A., & Barney, J. B. (1990). Research notes and communications: Management objectives in mergers and acquisitions. Strategic Management Journal, 11, 79-86.
Postma, J., & Roos, A. (2016). Why healthcare providers merge. Health Economics, Policy and Law, 11(2), 121–140. https://doi.org/10.1017/S1744133115000367
Rosecrance, R. (2005). Mergers and acquisitions. The National Interest, 80(Summer), 65-73.
Kassirer, J. P. (1996), Mergers and acquisitions: Who benefits? Who Loses? New England Journal of Medicine, 334(11). 722-723.
Cutler, D. M., & Scott Morton, F. M. (2013). Hospitals, market share, and consolidations. Journal of the American Medical Association, 310(18), 1964–1970. https://doi.org/10.1001/jama.2013.281675
Matthews, T. F. (2023). The merger synergy alignment process (MSAP): Improving healthcare merger synergies post-acquisition. MGMA Connection, October, 86–94.
Dafny, L. S., & Lee, T. H. (2015). The good merger. New England Journal of Medicine, 372(22), 2077–2079. https://doi.org/10.1056/NEJMp1502442
Feyman, Y., & Hartley, J. (2016). The perils of hospital consolidation. National Affairs, 28, 53–66. https://www.nationalaffairs.com/publications/detail/the-perils-of-hospitalconsolidation
Shreffler, M. J. (1996). An ecological of the rural environment: Levels of influence on access to health care. Advances in Nursing Science 18(4), 48-59.
Wolf, I. D., & Pope, T. M. (2020). Hospital mergers and conscience-based objections: Growing threats to access and quality of care. New England Journal of Medicine, 382(15), 1388-1389.
Brown, C. B., Werling, K. A., Walker, B. C., Burgdorfer, R. J., & Shields, J. J. (2012) Current trends in hospital mergers and acquisitions. Healthcare Financial Management, 114-120.
Dafny, L. S. (2014). Hospital industry consolidation: Still more to come? New England Journal of Medicine, 370(3), 198-199.
Kadakia, K.T., Cipriano, C. B., & Chokshi, D. A., (2024). Public health and care delivery: A common destiny. NEJM Catalyst, (July 17).
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