
Book contents
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
6 - Vertical Integration of Physicians and Hospitals
Three Decades of Futile Building upon a Shaky Foundation
Published online by Cambridge University Press: 14 July 2022
- Seemed Like a Good Idea
- Seemed Like a Good Idea
- Copyright page
- Contents
- Figures
- Contributors
- Preface
- 1 Baseline Observations
- 2 Evidence and Growth in Aggregate Spending and Changes in Health Outcomes
- 3 The Benchmark Decision Model, the Value of Evidence, and Alternative Decision Processes
- 4 Care Coordination
- 5 Evidence-Based Programs to Improve Transitional Care of Older Adults
- 6 Vertical Integration of Physicians and Hospitals
- 7 Evidence on Provider Payment and Medical Care Management
- 8 Evidence on Ways to Bring about Effective Consumer and Patient Engagement
- 9 The Unmet and Evolving Need for Evidence-Based Telehealth
- 10 Evidence and the Management of Health Care for Disadvantaged Populations
- 11 Driving Innovation in Health Care
- 12 Concluding Chapter
- Index
Summary
There has been growing interest in the vertical integration of physicians and hospitals during the past decade, as evidenced by multiple literature reviews and research investigations.1 Historically, physicians operated small firms that provided “physicians’ services” to patients who sometimes used facilities provided by separate hospital firms at which many physicians would have “privileges.” This interest in combining the two types of organizations culminated in a December 2020 issue of Health Services Research devoted to the topic that expressed surprise (and disappointment) that integration is not “a miracle cure”.2 Just months earlier, two of the major proponents of vertical integration published a study in the August issue of Health Affairs that came to a similar, “startling” conclusion: the financial integration of physicians and hospitals (e.g., via employment) had no impact on their clinical integration (and perhaps none on quality).
Keywords
- Type
- Chapter
- Information
- Seemed Like a Good IdeaAlchemy versus Evidence-Based Approaches to Healthcare Management Innovation, pp. 161 - 245Publisher: Cambridge University PressPrint publication year: 2022
- 4
- Cited by