assessment of cost trends and price differences …（评估成本趋势和价格差异u2026）.pdf

Assessment of Cost Trends and Price Differences for U. S. Hospitals March 2011 Margaret E. Guerin-Calvert Vice Chairman and Senior Managing Director Guillermo Israilevich Vice President Compass Lexecon 1101 K Street NW, 8th Floor Washington, DC 20005 Phone: 202.589.3450   1 Assessment of Cost Trends and Price Differences for U.S. Hospitals “In a market with differentiated products [such as a hospital market], different price levels are neither necessary, nor sufficient, to demonstrate the exercise of market power.” 2 – Federal Trade Commission Working Paper No. 294 Executive Summary This paper is the second in a series examining issues that have a bearing on the development of new and innovative healthcare delivery arrangements, such as Accountable Care Organizations (“ACOs”), medical homes and other arrangements that require greater clinical and/or financial integration among caregivers (hospitals and physicians). The first paper, “A Critique of Recent Publications on Provider Market Power” (“Critique”), examined claims made in two publications widely cited as support for limiting caregivers’ flexibility to develop or expand innovative delivery arrangements with exaggerated claims of provider market power. These publications focused on differences in prices among hospitals in two states, linking higher hospital prices to insurers directly to market power. Both ignored or