Chapter 4 Hospital Consolidation and Integration Activity in the United States

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Advances in Health Economics and Health Services Research

ISSN: 0731-2199
Series editor(s): Prof. Michael Grossman, Prof. Bjorn Lindgren, Prof. Robert Kaestner, Prof. Kristian Bolin

Subject Area: Health Care Management/Healthcare

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Document Information:
Title:	Chapter 4 Hospital Consolidation and Integration Activity in the United States
Author(s):	Gloria J. Bazzoli
Volume:	18 Editor(s): Jos L.T. Blank, Vivian G. Valdmanis ISBN: 978-0-7623-1453-9 eISBN: 978-1-84950-577-2
Citation:	Gloria J. Bazzoli (2007), Chapter 4 Hospital Consolidation and Integration Activity in the United States, in Jos L.T. Blank, Vivian G. Valdmanis (ed.) Evaluating Hospital Policy and Performance: Contributions from Hospital Policy and Productivity Research (Advances in Health Economics and Health Services Research, Volume 18), Emerald Group Publishing Limited, pp.45-61
DOI:	10.1016/S0731-2199(07)00004-0 (Permanent URL)
Publisher:	Emerald Group Publishing Limited
Article type:	Chapter Item
Extract:	Over the last decade, the United States (US) hospital industry has become increasingly consolidated through the formation of multi-hospital health systems and networks and the legal merger of institutions under a single license. In relation to the former, health networks are strategic alliances or contractual affiliations of hospitals, in which affiliated institutions retain their individual ownership. Health systems, on the other hand, typically own and operate a core set of hospitals that offer an array of services and products. In many markets across the country, there are now only three to five hospital organizations in operation, after one accounts for their combined ownership or network affiliations.