Old and New Forms of Hospital Competition: Economic and Antitrust Issues

American hospitals have undergone substantial changes in the last quarter-century due to changes in medical technology, changes in payment policies by Medicare and other third-party payers, and new forms of competition from outpatient care and specialty hospitals. Still, the future of the hospital sector is a major issue in all discussions about the future of health policy because the hospital sector remains the largest single component of all national health expenditures (31.2 percent in 2008). Hospitals also play an important role in the economies of almost all towns and cities and are often the largest employer in a metropolitan area.

Panelists at this conference will look at recent research and analysis of the hospital market with emphasis on the changing nature of competition and the role of antitrust enforcement. The country’s leading researchers on hospital economics and legal issues will present their analysis of recent changes in the hospital sector and discuss the implications for public policy. Matthew J. Reilly, assistant director of mergers at the Bureau of Competition of the Federal Trade Commission, will deliver the keynote address on the current state of antitrust policy in the health care sector.

About the Author

 

Joseph
Antos

  • Mr. Antos's research focuses on the economics of health policy—including Medicare and broader health system reform, health care financing, health insurance regulation, and the uninsured—and federal budget policy. He has written and spoken extensively on the Medicare drug benefit and has led a team of experienced independent actuaries and cost estimators in a study to evaluate various proposals to extend health coverage to the uninsured. His work on the country’s budget crisis includes a detailed plan to achieve fiscal stability and economic growth developed in conjunction with AEI colleagues.  


    Joseph Antos is also a commissioner of the Maryland Health Services Cost Review Commission and a health adviser to the Congressional Budget Office.  Before joining AEI, Mr. Antos was Assistant Director for Health and Human Resources at the Congressional Budget Office.




    Watch Mr. Antos in an interview with Bill Erwin of the Alliance for Health Reform on "Will Health Reform Reduce the Federal Deficit?"

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  • Phone: 202-862-5938
    Email: jantos@aei.org
  • Assistant Info

    Name: Catherine Griffin
    Phone: 2028625920
    Email: catherine.griffin@aei.org

 

Robert B.
Helms
  • Robert B. Helms has served as a member of the Medicaid Commission as well as assistant secretary for planning and evaluation and deputy assistant secretary for health policy at the U.S. Department of Health and Human Services (HHS). An economist by training, he has written and lectured extensively on health policy and health economics, including the history of Medicare, the tax treatment of health insurance, and compared international health systems. He currently participates in the Health Policy Consensus Group, an informal task force that is developing consumer-driven health reforms. He is the author or editor of several AEI books on health policy, including Medicare in the Twenty-First Century: Seeking Fair and Efficient Reform and Competitive Strategies in the Pharmaceutical Industry.
  • Phone: 2028625877
    Email: rhelms@aei.org
  • Assistant Info

    Name: Catherine Griffin
    Phone: 2028625920
    Email: catherine.griffin@aei.org

 

David
Hyman

 

H.E.
Frech
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